Adult-onset status epilepticus in patients with COQ8A coenzyme Q10 deficiency: A case series
2024

Adult-onset seizures in patients with COQ8A deficiency

Sample size: 3 publication Evidence: moderate

Author Information

Author(s): Tsalouchidou Panagiota-Eleni, Juenemann Clara, Hahn Wiebke, Zahnert Felix, Möller Leona, Hakel Lukas, Kemmling André, Menzler Katja, Simon Ole J., Timmermann Lars, Knake Susanne, Bernhard Felix

Primary Institution: Philipps University Marburg, Marburg, Germany

Hypothesis

Can high doses of CoQ10 improve symptoms in patients with COQ8A-related status epilepticus?

Conclusion

High doses of CoQ10 significantly improved symptoms in patients with COQ8A-related status epilepticus.

Supporting Evidence

  • All patients had a history of progressive cerebellar ataxia and epilepsy.
  • EEG findings showed continuous or nearly continuous occipital sharp waves and spikes.
  • MRI findings revealed focal changes in the Diffusion-Weighted Imaging (DWI) and Fluid Attenuated Inversion Recovery (FLAIR) sequences.
  • Significant clinical improvement was observed following treatment with high doses of CoQ10.

Takeaway

This study looked at three adults with a rare condition that caused seizures, and found that giving them a special vitamin helped them feel better.

Methodology

The study analyzed clinical, EEG, and MRI findings of three patients diagnosed with COQ10 deficiency who presented with focal status epilepticus.

Limitations

The findings are based on a limited number of cases, and larger studies are needed to validate these observations.

Participant Demographics

All three patients were from consanguineous families, with two being siblings.

Digital Object Identifier (DOI)

10.1016/j.ebr.2024.100716

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