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Artikel ; Online: Efficacy of antiepileptic drugs in the era of pharmacogenomics: A focus on childhood.

Gogou, Maria / Pavlou, Evangelos

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society

2019 Band 23, Heft 5, Seite(n) 674–684

Abstract: Background: In recent years advances in the field of pharmacogenomics have expanded the concept for more individualized treatments. Our aim is to provide literature data about the relationship between genetic polymorphisms and efficacy of antiepileptic ... ...

Abstract	Background: In recent years advances in the field of pharmacogenomics have expanded the concept for more individualized treatments. Our aim is to provide literature data about the relationship between genetic polymorphisms and efficacy of antiepileptic drugs in children. Methods: Pubmed was used as the main medical database source. Only original research papers were considered. No year-of-publication restriction was placed. Quality of evidence was assessed according to American Academy of Neurology guidelines. Results: A total of 12 cross-sectional and case-control studies fulfilled our selection criteria. ABCB1 gene was associated with drug responsiveness in 2 out of 6 studies and ABCC2 gene in 1 out of 1 studies. SCN1A gene was also associated with seizure control in 4 out of 5 studies. Cytochrome P450 genes were found to significantly affect drug responsiveness in 2 out of 4 studies, while polymorphisms of uridinediphosphateglucuronosyltransferaseUGT2B7 gene predisposed to drug-resistance in 1 out of 2 studies. Conclusion: Variability in genes coding for sodium channels, drug transporters and cytochrome P450 enzymes can have a significant impact on response to antiepileptic drugs. Larger prospective studies with better stratification of samples are needed to shed light on these associations.
Mesh-Begriff(e)	Anticonvulsants/therapeutic use ; Case-Control Studies ; Child ; Cross-Sectional Studies ; Drug Resistance/genetics ; Epilepsy/drug therapy ; Female ; Humans ; Male ; Pharmacogenetics ; Pharmacogenomic Variants/genetics ; Prospective Studies
Chemische Substanzen	Anticonvulsants
Sprache	Englisch
Erscheinungsdatum	2019-06-28
Erscheinungsland	England
Dokumenttyp	Journal Article ; Review
ZDB-ID	1397146-3
ISSN	1532-2130 ; 1090-3798
ISSN (online)	1532-2130
ISSN	1090-3798
DOI	10.1016/j.ejpn.2019.06.004
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Posterior cerebral artery dissection after excessive caffeine consumption in a teenager.

Staikoglou, Nikolaos / Polanagnostaki, Aspasia / Lamprou, Viktoria / Chartampilas, Evangelos / Pavlou, Evangelos / Tegos, Thomas / Finitsis, Stephanos

Radiology case reports

2022 Band 17, Heft 6, Seite(n) 2081–2084

Abstract: Arterial ischemic stroke is a rare but significant cause of neurological deficits in childhood. Even though there is a variety of risk factors, identifying the etiology can sometimes be a hard diagnostic challenge. Arteriopathies in general, and more ... ...

Abstract	Arterial ischemic stroke is a rare but significant cause of neurological deficits in childhood. Even though there is a variety of risk factors, identifying the etiology can sometimes be a hard diagnostic challenge. Arteriopathies in general, and more specifically, arterial dissection is one of the uncommon pathologies that can cause incidents of pediatric stroke. We report a rare case of a young adolescent with posterior cerebral artery dissection after excessive consumption of caffeine, contained in energy drinks, only hours before the onset of neurological symptoms. A complete neuroimaging evaluation (MRI, intracranial US and digital subtraction angiography) at the admission and during the follow-ups supported the diagnosis of arterial dissection possibly caused by caffeine overconsumption.
Sprache	Englisch
Erscheinungsdatum	2022-04-12
Erscheinungsland	Netherlands
Dokumenttyp	Case Reports
ZDB-ID	2406300-9
ISSN	1930-0433
ISSN	1930-0433
DOI	10.1016/j.radcr.2022.02.035
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Sleep and prematurity: sleep outcomes in preterm children and influencing factors.

Gogou, Maria / Haidopoulou, Katerina / Pavlou, Evangelos

World journal of pediatrics : WJP

2019 Band 15, Heft 3, Seite(n) 209–218

Abstract: Background: Sleep undergoes changes from birth to adulthood, while sleep disorders are associated with various cognitive deficiencies in childhood. In parallel, prematurity is known to predispose to poor neurodevelopmental outcomes. Our aim is to ... ...

