Abstract

All antiepileptic drug blood level determinations at the University of Virginia Medical Center were analyzed over a 13 month period.

Highlights

  • Of 28 cases of intracranial arachnoidal cysts reported from the Clinica Las Condes, Santiago, Chile, 17 were located in the middle cranial fossa, 3 in the quadrigeminal cistern, 2 were parasagital, 3 suprasellar and 3 were in the posterior fossa

  • The diagnosis of intracranial arachnoidal cysts and reports in the literature have become more frequent since the routine use of neuroimaging

  • For valproate (VPA), 15% of unbound values from 18% of patients were clinically significant with regard to current seizures and side effects and the rate was similar for monotherapy and polytherapy

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Summary

Introduction

Of 28 cases of intracranial arachnoidal cysts reported from the Clinica Las Condes, Santiago, Chile, 17 were located in the middle cranial fossa, 3 in the quadrigeminal cistern, 2 were parasagital, 3 suprasellar and 3 were in the posterior fossa. UNBOUND PIIENYTOIN AND VALPROATE MONITORING All antiepileptic drug blood level determinations at the University of Virginia Medical Center were analyzed over a 13 month period. Those values with unbound fractions outside the expected range and discordance between unbound and total levels were compared to seizure control and occurrence of side effects.

Results
Conclusion
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