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Journal of the Korean Academy of Rehabilitation Medicine 2004;28(2):117-121.
Effects of Amantadine Therapy on Seizure Development in the Patients with Brain Injury and Stroke.
Park, Jae Heung , Sohn, Hyun Joo , Ko, Hyun Yoon , Park, In Sun
1Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea. joojoo401@medimail.co.kr
2Rehab Park-Ko, Korea.
뇌손상 및 뇌졸중 환자에서 아만타딘 투여가 간질 발생에 미치는 영향
박재흥, 손현주, 고현윤, 박인선1
부산대학교 의과대학 재활의학교실, 1박인선 재활의학과의원
Abstract
Objective
The objective of this study was to evaluate incidence and risk factors of seizure development during amantadine therapy for the patients with brain injury and stroke.
Method
Thirty subjects (15 subjects with traumatic brain injuries and 15 subjects with strokes) who received a 4-week trial of amantadine from 100 mg/day to 400 mg/day were included. Control group, 40 patients (20 subjects with traumatic brain injuries and 20 subjects with strokes), did not take any brain stimulant. There were no differences in number, age, lesion area, and cognitive levels between two groups. Incidence of seizure in two groups was evaluated.
Results
Seizure occurred in 9 subjects in therapy group (30%) and in 1 subject in control group (2.5%). There was higher incidence of seizure in the group treated with amantadine than in the control group. In therapy group, most of the seizures occurred in high dose of 400 mg/day.
Conclusion
Amantadine in high dose appeared to be associated with higher incidence of seizure. This study suggested that administration of amantadine in high dose in management of brain injury and stroke should be accompanied with careful monitoring of seizure. (J Korean Acad Rehab Med 2004; 28: 117-121)
Key Words: Amantadine, Seizure, Brain injury, Cognitive dysfunction


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