Evidence map›Paper›PMID 28586706›Full record

ArticleSeizure2017

LGI1-antibody encephalitis is characterised by frequent, multifocal clinical and subclinical seizures.

Sidra Aurangzeb, Mkael Symmonds, Ravi K Knight, Robin Kennett, Tim Wehner, Sarosh R Irani

Open access · hybridAbstract read
In one paragraph

Article in Seizure, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Utility of the APEAnnals of clinical and translational neurology · 2026
    Article
  3. Article
  4. Article
  5. Review
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  7. Observational
  8. Article
  9. Article
  10. Features of the clinical course of Autoimmune Encephalitis Associated with various antibodies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. GAD65 Antibody-Associated Epilepsy.Medicina (Kaunas, Lithuania) · 2023
    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

6 authors at 3 institutions in 1 country.

Sidra AurangzebDepartment of Clinical Neurophysiology, Oxford University Hospitals, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom. Electronic address: sidra.zeb@gmail.com.
Mkael SymmondsDepartment of Clinical Neurophysiology, Oxford University Hospitals, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom; Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom. Electronic address: mkael.symmonds@ndcn.ox.ac.uk.
Ravi K KnightDepartment of Clinical Neurophysiology, Oxford University Hospitals, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom. Electronic address: Ravi.Knight@ouh.nhs.uk.
Robin KennettDepartment of Clinical Neurophysiology, Oxford University Hospitals, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom. Electronic address: Robin.Kennett@ouh.nhs.uk.
Tim WehnerDepartment of Clinical Neurophysiology and Clinical, National Hospital for Neurology and Neurosurgery, 23 Queen Square, London, WC1N 3BG, United Kingdom. Electronic address: tim.wehner@gmail.com.
Sarosh R IraniAutoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, United Kingdom. Electronic address: sarosh.irani@ndcn.ox.ac.uk.
John Radcliffe Hospital · GBUniversity of Oxford · GBNational Hospital for Neurology and Neurosurgery · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe clinical and electrographic characteristics of seizures LGI1-antibody encephalitis, and their correlations with two-year outcomes.

methodsVideo-electroencephalography recordings were performed on a cohort of 16 consecutive patients with LGI1-antibodies from two UK neuroscience-centers over five-years.

resultsFrom 14 of 16 patients (13 males; age-range 53-92years), 86 faciobrachial dystonic seizures were recorded at a median frequency of 0.4 per hour (range 0.1-9.8), and ictal EEG changes accompanied 5/86 events. In addition, 11/16 patients showed 53 other seizures - subclinical (n=18), motor (n=16), or sensory (n=19) - at a median of 0.1 per hour (range 0.1-2) associated with temporal and frontal discharges. The sensory events were most commonly thermal sensations or body-shuddering, and the motor events were frequently automatisms or vocalisations. Furthermore, multifocal interictal epileptiform discharges, from temporal, frontal and parietal regions, and interictal slow-wave activity were observed in 25% and 69% of patients, respectively. Higher observed seizure frequency correlated with poorer functional recovery at two-years (p=0.001).

conclusionsMultiple frequent seizure semiologies, in addition to numerous subclinical seizures and interictal epileptiform discharges, are hallmarks of LGI1-antibody encephalitis. High overall seizure frequency may predict more limited long-term recovery. These observations should encourage closer monitoring and proactive treatment of seizure activity in these patients.

Indexed as

AgedAged, 80 and overElectroencephalographyEpilepsies, PartialFemaleHumansIntracellular Signaling Peptides and ProteinsLimbic EncephalitisMaleMiddle AgedProteinsSeizuresIntracellular Signaling Peptides and ProteinsLGI1 protein, humanProteinsAutoantibodyAutoimmune encephalitisEpilepsyLeucine-rich glioma inactivated-1Neuroimmunology

Identifiers

PMID28586706
PMCPMC5558811
OpenAlexW2619676527

What OpenQuestion holds

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LicenceCC BY
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.