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Department of Pediatrics and Pharmacology, College of Medicine, Ohio State University, and the Division of Pediatric Neurology, Columbus Children's Hospital, Columbus, OH.
we evaluated valproic acid (VPA) for 6 months as therapy for uncontrolled seizures in 100 children, 38 with partial and 62 with generalized epilepsy. Sixty-one patients experienced more than a 75% decrease in seizures. The improvement in generalized epilepsy paralleled adult VPA studies, but partial epilepsy improved more than expected, even though acceptable seizure control was often achieved only after 6 months of VPA therapy. The most significant side effect was gastrointestinal distress, which was alleviated by dietary changes. Limited experience suggested that enteric-coated capsules eliminated gastrointestinal symptoms. Hematologic, hepatic, and behavioral sequelae were minimal.
Address correspondence and reprint requests to Dr. Sherard, 700 Children's Drive, Columbus, OH 43205.
Accepted for publication June 12, 1979.
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