Evidence map›Paper›PMID 30334378›Full record

ArticleBrain and behavior2018

Lacosamide on background eeg activity in brain tumor-related epilepsy patients: A case series study.

Marta Maschio, Alessia Zarabla, Andrea Maialetti, Francesca Sperati, Loredana Dinapoli, Sabrina Dispenza, Gianluca Petreri, Tonino Cantelmi

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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.

Marta MaschioCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0002-3075-4108
Alessia ZarablaCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.
Andrea MaialettiCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.
Francesca SperatiBiostatistics/Scientific Direction, Regina Elena National Cancer Institute, Rome, Italy.
Loredana DinapoliCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.
Sabrina DispenzaCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.
Gianluca PetreriCenter for Tumor-related Epilepsy, UOSD Neurology, Regina Elena National Cancer Institute, Rome, Italy.
Tonino CantelmiService of Psychiatry, Regina Elena National Cancer Institute, Rome, Italy.
National Cancer Institute · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTherapeutic doses of antiepileptic drugs (AEDs) may alter EEG background activity, which is considered an index of the functional state of the brain. Quantitative analysis (qEEG) of EEG background activity is a valid instrument to assess the effects of many centrally active drugs on the central nervous system, including AEDs. Lacosamide (LCM) is a new AED that could be a valid therapeutic choice in patients with brain tumor-related epilepsy (BTRE).

methodsWe used qEEG to analyze the possible effect of LCM as an add-on, on background EEG activity after 4 months in patients with BTRE.

resultsWe consecutively recruited sixteen patients with BTRE: Five dropped out for disease progression, five for scarce compliance, and six completed the study. For these reasons qEEG was performed at first visit and after 4 months only in six patients. For all frequency bands, LCM revealed no changes of mean relative power during rest with eyes closed, hyperpnoea (HP), and mental arithmetic task (MA); significant increment was found only in the theta mean relative power during opening and closing eyes (BR). After four months of therapy with LCM, one patient was seizure free, four had a seizure reduction ≥50%, and one showed a worsening in seizure frequency <50%.

conclusionDespite the limitation of a small series, these findings suggest that LCM seems to have only a mild interference on EEG background activity and confirm that LCM has a good efficacy on seizure control in patients with BTRE. This is the first study that evaluates the effect of LCM on background EEG activity, using qEEG in BTRE patients. Future research in this area could include prospective studies with qEEG for a longer follow-up period to assess the impact of AEDs on brain functions in this particular fragile patient population.

Indexed as

AdultAnticonvulsantsBrain NeoplasmsDisease ProgressionElectroencephalographyEpilepsyFemaleGliomaHumansLacosamideMaleMiddle AgedPsychological TestsResearch DesignRestSeizuresAnticonvulsantsLacosamideantiepileptic drugsbrain tumor-related epilepsyEEG background activityefficacylacosamidequantitative EEG

Identifiers

PMID30334378
PMCPMC6236258
OpenAlexW2897928474

What OpenQuestion holds

Textmetadata
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.