Evidence map›Paper›PMID 25387857›Full record

ArticleDevelopmental medicine and child neurology2015

Standardized assessment of seizures in patients with juvenile neuronal ceroid lipofuscinosis.

Erika F Augustine, Heather R Adams, Christopher A Beck, Amy Vierhile, Jennifer Kwon, Paul G Rothberg, Frederick Marshall, Robert Block, James Dolan, Jonathan W Mink and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Review
  10. Non-convulsive Status Epilepticus inFrontiers in pediatrics · 2022
    Article
  11. Article
  12. Review
  13. A diagnostic confidence scheme for CLN3 disease.Journal of inherited metabolic disease · 2021
    Observational
  14. Observational
  15. Article
  16. Review
  17. Article
  18. Article
  19. Juvenile neuronal ceroid lipofuscinosis (Batten disease): current insights.Degenerative neurological and neuromuscular disease · 2016
    Review
  20. Future perspectives: Moving towards NCL treatments.Biochimica et biophysica acta · 2015
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Erika F AugustineDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Heather R Adams
Christopher A Beck
Amy Vierhile
Jennifer Kwon
Paul G Rothberg
Frederick Marshall
Robert Block
James Dolan
Jonathan W Mink
Batten Study Group
University of Rochester · USUniversity of Rochester Medical Center · US

Funding

Clinical and Neuropsychological Investigations in Batten DiseaseR01NS060022 · NINDS · UNIVERSITY OF ROCHESTER · PI MINK, JONATHAN W. · 2007 to 2010
$1.2M
University of Rochester Child Neurology Academic Development ProgramK12NS066098 · NINDS · UNIVERSITY OF ROCHESTER · PI MINK, JONATHAN W. · 2009 to 2013
$1.1M
Multi-criteria Clinical Decision Support: A Comparative EvaluationK24HL093488 · NHLBI · UNIVERSITY OF ROCHESTER · PI DOLAN, JAMES G · 2009 to 2013
$858k
Neurobehavioral Outcomes of Degenerative Neurologic Disease in ChildhoodK23NS058756 · NINDS · UNIVERSITY OF ROCHESTER · PI ADAMS, HEATHER · 2008 to 2012
$602k
NHLBI NIH HHS K24 HL093488NINDS NIH HHS K12 NS066098NINDS NIH HHS K23 NS058756NINDS NIH HHS R01 NS060022NINDS NIH HHS R01NS060022
6 · The paper itself

Abstract

aimTo evaluate seizure phenomenology, treatment, and course in individuals with juvenile neuronal ceroid lipofuscinosis (JNCL).

methodData from an ongoing natural history study of JNCL were analyzed using cross-sectional and longitudinal methods. Seizures were evaluated with the Unified Batten Disease Rating Scale, a disease-specific quantitative assessment tool.

resultsEighty-six children (44 males, 42 females) with JNCL were assessed at an average of three annual visits (range 1-11). Eighty-six percent (n=74) experienced at least one seizure, most commonly generalized tonic-clonic, with mean age at onset of 9 years 7 months (SD 2y 10mo). Seizures were infrequent, typically occurring less often than once every 3 months, and were managed with one to two medications for most participants. Valproate (49%, n=36) and levetiracetam (41%, n=30) were the most commonly used seizure medications. Myoclonic seizures occurred infrequently (16%, n=14). Seizure severity did not vary by sex or genotype. Seizures showed mild worsening with increasing age.

interpretationThe neuronal ceroid lipofuscinoses (NCLs) represent a group of disorders unified by neurodegeneration and symptoms of blindness, seizures, motor impairment, and dementia. While NCLs are considered in the differential diagnosis of progressive myoclonus epilepsy, we show that myoclonic seizures are infrequent in JNCL. This highlights the NCLs as consisting of genetically distinct disorders with differing natural history.

Indexed as

AdolescentAdultAge of OnsetChildChild, PreschoolCross-Sectional StudiesDisease ProgressionHumansLongitudinal StudiesNeuronal Ceroid-LipofuscinosesSeizuresSeverity of Illness IndexYoung Adult

Identifiers

PMID25387857
PMCPMC4610252
OpenAlexW1981594321

What OpenQuestion holds

Textmetadata
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.