Rapid seizure resolution with cannabidiol in medically refractory epilepsy with myoclonic-atonic seizures.

Epileptic Disord

Neurological Institute, Epilepsy Center, Cleveland Clinic, Cleveland, Ohio, USA.

Published: December 2024

Epilepsy with myoclonic-atonic seizures (EMAS) is an early childhood epilepsy syndrome with an explosive onset of multiple seizure types in a previously healthy child. EMAS often evolves to a drug-resistant epileptic encephalopathy before a variable degree of remission around 3 years from onset. Highly purified cannabidiol (CBD, available in United States as Epidiolex®) has demonstrated efficacy and tolerability as an adjunct in medically refractory EMAS. We present two cases of medically refractory EMAS achieving rapid seizure freedom (7-30 days) with CBD, illustrating CBD as a potential effective monotherapy in EMAS.

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http://dx.doi.org/10.1002/epd2.20321DOI Listing

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