Evidence map›Paper›PMID 30559706›Full record

ReviewFrontiers in neurology2018

Metabolic Evaluation of Epilepsy: A Diagnostic Algorithm With Focus on Treatable Conditions.

Clara D M van Karnebeek, Bryan Sayson, Jessica J Y Lee, Laura A Tseng, Nenad Blau, Gabriella A Horvath, Carlos R Ferreira

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Developmental outcome of electroencephalographic findings inFrontiers in cell and developmental biology · 2024
    Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Metabolic Epilepsy.Indian journal of pediatrics · 2021
    Review
  12. Inborn disorders of the malate aspartate shuttle.Journal of inherited metabolic disease · 2021
    Review
  13. Treatable inherited metabolic epilepsies.Neurosciences (Riyadh, Saudi Arabia) · 2021
    Review
  14. Review
  15. Article
  16. Review
  17. Expanding the clinical and genetic spectrum of CAD deficiency: an epileptic encephalopathy treatable with uridine supplementation.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  18. Article
  19. Inborn errors of metabolism.Handbook of clinical neurology · 2019
    Review
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

7 authors at 5 institutions in 5 countries.

Clara D M van KarnebeekDepartment of Pediatrics, University of British Columbia, Vancouver, BC, Canada.
Bryan SaysonDivision of Biochemical Diseases, Department of Pediatrics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Jessica J Y LeeCentre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Laura A TsengDepartments of Pediatrics and Clinical Genetics, Emma Children's Hospital, Amsterdam University Medical Centres, Amsterdam, Netherlands.
Nenad BlauDietmar-Hopp Metabolic Center, University Children's Hospital, Heidelberg, Germany.
Gabriella A HorvathDivision of Biochemical Diseases, Department of Pediatrics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.
Carlos R FerreiraDivision of Genetics and Metabolism, Children's National Health System, Washington, DC, United States.
University of British Columbia · CABC Children's Hospital · CAEmma Kinderziekenhuis · NLHeidelberg University · DENational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although inborn errors of metabolism do not represent the most common cause of seizures, their early identification is of utmost importance, since many will require therapeutic measures beyond that of common anti-epileptic drugs, either in order to control seizures, or to decrease the risk of neurodegeneration. We translate the currently-known literature on metabolic etiologies of epilepsy (268 inborn errors of metabolism belonging to 21 categories, with 74 treatable errors), into a 2-tiered diagnostic algorithm, with the first-tier comprising accessible, affordable, and less invasive screening tests in urine and blood, with the potential to identify the majority of treatable conditions, while the second-tier tests are ordered based on individual clinical signs and symptoms. This resource aims to support the pediatrician, neurologist, biochemical, and clinical geneticists in early identification of treatable inborn errors of metabolism in a child with seizures, allowing for timely initiation of targeted therapy with the potential to improve outcomes.

Indexed as

diagnostic algorithminborn errors of metabolismmetabolic epilepsyseizurestreatment

Identifiers

PMID30559706
PMCPMC6286965
OpenAlexW2902898660

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.