Risk of Major Congenital Malformations and Exposure to Antiseizure Medication Monotherapy
Authors:
- Dina BattinoDBDina Battino
- Eurap CollaboratorsECEurap Collaborators
Top Cited Papers
Open Access
- 1 May 2024
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA Neurology
- Vol. 81 (5) , 481
Abstract
The possibility of prenatal exposure to antiseizure medications (ASMs) leading to increased risk of congenital anomalies has been a concern for more than 5 decades.1 Because most women with epilepsy (WWE) need to continue ASM treatment during pregnancy,2 identifying the safest treatment options for these women is essential. This information could also be applicable to women of childbearing potential who are taking ASMs for nonepilepsy conditions such as psychiatric disorders, migraine, and neuropathic pain.3,4 The assessment of pregnancy outcomes after exposure to different ASMs faces many challenges. Ethical constraints preclude the conduction of randomized studies, leaving observational studies as the sole option. Enrollment of large cohorts is also required to handle the influence of confounding variables.Keywords
This publication has 41 references indexed in Scilit:
- Benefits and Risks of Periconceptional Folic Acid Supplementation—ReplyJAMA Neurology, 2023
- Benefits and Risks of Periconceptional Folic Acid SupplementationJAMA Neurology, 2023
- Association of Prenatal Exposure to Antiseizure Medication With Risk of Autism and Intellectual DisabilityJAMA Neurology, 2022
- Folic acid dose, valproate, and fetal malformationsEpilepsy & Behavior, 2021
- Antiepileptic drugs and foetal malformation: analysis of 20 years of data in a pregnancy registerSeizure: European Journal of Epilepsy, 2019
- Association of Folic Acid Supplementation During Pregnancy With the Risk of Autistic Traits in Children Exposed to Antiepileptic Drugs In UteroJAMA Neurology, 2018
- False discovery rate control is a recommended alternative to Bonferroni-type adjustments in health studiesJournal of Clinical Epidemiology, 2014
- Fetal growth restriction and birth defects with newer and older antiepileptic drugs during pregnancyJournal of Neurology, 2014
- Prenatal Valproate Exposure and Risk of Autism Spectrum Disorders and Childhood AutismJAMA, 2013
- Cochrane Database of Systematic ReviewsCochrane Database of Systematic Reviews, 2007