Evidence map›Paper›PMID 20227351›Full record

ArticleEpilepsy & behavior : E&B2010

Seizure control in patients with idiopathic generalized epilepsies: EEG determinants of medication response.

Jerzy P Szaflarski, Christopher J Lindsell, Tarek Zakaria, Christi Banks, Michael D Privitera

Open access · greenAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.9field-weighted citation impact, top 16% of its field
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

25 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Genes & diseases · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Recent Advances in Neuroimaging of Epilepsy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Focal interictal epileptiform discharges in idiopathic generalized epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Article
  15. White Matter Abnormalities in Patients with Treatment-Resistant Genetic Generalized Epilepsies.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
  16. Methods and utility of EEG-fMRI in epilepsy.Quantitative imaging in medicine and surgery · 2015
    Review
  17. Review
  18. Prognostic value of EEG asymmetries for development of drug-resistance in drug-naïve patients with genetic generalized epilepsies.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2014
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jerzy P SzaflarskiDepartment of Neurology, University of Cincinnati, Cincinnati, OH 45267-0525, USA. Jerzy.Szaflarski@uc.edu
Christopher J Lindsell
Tarek Zakaria
Christi Banks
Michael D Privitera
University of Cincinnati · US

Funding

EEG-fMRI in Patients with JMEK23NS052468 · NINDS · UNIVERSITY OF CINCINNATI · PI SZAFLARSKI, JERZY P · 2006 to 2010
$869k
NINDS NIH HHS K23 NS052468
6 · The paper itself

Abstract

In a minority of patients with idiopathic generalized epilepsies (IGEs), seizures continue despite appropriate treatment. We sought to determine the clinical and EEG factors associated with medication response in these patients. All patients with IGEs evaluated by epilepsy specialists between 17 November 2008 and 16 November 2009 were included. We collected information on seizure freedom (dependent variable), EEG asymmetries, response to valproic acid (VPA), MRI characteristics, medication use, demographics, and seizure history (predictors). We identified 322 patients with IGEs; 45 (14%) were excluded from analyses because they had always had a normal EEG (N=26), there were no EEG data (N=3), or they were non-compliant with medication (N=26). Patients with juvenile myoclonic epilepsy were more likely to respond to VPA than were patients with other IGEs, and VPA response was associated with seizure freedom. When EEG characteristics were considered, presence of any focal EEG abnormalities (focal slowing, focal epileptiform discharges, or both) was associated with decreased odds of seizure freedom. These findings suggest that patients with IGEs with poor seizure control may have atypical IGEs with possibly focal, for example, frontal, rather than thalamic onset.

Indexed as

ElectroencephalographyAdultAnticonvulsantsEpilepsy, GeneralizedFemaleFollow-Up StudiesHumansMaleRetrospective StudiesStatistics, NonparametricTime FactorsAnticonvulsants

Identifiers

PMID20227351
PMCPMC2923211
OpenAlexW1989148304

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.