Serum total amylase, pancreatic amylase and lipase activities in epileptic children treated with sodium valproate monotherapy

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• 作者：Konstantinos Voudris ; Achilleas Attilakos ; Eustathia Katsarou ; Sotiria Mastroyianni ; Stamatia Dimou ; Angeliki Skardoutsou ; Alexia Prassouli and Anastasia Garoufi
• 关键词：Amylase ; Lipase ; Pancreatic amylase ; Pancreatitis ; Sodium valproate ; Epileptic children
• 刊名：Brain and Development
• 出版年：2006
• 出版时间：October 2006
• 年：2006
• 卷：28
• 期：9
• 页码：572-575
• 全文大小：87 K

文摘

To investigate by a prospective, self-controlled method, whether early treatment with sodium valproate (VPA) monotherapy has some effect on serum total amylase and particularly on its pancreatic isoenzyme and lipase activities in epileptic children. Serum total amylase, pancreatic amylase and lipase activities have been evaluated in 23 epileptic children, before and at 6 and 12 months of VPA monotherapy. All children remained without clinical symptoms of pancreatitis during the period of study. Serum pancreatic amylase activities were significantly decreased at 6 and 12 months of treatment with VPA, whereas serum total amylase and lipase activities did not show any significant changes at 6 or 12 months of treatment. Non-pancreatic isoenzyme activities of amylase were significantly higher at 6 and 12 months of treatment. Three patients (13 % ) had slightly elevated serum total amylase levels at 6 and 12 months of treatment. There was no significant correlation of serum pancreatic amylase levels or non-pancreatic isoenzyme levels of amylase with serum VPA levels at 6 and 12 months of treatment. Non-pancreatic amylase activities, probably derived from salivary glands, may be increased in children treated with VPA monotherapy. Measurement of serum pancreatic amylase and/or serum lipase activities is indicated in patients with increased serum total amylase levels but without clinical symptoms of pancreatitis and, furthermore, in patients with symptoms suggesting dysfunction of pancreas, in order to avoid unnecessary discontinuing of VPA.