Abstract	Background: Sleep undergoes changes from birth to adulthood, while sleep disorders are associated with various cognitive deficiencies in childhood. In parallel, prematurity is known to predispose to poor neurodevelopmental outcomes. Our aim is to provide literature data about factors influencing sleep in the premature infants and sleep outcomes in this population. Methods: A systematic review was conducted using a variety of health-related databases. Original research papers were considered and no year-of-publication restriction was placed. Results: In total, 22 articles fulfilled our selection criteria. Available studies present remarkable heterogeneity in terms of methodological design. Compared to full term, premature infants exhibit significant differences in sleep structure, which mainly include differences in electroencephalographic spectral values, in total sleep time and in arousal threshold. Furthermore, prematurity seems to be a risk factor of sleep breathing disorders in childhood and adolescence. Data about the effect of methylxanthines and the environment of neonatal intensive care unit is controversial. With regard to the impact of prematurity-related sleep disorders on future neurodevelopment, available research papers are generally few. Conclusions: The alterations in sleep patterns are an outcome of prematurity (immaturity of nervous system) as well as of postnatal factors and comorbidities. Sleep problems in this population of infants seems to be a missing piece of the puzzle of impaired neurodevelopment. Future studies should focus on interventions to improve sleep hygiene and limit neurodevelopmental problems.
Mesh-Begriff(e)	Electroencephalography ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases/etiology ; Nervous System Diseases/etiology ; Risk Factors ; Sleep Wake Disorders/etiology
Sprache	Englisch
Erscheinungsdatum	2019-03-04
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Systematic Review
ZDB-ID	2236681-7
ISSN	1867-0687 ; 1708-8569
ISSN (online)	1867-0687
ISSN	1708-8569
DOI	10.1007/s12519-019-00240-8
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Therapies that are available and under development for Duchenne muscular dystrophy: What about lung function?

Gogou, Maria / Pavlou, Evangelos / Haidopoulou, Katerina

Pediatric pulmonology

2019 Band 55, Heft 2, Seite(n) 300–315

Abstract: Background: Respiratory failure is the principal source of morbidity and mortality among patients with Duchenne muscular dystrophy exerting a negative influence on their total quality of life. The aim of this review is to provide systematically current ... ...

Abstract	Background: Respiratory failure is the principal source of morbidity and mortality among patients with Duchenne muscular dystrophy exerting a negative influence on their total quality of life. The aim of this review is to provide systematically current literature evidence about the effects of different treatment options (available or under development) for Duchenne muscular dystrophy on the pulmonary function of these patients. Methods: A comprehensive search was undertaken using multiple health-related databases, while two independent reviewers assessed the eligibility of studies. A third person addressed any disagreements between reviewers. The quality of the methodology of the included studies was also assessed. Results: A total of 19 original research papers (nine evaluating the role of steroids, six idebenone, three eteplirsen, one stem-cell therapy, and one ataluren) were found to fulfill our selection criteria with the majority of them (14 of 19) being prospective studies, not always including a control group. Endpoints mainly used in these studies were values of pulmonary function tests. Current and under development treatments proved to be safe and no significant adverse events were reported. A beneficial impact on pulmonary function was described by authors in the majority of these studies. The principal effect was slowing of lung disease progress, as expressed by spirometric values. However, the risk of bias was introduced in many of the above studies, while high heterogeneity in terms of treatment protocols and outcome measures limits the comparability of the results. Conclusion: Glucocorticoids remain the best-studied pharmacologic therapy for Duchenne muscular dystrophy and very likely delay the expected decline in lung function. With regard to new therapeutic agents, initial study results are encouraging. However, larger clinical trials are needed that minimize the risk of study bias, optimize the comparability of treatment groups, examine clinically meaningful pulmonary outcome measures, and include long-term follow up.
Mesh-Begriff(e)	Glucocorticoids/therapeutic use ; Humans ; Lung/physiopathology ; Male ; Morpholinos ; Muscular Dystrophy, Duchenne/therapy ; Prospective Studies ; Quality of Life ; Respiratory Function Tests ; Ubiquinone/analogs & derivatives
Chemische Substanzen	Glucocorticoids ; Morpholinos ; Ubiquinone (1339-63-5) ; eteplirsen (AIW6036FAS) ; idebenone (HB6PN45W4J)
Sprache	Englisch
Erscheinungsdatum	2019-12-13
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Review
ZDB-ID	632784-9
ISSN	1099-0496 ; 8755-6863
ISSN (online)	1099-0496
ISSN	8755-6863
DOI	10.1002/ppul.24605
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Is the prevalence of thyroid disease higher in children receiving antiepileptic medication? A systematic review and meta-analysis.

