Oral topiramate in neonates with hypoxic ischemic encephalopathy treated with hypothermia: A safety study

Luca Filippi, Chiara Poggi, Giancarlo La Marca, Sandra Furlanetto, Patrizio Fiorini, Giacomo Cavallaro, Angela Plantulli, Gianpaolo Donzelli, Renzo Guerrini

Research output: Contribution to journalArticle

Abstract

Objective: To investigate whether topiramate associated with mild or deep hypothermia in asphyxiated term infants is safe in relation to the short-term outcome. Study design: We report on 27 consecutive asphyxiated newborns who were treated with whole body hypothermia and 27 additional consecutive newborns with hypothermia who were co-treated with oral topiramate, once a day for 3 consecutive days, at 2 different doses. Results: Newborns were divided in 6 groups according to the depth of hypothermia and the association with higher or lower topiramate dosage. A statistical comparison of the groups identified some differences in biochemical and hemodynamic variables, but no adverse effects attributable to topiramate were detected. There were no statistically significant differences in the groups in short-term outcomes, survival rate at discharge, or incidence of pathologic brain magnetic resonance imaging. Conclusion: Although the number of newborns in this study was limited, the short-term outcome and the safety data appear to support the evaluation of topiramate in clinical trials to explore its possible additive neuroprotective action.

Original languageEnglish
Pages (from-to)361-366
Number of pages6
JournalJournal of Pediatrics
Volume157
Issue number3
DOIs
Publication statusPublished - Sep 2010

Keywords

  • Activated partial thromboplastin time
  • aPTT
  • Deep hypothermia
  • Deep hypothermia and high topiramate dose
  • Deep hypothermia and low topiramate dose
  • DH
  • DH-highTPM
  • DH-lowTPM
  • HIE
  • Hypoxic-ischemic encephalopathy
  • Magnetic resonance imaging
  • MH
  • MH-highTPM
  • MH-lowTPM
  • Mild hypothermia
  • Mild hypothermia and high topiramate dose
  • Mild hypothermia and low topiramate dose
  • MRI
  • Neonatal intensive care unit
  • NICU
  • Topiramate
  • TPM

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

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