Emerging treatments for progressive myoclonus epilepsies

Antonella Riva, Alberto Guglielmo, Ganna Balagura, Francesca Marchese, Elisabetta Amadori, Michele Iacomino, Berge Arakel Minassian, Federico Zara, Pasquale Striano

Research output: Contribution to journalReview article

Abstract

Introduction: Progressive myoclonus epilepsies (PMEs) are a group of neurodegenerative diseases, invariably leading to severe disability or fatal outcome in a few years or decades. Nowadays, PMEs treatment remains challenging with a significant burden of disability for patients. Pharmacotherapy is primarily used to treat seizures, which impact patients’ quality of life. However, new approaches have emerged in the last few years, which try to curb the neurological deterioration of PMEs through a better knowledge of the pathogenetic process. This is a review on the newest therapeutic options for the treatment of PMEs. Areas covered: Experimental and clinical results on novel therapeutic approaches for the different forms of PME are reviewed and discussed. Special attention is primarily focused on the efficacy and tolerability outcomes, trying to infer the role novel approaches may have in the future. Expert opinion: The large heterogeneity of disease-causing mechanisms prevents researchers from identifying a single approach to treat PMEs. Understanding of pathophysiologic processes is leading the way to targeted therapies, which, through enzyme replacement or underlying gene defect correction have already proved to potentially strike on neurodegeneration.

Original languageEnglish (US)
Pages (from-to)341-350
Number of pages10
JournalExpert review of neurotherapeutics
Volume20
Issue number4
DOIs
StatePublished - Apr 2 2020

Keywords

  • Epilepsy
  • genetics
  • neurodegeneration
  • precision medicine
  • progressive myoclonus
  • treatments

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology
  • Pharmacology (medical)

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  • Cite this

    Riva, A., Guglielmo, A., Balagura, G., Marchese, F., Amadori, E., Iacomino, M., Minassian, B. A., Zara, F., & Striano, P. (2020). Emerging treatments for progressive myoclonus epilepsies. Expert review of neurotherapeutics, 20(4), 341-350. https://doi.org/10.1080/14737175.2020.1741350