Ilia, Tatiani Soultana / Dragoumi, Pinelopi / Papanikolopoulou, Stavroula / Goulis, Dimitrios G / Pavlou, Evangelos / Zafeiriou, Dimitrios

Seizure

2021 Band 94, Seite(n) 117–125

Abstract: Purpose: Antiseizure medications (ASM) have long been examined for their potential to induce thyroid dysfunction. The aim of this systematic review and meta-analysis was to assess the prevalence of thyroid disease in children up to 16 years receiving ... ...

Abstract	Purpose: Antiseizure medications (ASM) have long been examined for their potential to induce thyroid dysfunction. The aim of this systematic review and meta-analysis was to assess the prevalence of thyroid disease in children up to 16 years receiving monotherapy with valproate (VPA), carbamazepine (CBZ) and levetiracetam (LEV). Methods: PubMed/MEDLINE, Cochrane/CENTRAL databases and the gray literature were searched to identify observational studies providing the prevalence of thyroid dysfunction in the target population under VPA, CBZ, or LEV monotherapy schemes. The results were pooled using a random-effects model, and additional subgroup analyses were performed for the three ASM groups. Results: Fifteen and thirteen studies met inclusion criteria for the qualitative and the quantitative analysis, respectively, with a total of 945 pediatric patients with prevalence data. Only VPA and CBZ were associated with thyroid dysfunction. The overall prevalence of thyroid abnormality was higher in children receiving ASM [odds ratio (OR) 6.82, 95% confidence interval (CI) 3.96-11.75]. In the subgroup analysis, the prevalence of biochemical thyroid abnormality with increased TSH was higher in the VPA (OR 9.54, 95%CI 5.25-17.34) and the CBZ group (OR 4.08, 95%CI 1.84-9.04) compared with controls. Conclusion: This study confirms the higher prevalence of biochemical thyroid abnormality in children under VPA and CBZ monotherapy, whereas no such evidence is present for LEV. In children with a predisposition for thyroid disease, LEV should be considered over VPA and CBZ, if appropriate for seizure type and epilepsy syndrome. More studies are needed to reach a consensus on monitoring and management of thyroid dysfunction in children receiving ASM therapy.
Mesh-Begriff(e)	Anticonvulsants/adverse effects ; Carbamazepine/adverse effects ; Child ; Epilepsy/drug therapy ; Epilepsy/epidemiology ; Humans ; Levetiracetam/adverse effects ; Prevalence ; Thyroid Diseases/chemically induced ; Thyroid Diseases/epidemiology ; Valproic Acid/adverse effects
Chemische Substanzen	Anticonvulsants ; Carbamazepine (33CM23913M) ; Levetiracetam (44YRR34555) ; Valproic Acid (614OI1Z5WI)
Sprache	Englisch
Erscheinungsdatum	2021-11-24
Erscheinungsland	England
Dokumenttyp	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	1137610-7
ISSN	1532-2688 ; 1059-1311
ISSN (online)	1532-2688
ISSN	1059-1311
DOI	10.1016/j.seizure.2021.11.010
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Charcot-Marie-Tooth 1A concurrent with anaplastic ependymoma in a toddler: when an acute event unmasks a chronic condition.

Gogou, Maria / Pavlidou, Efterpi / Pavlou, Evangelos / Papageorgiou, Theodotis / Tragiannidis, Athanasios / Giannopoulos, Andreas / Hatzipantelis, Emmanuel

The Turkish journal of pediatrics

2020 Band 61, Heft 3, Seite(n) 428–430

Abstract: Gogou M, Pavlidou E, Pavlou E, Papageorgiou T, Tragiannidis A, Giannopoulos A, Hatzipantelis E. Charcot-Marie -Tooth 1A concurrent with anaplastic ependymoma in a toddler: when an acute event unmasks a chronic condition. Turk J Pediatr 2019; 61: 428-430. ...

