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Parkinson disease and the risk of epileptic seizures

Gruntz, Katharina and Bloechliger, Marlene and Becker, Claudia and Jick, Susan S. and Fuhr, Peter and Meier, Christoph R. and Rüegg, Stephan. (2018) Parkinson disease and the risk of epileptic seizures. Annals of Neurology, 83 (2). pp. 363-374.

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Official URL: https://edoc.unibas.ch/68002/

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Abstract

To assess the association between incident Parkinson disease (PD) and subsequent incident epileptic seizures.; We conducted a retrospective cohort study with a nested case-control analysis using data from the U.K. Clinical Practice Research Datalink. We identified patients aged ≥40 years with an incident diagnosis of PD between 1995 and 2016 and a matched comparison group of PD-free individuals. We calculated crude incidence rates (IRs) with 95% confidence intervals (CIs) of epileptic seizures in PD patients and the PD-free comparison group, and corresponding crude incidence rate ratios (IRRs). In the nested case-control analysis, we calculated adjusted odds ratios (adj. ORs) of incident PD among cases with incident epileptic seizures and seizure-free controls overall and stratified by various seizure-provoking comorbidities.; Among 23,086 incident PD patients and 92,343 PD-free individuals, we identified 898 patients with incident epileptic seizures. The crude IR of epileptic seizures in PD patients was 266.7/100,000 person-years (95% CI = 235.6-297.7), and in PD-free individuals it was 112.4/100,000 person-years (95% CI = 103.5-121.3; IRR = 2.37, 95% CI = 2.06-2.73). The adj. OR of epileptic seizures was 1.68 (95% CI = 1.43-1.98) in PD patients compared with PD-free individuals. PD patients with comorbid brain disorders (adj. OR = 12.36, 95% CI = 8.74-17.48) or with > 1 seizure-provoking comorbidity (adj. OR = 13.24, 95% CI = 10.15-17.25) were at the highest risk of epileptic seizures compared with PD-free individuals with no seizure-provoking comorbidities.; This study suggests that incident PD is associated with an increased risk of incident epileptic seizures. Ann Neurol 2018;83:363-374.
Faculties and Departments:05 Faculty of Science > Departement Pharmazeutische Wissenschaften > Pharmazie > Klinische Pharmazie/Spitalpharmazie (Meier)
05 Faculty of Science > Departement Pharmazeutische Wissenschaften
UniBasel Contributors:Meier, Christoph R. and Rauch, Marlene
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:0364-5134
e-ISSN:1531-8249
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:29 Apr 2020 11:07
Deposited On:16 Apr 2020 13:18

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