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Despite the fact that seizures are commonly associated with autism spectrum disorder (ASD), the effectiveness of treatments for seizures has not been well studied in individuals with ASD. This manuscript reviews both traditional and novel treatments for seizures associated with ASD. Studies were selected by systematically searching major electronic databases

Despite the fact that seizures are commonly associated with autism spectrum disorder (ASD), the effectiveness of treatments for seizures has not been well studied in individuals with ASD. This manuscript reviews both traditional and novel treatments for seizures associated with ASD. Studies were selected by systematically searching major electronic databases and by a panel of experts that treat ASD individuals. Only a few anti-epileptic drugs (AEDs) have undergone carefully controlled trials in ASD, but these trials examined outcomes other than seizures. Several lines of evidence point to valproate, lamotrigine, and levetiracetam as the most effective and tolerable AEDs for individuals with ASD. Limited evidence supports the use of traditional non-AED treatments, such as the ketogenic and modified Atkins diet, multiple subpial transections, immunomodulation, and neurofeedback treatments. Although specific treatments may be more appropriate for specific genetic and metabolic syndromes associated with ASD and seizures, there are few studies which have documented the effectiveness of treatments for seizures for specific syndromes. Limited evidence supports l-carnitine, multivitamins, and N-acetyl-l-cysteine in mitochondrial disease and dysfunction, folinic acid in cerebral folate abnormalities and early treatment with vigabatrin in tuberous sclerosis complex. Finally, there is limited evidence for a number of novel treatments, particularly magnesium with pyridoxine, omega-3 fatty acids, the gluten-free casein-free diet, and low-frequency repetitive transcranial magnetic simulation. Zinc and l-carnosine are potential novel treatments supported by basic research but not clinical studies. This review demonstrates the wide variety of treatments used to treat seizures in individuals with ASD as well as the striking lack of clinical trials performed to support the use of these treatments. Additional studies concerning these treatments for controlling seizures in individuals with ASD are warranted.

ContributorsFrye, Richard E. (Author) / Rossignol, Daniel (Author) / Casanova, Manuel F. (Author) / Brown, Gregory L. (Author) / Martin, Victoria (Author) / Edelson, Stephen (Author) / Coben, Robert (Author) / Lewine, Jeffrey (Author) / Slattery, John C. (Author) / Lau, Chrystal (Author) / Hardy, Paul (Author) / Fatemi, S. Hossein (Author) / Folsom, Timothy D. (Author) / MacFabe, Derrick (Author) / Adams, James (Author) / Ira A. Fulton Schools of Engineering (Contributor)
Created2013-09-13
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Description

This manuscript reviews biological abnormalities shared by autism spectrum disorder (ASD) and epilepsy. Two neuropathological findings are shared by ASD and epilepsy: abnormalities in minicolumn architecture and γ-aminobutyric acid (GABA) neurotransmission. The peripheral neuropil, which is the region that contains the inhibition circuits of the minicolumns, has been found to

This manuscript reviews biological abnormalities shared by autism spectrum disorder (ASD) and epilepsy. Two neuropathological findings are shared by ASD and epilepsy: abnormalities in minicolumn architecture and γ-aminobutyric acid (GABA) neurotransmission. The peripheral neuropil, which is the region that contains the inhibition circuits of the minicolumns, has been found to be decreased in the post-mortem ASD brain. ASD and epilepsy are associated with inhibitory GABA neurotransmission abnormalities including reduced GABAA and GABAB subunit expression. These abnormalities can elevate the excitation-to-inhibition balance, resulting in hyperexcitablity of the cortex and, in turn, increase the risk of seizures. Medical abnormalities associated with both epilepsy and ASD are discussed. These include specific genetic syndromes, specific metabolic disorders including disorders of energy metabolism and GABA and glutamate neurotransmission, mineral and vitamin deficiencies, heavy metal exposures and immune dysfunction. Many of these medical abnormalities can result in an elevation of the excitatory-to-inhibitory balance. Fragile X is linked to dysfunction of the mGluR5 receptor and Fragile X, Angelman and Rett syndromes are linked to a reduction in GABA[subscript A] receptor expression. Defects in energy metabolism can reduce GABA interneuron function. Both pyridoxine dependent seizures and succinic semialdehyde dehydrogenase deficiency cause GABA deficiencies while urea cycle defects and phenylketonuria cause abnormalities in glutamate neurotransmission. Mineral deficiencies can cause glutamate and GABA neurotransmission abnormalities and heavy metals can cause mitochondrial dysfunction which disrupts GABA metabolism. Thus, both ASD and epilepsy are associated with similar abnormalities that may alter the excitatory-to-inhibitory balance of the cortex. These parallels may explain the high prevalence of epilepsy in ASD and the elevated prevalence of ASD features in individuals with epilepsy.