Abstract	Gogou M, Pavlidou E, Pavlou E, Papageorgiou T, Tragiannidis A, Giannopoulos A, Hatzipantelis E. Charcot-Marie -Tooth 1A concurrent with anaplastic ependymoma in a toddler: when an acute event unmasks a chronic condition. Turk J Pediatr 2019; 61: 428-430. We report a 14-month-old toddler admitted to the Pediatric Oncology Department after surgical resection of supratentorial anaplastic ependymoma. The child was treated with International Society of Pediatric Oncology Ependymoma II 2015 chemotherapy protocol (vincristine, carboplatin, cisplatin, cyclophosphamide and methotrexate). At the end of the first cycle the child presented with symptoms such as unsteadiness and ataxic gait along with decreased motor and sensory action potentials of the limbs. As the father of the child was diagnosed with Charcot-Marie-Tooth 1A disease, a genetic analysis of the PMP22 gene was performed confirming the diagnosis of Charcot- Marie-Tooth 1A in the child, too. This case gently reminds the possibility of vincristine-induced neurotoxicity and underscores the significance of an appropriate neurological assessment before vincristine initiation.
Mesh-Begriff(e)	Acute Disease ; Charcot-Marie-Tooth Disease/complications ; Charcot-Marie-Tooth Disease/diagnosis ; Charcot-Marie-Tooth Disease/genetics ; Chronic Disease ; DNA Mutational Analysis ; Diagnosis, Differential ; Ependymoma/complications ; Ependymoma/diagnosis ; Ependymoma/genetics ; Female ; Humans ; Infant ; Mutation ; Myelin Proteins/genetics ; Myelin Proteins/metabolism
Chemische Substanzen	Myelin Proteins ; PMP22 protein, human
Sprache	Englisch
Erscheinungsdatum	2020-01-09
Erscheinungsland	Turkey
Dokumenttyp	Case Reports ; Journal Article ; Review
ZDB-ID	123487-0
ISSN	0041-4301
ISSN	0041-4301
DOI	10.24953/turkjped.2019.03.017
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Sleep Disturbances in Children with Rolandic Epilepsy.

Gogou, Maria / Haidopoulou, Katerina / Eboriadou, Maria / Pavlou, Evangelos

Neuropediatrics

2017 Band 48, Heft 1, Seite(n) 30–35

Abstract: ... ...

Abstract	Background
Mesh-Begriff(e)	Adolescent ; Child ; Cross-Sectional Studies ; Epilepsy, Rolandic/complications ; Female ; Hemoglobins/metabolism ; Humans ; Male ; Polysomnography ; Sleep Wake Disorders/etiology
Chemische Substanzen	Hemoglobins
Sprache	Englisch
Erscheinungsdatum	2017-02
Erscheinungsland	Germany
Dokumenttyp	Journal Article
ZDB-ID	573291-8
ISSN	1439-1899 ; 0174-304X
ISSN (online)	1439-1899
ISSN	0174-304X
DOI	10.1055/s-0036-1593611
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Circulating serum and plasma levels of micro-RNA in type-1 diabetes in children and adolescents: A systematic review and meta-analysis.

Margaritis, Kosmas / Margioula-Siarkou, Georgia / Margioula-Siarkou, Chrysoula / Petousis, Stamatios / Kotanidou, Eleni P / Christoforidis, Athanasios / Pavlou, Evangelos / Galli-Tsinopoulou, Assimina

European journal of clinical investigation

2021 Band 51, Heft 7, Seite(n) e13510

Abstract: Background: Type 1 diabetes mellitus (T1DM) is a complex metabolic disorder characterized by hyperglycaemia, with constantly increasing incidence in paediatric population. The discovery of new molecules, such as microRNAs, and their possible ... ...

