Evidence map›Paper›PMID 15944179›Full record

Trial reportJournal of neurology, neurosurgery, and psychiatry2005

The safety of antiepileptic drug withdrawal in patients with non-epileptic seizures.

M Oto, C Espie, A Pelosi, M Selkirk, R Duncan

Abstract readClinical Trial
In one paragraph

Trial report in Journal of neurology, neurosurgery, and psychiatry, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
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  14. Nonepileptic seizures treatment workshop summary.Epilepsy & behavior : E&B · 2006
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

M OtoSouthern General Hospital, Institute of Neurological Sciences, 1345 Govan Road, Glasgow G51 4TF, UK. meritxelloto@hotmail.com
C Espie
A Pelosi
M Selkirk
R Duncan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine whether withdrawal of anticonvulsant drugs (AED) can be carried out safely in patients with non-epileptic seizures (NES).

methodsProspective evaluation of safety and outcome in 78 patients with NES who satisfied a standardised set of criteria for excluding the diagnosis of coexisting or underlying epilepsy.

findingsThe patients were taking from one to three AED. Sixty four patients were withdrawn as outpatients, 14 as inpatients. Five patients stopped their drugs abruptly, and two had AED restarted and had to be withdrawn again. Otherwise all patients adhered to withdrawal schedules. A new type of attack in addition to NES was seen in three patients (complex partial seizures in all three cases). NES frequency declined in the group as a whole over the period of the study (follow up 6-12 months) in all individuals except for eight patients in whom there was a transient increase. Fourteen patients reported new physical symptoms after withdrawal; however, no serious adverse events were reported.

conclusionsWith appropriate diagnostic investigation and surveillance during follow up withdrawal of AED can be achieved safely in patients with NES.

Indexed as

Substance Withdrawal SyndromeAdultAnticonvulsantsDrug Administration ScheduleFemaleHumansMaleMiddle AgedProspective StudiesSeizuresTreatment OutcomeAnticonvulsants

Identifiers

PMID15944179
PMCPMC1739438

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.