Evidence map›Paper›PMID 29207768›Full record

ReviewJournal of clinical and diagnostic research : JCDR2017

Controversies in Serotonin Syndrome Diagnosis and Management: A Review.

Mohd Faisal Uddin, Richard Alweis, Syed Raza Shah, Noman Lateef, Waqas Shahnawaz, Rohan Kumar Ochani, Amin Muhammad Dharani, Syed Arbab Shah

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical and diagnostic research : JCDR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Drug-Induced Myoclonus: A Systematic Review.Medicina (Kaunas, Lithuania) · 2025
    Pooled it
  2. Acute Febrile Encephalopathy with Rigidity.Journal of intensive care medicine · 2026
    Review
  3. Linezolid and serotonin syndrome.The Journal of international medical research · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. The Serotonin Syndrome: From Molecular Mechanisms to Clinical Practice.International journal of molecular sciences · 2019
    Review
  11. Review
  12. Article
  13. Article
  14. 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

8 authors at 1 institution in 1 country.

Mohd Faisal UddinInternal Medicine Resident, Deccan College of Medical Sciences, Hyderabad, India.
Richard AlweisAssociate Professor, Department of Medicine, Rochester Regional Health System, Rochester, NewYork, USA.
Syed Raza ShahInternal Medicine Resident, Department of North Florida Regional Medical Center, University of Central Florida (Gainesville), Gainesville, USA.
Noman LateefInternal Medicine Resident, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Waqas ShahnawazPostgraduate Student, Agha Khan University Hospital, Karachi, Pakistan.
Rohan Kumar OchaniPostgraduate Student, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Amin Muhammad DharaniInternal Medicine Resident, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Syed Arbab ShahInternal Medicine Resident, Ziauddin Medical University Hospital, Karachi, Pakistan.
Deccan College of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past few years, Serotonin Syndrome (SS) has become a significant clinical concern. Over the last decade, United States saw a surge in antidepressant use. SS characteristically presents as the triad of altered mental status, autonomic dysfunction and neuromuscular excitation. Symptoms vary from patient to patient with mild cases presenting with subacute symptoms and severe cases progressing rapidly to death. Due to the protean manifestations of the syndrome along with non-specific prodromal, SS can easily be misdiagnosed if not carefully assessed. In severe cases, SS can be mistaken as neuroleptic malignant syndrome while mild cases are mostly misattributed to other causes such as flu. SS is a clinical diagnosis and therefore, requires a thorough review of medications and physical examination. Given the protean nature of this toxicologic syndrome various criteria were defined which includes Sternbach's, Radomski and Hunter's criteria. Keeping in mind the wide symptoms of serotonin syndrome from being barely perceptible to lethal emphasis there is a need to treat the syndrome on urgent basis. Mainstay for treatment of serotonin syndrome is to discontinue the offending drug. Improvement is seen in most patients within 24 hours.

Indexed as

ControversiesNeuroleptic malignant syndromeSerotonin syndrome

Identifiers

PMID29207768
PMCPMC5713790
OpenAlexW2766165095

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.