©SRDE Group, All Rights Reserved. Int. J. Res. Dev. Pharm. L. Sci. 105
International Journal of Research and Development in Pharmacy and Life Sciences
Available online at http//www.ijrdpl.com
August - September, 2012, Vol. 1, No.3, pp 105-111
ISSN: 2278-0238
Review Article
RECENT DEVELOPMENTS ON ANTI-CONVULSANTS
P.K.Jain
1
, Himanshu Joshi
1
1. Faculty of Pharmacy, Naraina Vidya Peeth group of Institutions, Kanpur
1,
*Corresponding Author: Email jainpk1443@gmail.com
(Received: May 07, 2012; Accepted: July 11, 2012)
ABSTRACT
Epilepsy is not a disease, but a syndrome of different cerebral disorders of the CNS. This syndrome is characterized by paroxysmal, excessive, and
hypersynchronous discharges of large numbers of neurons. The first major division of epilepsy is localization-related (i.e., focal, local, partial) epilepsies, which
account for about 60% of all epilepsies. The remainder, about 40%, is composed of generalized epilepsies. The most common, and most difficult to treat, seizures in
Adult patients are complex partial seizures, whereas primary generalized tonic-clonic (formerly, “Grand mal" epilepsy) seizures respond in most patients to
treatment with anticonvulsants. Thus a need for new drugs with a greater benefit as related to side effects and tolerability, even at the expense of efficacy, when
compared to the existing antiepileptic agents.
Keywords: Epilepsy, Seizures, Anticonvulsants, EEG.
INTRODUCTION
The central nervous system constitutes the cerebral cortex, the
limbic system, the midbrain, the brainstem, the cerebellum,
and the spinal cord
[1]
. Epilepsy is one of the most common
disorders of the brain, affecting about 50 million individuals
worldwide. Epilepsy is a chronic and often progressive
disorder characterized by the periodic and unpredictable
occurrence of epileptic seizures that are caused by abnormal
discharge of cerebral neurons
[2]
. These seizures may be
identified on the basis of their clinical characteristics. These
clinical attributes, along with their electroencephalographic
pattern, can be used to categorize seizures
[3]
. Seizures are
basically divided into two major groups: partial and
generalized. Partial (focal, local) seizures are those in which
clinical or EEG evidence exists to indicate that the disorder
originates from a localized origin, usually in a portion of one
hemisphere in the brain
[4]
. Partial seizures may be further
subdivided into simple partial, complex partial and partial
seizures evolving into secondarily generalized seizures. In
generalized seizures, the evidence for a local origin is
lacking. Generalized seizures may be further subdivided into
absence (nonconvulsive), myoclonic, clonic, tonic, tonic-clonic,
and atonic seizures. More than 40 distinct epileptic
syndromes have been identified, making epilepsy an
extremely diverse collection of disorders. An epilepsy, or
epileptic syndrome, is idiopathic, virtually synonymous with
genetic epilepsy; or symptomatic, which is attributed to a