R. Gruppo et al., Protein C deficiency related to valproic acid therapy: A possible association with childhood stroke, J PEDIAT, 137(5), 2000, pp. 714-718
We report a case of stroke in a child with acquired protein C deficiency re
ceiving valproic acid (VPA). To investigate the possible association of VPA
with protein C deficiency, protein C levels were measured in 20 children r
eceiving VPA monotherapy and 20 children receiving other anticonvulsants. P
rotein C levels were reduced in up to 45% of the VPA-treated subjects.