Continuous subcutaneous levetiracetam in end-of-life care

BMJ Case Rep. 2018 Jan 18:2018:bcr2017222340. doi: 10.1136/bcr-2017-222340.

Abstract

Seizures constitute a determining aspect in quality of life and are frequently challenging in palliative care-a field where treatment has yet to be standardised. Levetiracetam-a new generation anticonvulsant-has proved efficacy both through oral, as well as intravenous administration in the general population. This case reports on the use of continuous subcutaneous levetiracetam to effectively control seizures in a terminally ill patient without patent oral route.

Keywords: epilepsy and seizures; palliative care; safety.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Anticonvulsants / administration & dosage*
  • Dementia, Vascular / complications*
  • Dementia, Vascular / drug therapy
  • Dementia, Vascular / physiopathology
  • Disease Progression
  • Female
  • Humans
  • Infusions, Subcutaneous
  • Levetiracetam
  • Piracetam / administration & dosage
  • Piracetam / analogs & derivatives*
  • Quality of Life
  • Seizures / drug therapy*
  • Seizures / etiology*
  • Seizures / physiopathology
  • Terminal Care*
  • Treatment Outcome

Substances

  • Anticonvulsants
  • Levetiracetam
  • Piracetam