Post-traumatic seizures can appear frequently after a severe traumatic brain injury. Two types of seizures are usually identified: early seizures during the week following the trauma and late epilepsy afterward. Several antiepileptic drugs are usually used to prevent early seizures but no treatment has demonstrated any preventive effect against late epilepsy. Levetiracetam is an antiepileptic drug usually used for the treatment of epileptic patients and has pharmacologic properties that could also be interesting for the prevention of post-traumatic epilepsy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
23
1500 mg/day orally until the first episode of late epilepsy for a maximum duration of 3 months
1500 mg/day orally until the first episode of late epilepsy for a maximum duration of 3 months
Neurologie - CHU Angers
Angers, France
Neurology - CHU Bordeaux
Bordeaux, France
Neurologie - CHU Caen
Caen, France
Time to early epileptic seizures (<= 8 days) and late epilepsy (from day 9 to 1 year) in patients with severe traumatic brain injury
Time frame: one year
Rate of early seizures and of late epilepsy; treatment effects according to the patient's severity, the TDM US Traumatic Coma Data Bank, and the number of regions traumatized; safety of Levetiracetam
Time frame: One year
Global prognosis (Glasgow Outcome Scale)
Time frame: 3 months, 6 months and 1 year
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Neurochirurgie-CHU Grenoble
Grenoble, France
Neurology - CHU Rennes
Grenoble, France
Neurophysiologie Clinique - CHU Lille
Lille, France
Neurophysiologie clinique - CHU Lyon (Hôpital neurologique)
Lyon, France
Beurophysiologie clinique - CHU Marseille
Marseille, France
Epileptologie - CHU Montpellier
Montpellier, France
Neurologie - CHU Nancy
Nancy, France
...and 5 more locations