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Anticholinergics: A potential option for preventing posttraumatic epilepsy

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Author(s):
Sanabria, Viviam ; Romariz, Simone ; Braga, Matheus ; Foresti, Maira Licia ; Naffah-Mazzacoratti, Maria da Graca ; Mello, Luiz Eugenio ; Longo, Beatriz M. M.
Total Authors: 7
Document type: Journal article
Source: FRONTIERS IN NEUROSCIENCE; v. 16, p. 8-pg., 2023-02-24.
Abstract

Interest in the use of anticholinergics to prevent the development of epilepsy after traumatic brain injury (TBI) has grown since recent basic studies have shown their effectiveness in modifying the epileptogenic process. These studies demonstrated that treatment with anticholinergics, in the acute phase after brain injury, decreases seizure frequency, and severity, and the number of spontaneous recurrent seizures (SRS). Therefore, anticholinergics may reduce the risk of developing posttraumatic epilepsy (PTE). In this brief review, we summarize the role of the cholinergic system in epilepsy and the key findings from using anticholinergic drugs to prevent PTE in animal models and new clinical trial protocols. Furthermore, we discuss why treatment with anticholinergics is more likely to prevent PTE than treatment for other epilepsies. (AU)

FAPESP's process: 17/05242-3 - STUDY OF THE ANTICONVULSANT EFFECT OF CANNABIDIOL AFTER TRAUMATIC BRAIN INJURY.
Grantee:Simone Amaro Alves Romariz Bertola
Support Opportunities: Scholarships in Brazil - Post-Doctoral
FAPESP's process: 18/24561-5 - Epileptogenesis, biomarkers and post-traumatic epilepsy
Grantee:Luiz Eugenio Araujo de Moraes Mello
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 22/10520-0 - Post-traumatic Epilepsy model induced by lateral fluid percussion in non-human primates
Grantee:Viviam Sofia Sanabria Calvo
Support Opportunities: Scholarships in Brazil - Post-Doctoral