Evidence map›Paper›PMID 29881798›Full record

ArticleEpilepsia open2018

Epilepsy after perinatal stroke with different vascular subtypes.

Rael Laugesaar, Ulvi Vaher, Silva Lõo, Anneli Kolk, Mairi Männamaa, Inga Talvik, Eve Õiglane-Shlik, Dagmar Loorits, Tiina Talvik, Pilvi Ilves

Open access · goldAbstract read
In one paragraph

Article in Epilepsia open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  13. Short-term outcomes after a neonatal arterial ischemic stroke.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
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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

10 authors at 4 institutions in 2 countries.

Rael LaugesaarDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Ulvi VaherChildren's Clinic of Tartu University Hospital Tartu Estonia.
Silva LõoDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Anneli KolkDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Mairi MännamaaDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Inga TalvikDepartment of Neurology and Rehabilitation Tallinn Children's Hospital Tallinn Estonia.
Eve Õiglane-ShlikDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Dagmar LooritsRadiology Clinic of Tartu University Hospital Tartu Estonia.
Tiina TalvikDepartment of Pediatrics Institute of Clinical Medicine University of Tartu Tartu Estonia.
Pilvi IlvesRadiology Clinic of Tartu University Hospital Tartu Estonia.
Tartu University Hospital · EEUniversity of Tartu · EEEast Tallinn Central Hospital · EEHelsinki Children's Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith an incidence up to 63 per 100,000 live births, perinatal stroke is an important cause of childhood epilepsy. The aim of the study was to find the prevalence of and predictive factors for epilepsy, and to describe the course of epilepsy in children with perinatal stroke with different vascular subtypes.

methodsPatients were retrieved from the Estonian Paediatric Stroke Database with follow-up time at least 24 months. Patients were divided into 5 perinatal stroke syndromes: neonatal arterial ischemic stroke (AIS), neonatal hemorrhagic stroke, neonatal cerebral sinovenous thrombosis, presumed AIS, and presumed periventricular venous infarction.

resultsThe final study group included 73 children with perinatal stroke (39 boys). With a median follow-up time of 8.6 years, epilepsy was diagnosed in 21/73 (29%) children, most of whom had AIS (17/21, 81%). The 18-year cumulative poststroke epilepsy risk according to the Kaplan-Meier estimator was 40.8% (95% confidence interval [CI] 20.7-55.9%). The median age at epilepsy diagnosis was 50 months (range 1 month to 18.4 years). Children with neonatal AIS had the highest risk of epilepsy, but children with presumed AIS more often had severe epilepsy syndromes. Cortical lesions (odds ratio [OR] 19.7, 95% CI 2.9-133), and involvement of thalamus (OR 9.8, 95% CI 1.8-53.5) and temporal lobe (OR 8.3, 95% CI 1.8-39.6) were independently associated with poststroke epilepsy. SIGNIFICANCE: The risk for poststroke epilepsy after perinatal stroke depends on the vascular subtype. Patients with perinatal AIS need close follow-up to detect epilepsy and start with antiepileptic treatment on time.

Indexed as

Neonatal intracerebral hemorrhageNeonatal strokePerinatal strokePeriventricular venous infarctionPoststroke epilepsyPresumed perinatal stroke

Identifiers

PMID29881798
PMCPMC5983200
OpenAlexW2793128991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.