Abstract	Background: Type 1 diabetes mellitus (T1DM) is a complex metabolic disorder characterized by hyperglycaemia, with constantly increasing incidence in paediatric population. The discovery of new molecules, such as microRNAs, and their possible interactions with T1DM create novel aspects in the diagnosis of the disease. Methods: This systematic review and meta-analysis adhered to PRISMA guidelines. MEDLINE, SCOPUS, Cochrane CENTRAL and Clinicaltrials.gov. were searched up to 20 April 2020. Inclusion criteria for individual studies were quantification of microRNAs in serum/plasma samples and study groups consisting of children and adolescents with T1DM and healthy controls. Primary outcome of the study was the qualitative expression of microRNAs between the two groups. Statistical analysis was performed with Comprehensive Meta-Analysis Software v3.0. Methodological quality of included studies was assessed using Newcastle-Ottawa scale. Results: A total of 484 studies were retrieved from the initial search of the databases. These were subsequently limited to seven included studies. Seven microRNAs demonstrated contrasting expression between the two groups, with two of them showing significant overexpression in T1DM group (miR-181:95% CI: 0.429 to 1.341 P < .001, miR-210:95% CI: 0.381 to 0.852, P < .001) and one micro-RNA being significantly overexpressed in control group (miR-375:95% CI: 0.293 to 1.459, P = .003). Conclusion: A total of three micro-RNA molecules appeared to have a significantly different expression in T1DM patients, serving as a possible diagnostic panel of biomarkers. These findings may contribute as reference for future research to further support the use of microRNAs as a novel diagnostic tool in T1DM.
Mesh-Begriff(e)	Adolescent ; Child ; Diabetes Mellitus, Type 1/blood ; Diabetes Mellitus, Type 1/genetics ; Humans ; MicroRNAs/blood ; MicroRNAs/genetics
Chemische Substanzen	MIRN-181 microRNA, human ; MIRN375 microRNA, human ; MicroRNAs
Sprache	Englisch
Erscheinungsdatum	2021-02-18
Erscheinungsland	England
Dokumenttyp	Journal Article ; Meta-Analysis ; Systematic Review
ZDB-ID	186196-7
ISSN	1365-2362 ; 0014-2972 ; 0960-135X
ISSN (online)	1365-2362
ISSN	0014-2972 ; 0960-135X
DOI	10.1111/eci.13510
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Bilateral Eyelid Ptosis, Attributed to Vincristine, Treated Successfully with Pyridoxine and Thiamine in a Child with Acute Lymphoblastic Leukemia.

Hatzipantelis, Emmanuel / Kyriakidis, Ioannis / Pavlou, Evangelos / Pavlidou, Efterpi

Toxicology international

2016 Band 22, Heft 1, Seite(n) 162–164

Abstract: Vincristine-induced neurotoxicity is an adverse effect commonly seen in pediatric patients treated for cancer. We hereby present a case of a 6-year-old boy with acute lymphoblastic leukemia, who developed bilateral eyelid ptosis 25 days after the last ... ...

Abstract	Vincristine-induced neurotoxicity is an adverse effect commonly seen in pediatric patients treated for cancer. We hereby present a case of a 6-year-old boy with acute lymphoblastic leukemia, who developed bilateral eyelid ptosis 25 days after the last intravenous administration of vincristine (cumulative dose 14.2 mg i.e., 17.75 mg/m(2)). The boy was treated with 5 mg/kg thiamine and with 10 mg/kg pyridoxine. Complete recovery of ptosis was noticed 4 weeks after the initiation of Vitamins B1 and B6 supplementation therapy.
Sprache	Englisch
Erscheinungsdatum	2016-02-10
Erscheinungsland	India
Dokumenttyp	Case Reports
ZDB-ID	1325130-2
ISSN	0971-6580
ISSN	0971-6580
DOI	10.4103/0971-6580.172275
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Infantile spasms (West syndrome) in children with inborn errors of metabolism: a review of the literature.

Gkampeta, Anastasia / Pavlou, Evangelos

Journal of child neurology

2012 Band 27, Heft 10, Seite(n) 1295–1301

Abstract: West syndrome (infantile spasms) is an epileptic encephalopathy that includes psychomotor deterioration. In rare cases, it is due to an inherited, progressive metabolic disease. More than 25 inborn errors of metabolism have been considered etiologic or ... ...

Abstract	West syndrome (infantile spasms) is an epileptic encephalopathy that includes psychomotor deterioration. In rare cases, it is due to an inherited, progressive metabolic disease. More than 25 inborn errors of metabolism have been considered etiologic or predisposing factors for infantile spasms. This is a review of the literature on reported cases of children diagnosed with a metabolic disease who developed infantile spasms. This article presents in brief the most frequent inborn errors of metabolism that have been associated with West syndrome and also illustrates the importance of screening for inborn errors of metabolism in infantile spasms.
Mesh-Begriff(e)	Humans ; Infant ; Infant, Newborn ; Metabolism, Inborn Errors/classification ; Metabolism, Inborn Errors/complications ; Metabolism, Inborn Errors/epidemiology ; Spasms, Infantile/complications ; Spasms, Infantile/epidemiology
Sprache	Englisch
Erscheinungsdatum	2012-10
Erscheinungsland	United States
Dokumenttyp	Journal Article ; Review
ZDB-ID	639288-x
ISSN	1708-8283 ; 0883-0738
ISSN (online)	1708-8283
ISSN	0883-0738
DOI	10.1177/0883073812448532
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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