Stimulating consciousness and cognition following severe brain injury: a new potential clinical use for lamotrigine.

Publication/Presentation Date

11-1-2000

Abstract

No medications clearly enhance consciousness or cognition following severe brain injury. This series (n = 13) suggests that lamotrigine may stimulate improvement of patients with impairment equivalent to level I-III on the Rancho Los Amigos Cognitive Scale. After a serendiptious clinical result, severely brain injured patients who were taking an anticonvulsant had an opportunity to start lamotrigine. This cohort had been transferred to this rehabilitation unit 14-304 (mean 73.9) days and started lamotrigine 20-310 (mean 87.5) days after acute brain injury. Compared to this unit's experience with patients with similar severe brain injuries, more patients (n = 10) were discharged to the conmmunity and fewer to skilled nursing facilities (n = 3) than were expected. This preliminary and provocative case series corresponds to basic science results, and further investigation of lamotrigine is warranted.

Volume

14

Issue

11

First Page

997

Last Page

1001

ISSN

0269-9052

Disciplines

Medicine and Health Sciences

PubMedID

11104139

Department(s)

Department of Medicine

Document Type

Article

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