https://nova.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Ganaxolone versus Phenobarbital for Neonatal Seizure Management https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:50851 Wed 09 Aug 2023 09:38:31 AEST ]]> Germline de novo mutations in GNB1 cause severe neurodevelopmental disability, hypotonia, and seizures https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:24835 −21), implicating GNB1 as a genome-wide-significant disease-associated gene. The majority of these 13 mutations affect known Gβ binding sites, which suggests that a likely disease mechanism is through the disruption of the protein interface required for Gα-Gβγ interaction (resulting in a constitutively active Gβγ) or through the disruption of residues relevant for interaction between Gβγ and certain downstream effectors (resulting in reduced interaction with the effectors). Strikingly, 8 of the 13 individuals recruited here for a neurodevelopmental disorder have a germline de novo GNB1 mutation that overlaps a set of five recurrent somatic tumor mutations for which recent functional studies demonstrated a gain-of-function effect due to constitutive activation of G protein downstream signaling cascades for some of the affected residues.]]> Sat 24 Mar 2018 07:15:11 AEDT ]]> Desvenlafaxine overdose and the occurrence of serotonin toxicity, seizures and cardiovascular effects https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:32381 140-180 mmHg) occurred in 23/71 patients (32%), and tachycardia occurred in 29/74 (39%) patients. There were no abnormal QT intervals and no QRS > 120 m s. Serotonin toxicity was diagnosed by the treating physician in 7/75 (9%) patients, but only one of these met the Hunter Serotonin Toxicity Criteria. None of the 75 patients who took desvenlafaxine only (± alcohol) had seizures, were admitted to intensive care or died. In comparison, the 107 patients taking desvenlafaxine in overdose with other medications developed more pronounced toxicity. Generalised seizures occurred in 5/107 (5%), but in three of these cases co-ingestants were possible proconvulsants. Fifteen patients had a GCS ≤9 and none had an abnormal QT or QRS. Severe effects appeared to be associated with coingestants. Conclusion: Desvenlafaxine overdose causes minor effects with mild hypertension and tachycardia. The risk of seizures or serotonin toxicity is low.]]> Mon 23 Sep 2019 12:11:51 AEST ]]> Temozolomide and seizure outcomes in a randomized clinical trial of elderly glioblastoma patients https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:44180 Mon 10 Oct 2022 10:34:22 AEDT ]]> Effect of Treatment of Clinical Seizures vs Electrographic Seizures in Full-Term and Near-Term Neonates: A Randomized Clinical Trial https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:53197 Fri 17 Nov 2023 11:52:45 AEDT ]]>