Foetal valproate spectrum disorder (FVSD)

Evidence-based neurology checklist on foetal valproate spectrum disorder (fvsd): Essential diagnostic criteria Exposure to Valproate in pregnancy Exclusion of other potential causes Normal microarray-CGH and Fragile X studies Facial dysmorphism Skeletal features Neurological features Systemic…

Essential diagnostic criteria

  • Exposure to Valproate in pregnancy
  • Exclusion of other potential causes
  • Normal microarray-CGH and Fragile X studies

Facial dysmorphism

Skeletal features

Neurological features

Systemic features

Management

References

  1. Jentink J, Loane MA, Dolk H, Barisic I, Garne E, Morris JK, de Jong-van den Berg LT; EUROCAT Antiepileptic Study Working Group. Valproic acid monotherapy in pregnancy and major congenital malformations. N Engl J Med 2010; 362:2185-2193. 
  2. Verrotti A, Mencaroni E, Castagnino M, Zaccara G. Foetal safety of old and new antiepileptic drugs. Expert Opin Drug Saf 2015; 14:1563-1571. 
  3. Tomson T, Battino D, Bonizzoni E, et al; EURAP Study Group. Dose-dependent teratogenicity of valproate in mono- and polytherapy: an observational study. Neurology 2015; 85:866-872. 
  4. Perucca E. Pharmacological and therapeutic properties of valproate: a summary after 35 years of clinical experience. CNS Drugs 2002; 16:695-714.
  5. Clayton-Smith J, Bromley R, Dean J, et al. Diagnosis and management of individuals with Fetal Valproate Spectrum Disorder; a consensus statement from the European Reference Network for Congenital Malformations and Intellectual Disability. Orphanet J Rare Dis 2019; 14:180. 
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