Evidence map›Paper›PMID 23136262›Full record

ArticleNeurology2012

Acute EEG findings in children with febrile status epilepticus: results of the FEBSTAT study.

Douglas R Nordli, Solomon L Moshé, Shlomo Shinnar, Dale C Hesdorffer, Yoshimi Sogawa, John M Pellock, Darrell V Lewis, L Matthew Frank, Ruth C Shinnar, Shumei Sun and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 89 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Strategies to innovate emergency care of status epilepticus.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  6. Complex Febrile Seizures: Usual and the Unusual.Indian journal of pediatrics · 2025
    Review
  7. Article
  8. Article
  9. Why ketamine.Epilepsy & behavior : E&B · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Status Epilepticus.Cold Spring Harbor perspectives in medicine · 2016
    Review
  19. Article
  20. Article
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

11 authors at 4 institutions in 1 country.

Douglas R NordliNeurology, Children's Memorial Hospital, Chicago, IL, USA. dnordli@luriechildrens.org
Solomon L Moshé
Shlomo Shinnar
Dale C Hesdorffer
Yoshimi Sogawa
John M Pellock
Darrell V Lewis
L Matthew Frank
Ruth C Shinnar
Shumei Sun
FEBSTAT Study Team
Duke Medical Center · USColumbia University · USChildren's Hospital of The King's Daughters · USLurie Children's Hospital · US

Funding

Consequences of Prolonged Febrile Seizures in ChildhoodR01NS043209 · NINDS · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI SHINNAR, SHLOMO · 2003 to 2012
$21.5M
Consequences of Prolonged Febrile Seizures in ChildhoodR37NS043209 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHINNAR, SHLOMO · 2013 to 2019
$11.4M
Training in Pediatric NeurologyK12NS048856 · NINDS · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI MOSHE, SOLOMON L. · 2004 to 2008
$1.8M
NINDS NIH HHS K12 NS-48856NINDS NIH HHS NS43209
6 · The paper itself

Abstract

objectiveThe FEBSTAT (Consequences of Prolonged Febrile Seizures) study is prospectively addressing the relationships among serial EEG, MRI, and clinical follow-up in a cohort of children followed from the time of presentation with febrile status epilepticus (FSE).

methodsWe recruited 199 children with FSE within 72 hours of presentation. Children underwent a detailed history, physical examination, MRI, and EEG within 72 hours. All EEGs were read by 2 teams and then conferenced. Associations with abnormal EEG were determined using logistic regression. Interrater reliability was assessed using the κ statistic.

resultsOf the 199 EEGs, 90 (45.2%) were abnormal with the most common abnormality being focal slowing (n = 47) or attenuation (n = 25); these were maximal over the temporal areas in almost all cases. Epileptiform abnormalities were present in 13 EEGs (6.5%). In adjusted analysis, the odds of focal slowing were significantly increased by focal FSE (odds ratio [OR] = 5.08) and hippocampal T2 signal abnormality (OR = 3.50) and significantly decreased with high peak temperature (OR = 0.18). Focal EEG attenuation was also associated with hippocampal T2 signal abnormality (OR = 3.3).

conclusionsFocal EEG slowing or attenuation are present in EEGs obtained within 72 hours of FSE in a substantial proportion of children and are highly associated with MRI evidence of acute hippocampal injury. These findings may be a sensitive and readily obtainable marker of acute injury associated with FSE.

Indexed as

Acute DiseaseChild, PreschoolElectroencephalographyFemaleHumansInfantInfant, NewbornMaleSeizures, FebrileStatus Epilepticus

Identifiers

PMID23136262
PMCPMC3570819
OpenAlexW2158118238

What OpenQuestion holds

Textmetadata
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.