Antiepileptic drugs and mechanisms of epileptogenesis. A review

Ital J Neurol Sci. 1995 May;16(4):217-22. doi: 10.1007/BF02282992.

Abstract

This paper analyzes the effect of conventional (phenobarbital, phenytoin, carbamazepine, ethosuximide, valproate) and some novel (vigabatrin, lamotrigine, felbamate) AEDs on some basic mechanisms involved in focal and/or generalized epileptogenesis (Na+ voltage-dependent channels and sustained repetitive firing, L-, N-, and T-type Ca2+ currents, GABA-mediated inhibition, Glu/Asp-mediated excitation, after-hyperpolarization). According to this analysis, AEDs can be divided into two main categories, those with only one specific action and those with multiple actions. A speculative correlation is proposed between AED effects on the mechanism of epileptogenesis and their known clinical effect on seizures.

Publication types

  • Review

MeSH terms

  • Animals
  • Anticonvulsants / pharmacology*
  • Anticonvulsants / therapeutic use
  • Cats
  • Cerebral Cortex / drug effects
  • Cerebral Cortex / physiopathology
  • Epilepsy / drug therapy*
  • Epilepsy / physiopathology
  • Phenobarbital / pharmacology
  • Phenobarbital / therapeutic use
  • Phenytoin / pharmacology
  • Phenytoin / therapeutic use
  • Receptors, GABA / drug effects
  • Receptors, GABA / physiology
  • Sodium Channels / drug effects
  • Sodium Channels / physiology

Substances

  • Anticonvulsants
  • Receptors, GABA
  • Sodium Channels
  • Phenytoin
  • Phenobarbital