Evidence map›Paper›PMID 25217055›Full record

ArticleNeurology2014

"Mirror EPC": epilepsia partialis continua shifting sides after rolandic resection in dysplasia.

Marta Hemb, Eliseu Paglioli, François Dubeau, Frederick Andermann, André Olivier, Jaderson C da Costa, William A Martins, Magda L Nunes, André Palmini

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PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 1 country.

Marta HembFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada. martahemb@hotmail.com.
Eliseu PaglioliFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
François DubeauFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
Frederick AndermannFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
André OlivierFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
Jaderson C da CostaFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
William A MartinsFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
Magda L NunesFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
André PalminiFrom the Service of Neurology (M.H., J.C.d.C., W.A.M., M.L.N., A.P.), Service of Neurosurgery (E.P.), Porto Alegre Epilepsy Surgery Program (M.H., E.P., J.C.d.C., A.P.), Department of Internal Medicine, Division of Neurology (J.C.d.C., M.L.N., A.P.), Department of Surgery (E.P.), The Brain Institute (InsCer) (J.C.d.C., M.L.N.), Pontificia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil; and Montreal Neurological Institute (F.D., F.A., A.O.), Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.
Anna Needs Neuroblastoma Answers · US

Funding

Canadian Institutes of Health Research MOP10189Canadian Institutes of Health Research MOP38079
6 · The paper itself

Abstract

backgroundEpilepsia partialis continua (EPC) is a life-threatening condition often caused by focal cortical dysplasia (FCD). Resection of the motor cortex is contemplated in the hope that the trade-off between a severe motor deficit and complete seizure control justifies the procedure.

methodsReport of 3 patients with EPC due to histologically confirmed FCD, who underwent resection of the motor cortex under acute electrocorticography.

resultsAll had re-emergence of medically intractable EPC in the other side of the body after rolandic resection. Two patients died and the third continues with refractory attacks.

conclusionIn some instances, EPC due to FCD may shift sides and re-emerge in the contralateral, previously asymptomatic, hemibody. A mechanism of disinhibition by surgery of a suppressed contralateral and homologous epileptogenic zone is speculated.

Indexed as

AdultElectroencephalographyEpilepsia Partialis ContinuaFemaleFunctional LateralityHumansMagnetic Resonance ImagingMalformations of Cortical DevelopmentMotor CortexTomography, Emission-Computed, Single-Photon

Identifiers

PMID25217055
PMCPMC4206162
OpenAlexW1983089097

What OpenQuestion holds

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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.