[Methylphenidate--current prescribing rate].
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Biomedical subjects
Publications and source records attributed to T J Elliger.
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In 1957, Landau and Kleffner reported six cases of a "syndrome of acquired aphasia with convulsive disorder". Since this first report more than 130 cases with acquired language disabilities with EEG-abnormalities have been described. Comprehension of language is primarily affected, spike discharges are predominantly found in temporal regions. Facultative symptoms are epileptic seizures and psychiatric disorders. The paper gives a review of the literature describing the clinical manifestations, the therapeutic procedure, the prognosis and the etiological factors of this syndrome, which is even listed in the last version of the ICD-10 and the International Classification of Epilepsies and Epileptic Syndromes.
The use of psychotropic drugs in childhood and adolescence has been the subject of intense debate during the last few years. Allegations about the excessive consumption and overprescription of these substances in younger age groups play an important role in the public discussion. In this situation it would be useful to present relevant data on the prescription volume of psychotropic drugs in childhood and adolescence. The present investigation comprises data of 1985 using the GKV drug index and the IMS prescription index. According to the authors' results the prescription volume of these drugs is significantly lower than estimated in previous pilot studies. Illustrating the prescriptions by means of a drug profile, type and prevalence of psychotropic medication in children and adolescents are clearly distinguished from those of other age groups by the greater use of homeopathics and phytopharmaceutics. Among the psychotropics the neuroleptics represent the largest group. In comparison with international drug prevalence studies the prescription volume of psychostimulants is extremely low in the Federal Republic of Germany.