ContributorsFrye, Richard E. (Author) / Casanova, Manuel F. (Author) / Fatemi, S. Hossein (Author) / Folsom, Timothy D. (Author) / Reutiman, Teri J. (Author) / Brown, Gregory L. (Author) / Edelson, Stephen M. (Author) / Slattery, John C. (Author) / Adams, James (Author) / Ira A. Fulton Schools of Engineering (Contributor)
Created2016-05-10
Description
A presentation describing technical work, community reaction and publicity associated with an online collection of Arizona Japanese-American internment camp newsletters and related archival materials developed in 2017. The presentation was given at the Arizona Library Association conference in October 2017 and this revised version was presented at the Arizona Archives

A presentation describing technical work, community reaction and publicity associated with an online collection of Arizona Japanese-American internment camp newsletters and related archival materials developed in 2017. The presentation was given at the Arizona Library Association conference in October 2017 and this revised version was presented at the Arizona Archives Summit on February 1, 2018.
ContributorsSpindler, Rob (Author)
Created2018-01-18
Description

Materials produced for the workshop hosted by the Humane Cities Initiative, Institute for Humanities Research, Arizona State University. Participants were sent this package of archival materials and links to brief online sources for advance readings. Also enclosed are PDF renderings of introductory powerpoint files by Spindler and Pagan, and an

Materials produced for the workshop hosted by the Humane Cities Initiative, Institute for Humanities Research, Arizona State University. Participants were sent this package of archival materials and links to brief online sources for advance readings. Also enclosed are PDF renderings of introductory powerpoint files by Spindler and Pagan, and an audio recording of the discussion joined in progress.

ContributorsSpindler, Rob (Compiler, Author) / Pagán, Eduardo Obregón, 1960- (Author)
Created2018-03-13
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Description

Presentation slides regarding the history of Victory Village, the trailer park built in 1945-46 to provide housing for WWII Veterans and their families at Arizona State University's Tempe campus. A presentation of research from University Archives records conducted in the summer of 2018. The presentation was videotaped as a lecture

Presentation slides regarding the history of Victory Village, the trailer park built in 1945-46 to provide housing for WWII Veterans and their families at Arizona State University's Tempe campus. A presentation of research from University Archives records conducted in the summer of 2018. The presentation was videotaped as a lecture for Professor Volker Benkert's online World War II history class.

ContributorsSpindler, Rob (Author)
Created2019-09-30
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Description

Powerpoint slides from Spindler's presentation at the 56th annual Arizona History Convention in Tucson, Arizona, April 24th, 2015. Details of the 1993-1995 U.S. District Court orders directing the corporate archives to Arizona State University and ASU's efforts to recover information from an obsolete digital imaging system are presented.

ContributorsSpindler, Rob (Author)
Created2015-04-24
DescriptionPowerpoint slides, audio clips and transcriptions from the presentation describing the work of Lincoln and Eleanor Ragsdale and civil rights actions at Phoenix from 1963-1964.
ContributorsSpindler, Rob (Author)
Created2017-02-18
Description

This research study will discover and evaluate information about existing crowdsourcing or participatory archives projects devoted to archival description, indexing or transcription. Many related projects that use crowdsourcing for collecting archival materials from the public are not specifically addressed here. In this research, the author has specifically sought evaluative information

This research study will discover and evaluate information about existing crowdsourcing or participatory archives projects devoted to archival description, indexing or transcription. Many related projects that use crowdsourcing for collecting archival materials from the public are not specifically addressed here. In this research, the author has specifically sought evaluative information about exemplary projects that can lead to useful specifications for a participatory archives system at Arizona State University Libraries.

ContributorsSpindler, Rob (Author)
Created2014-06-30
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Description

Presentation slides describing an Arizona Centennial project to build a digital library and facilitate community discussion about why people came to Arizona, why they stayed, and why they left. Presentation was made at Friendship Village, Tempe AZ, November 2011.

ContributorsSpindler, Rob (Author)
Created2011-10-31
Description

The Task Force of thirty faculty members and academic professionals was charged by the University Libraries and the Graduate College to "examine the potential for implementing a university program for Electronic Theses and Dissertations (ETDs). The Task Force was specifically asked to collect information about existing programs elsewhere, identify ASU

The Task Force of thirty faculty members and academic professionals was charged by the University Libraries and the Graduate College to "examine the potential for implementing a university program for Electronic Theses and Dissertations (ETDs). The Task Force was specifically asked to collect information about existing programs elsewhere, identify ASU graduate programs that could host pilot programs and prepare a comprehensive white paper..." with a recommended plan for implementation.

ContributorsSpindler, Rob (Compiler) / Losse, Deborah (Compiler)
Created2001-05-01