Evidence map›Paper›PMID 30805869›Full record

SynthesisClinical autonomic research : official journal of the Clinical Autonomic Research Society2019

Epidemiology and pathophysiology of autonomic seizures: a systematic review.

Christoph Baumgartner, Johannes Koren, Martha Britto-Arias, Simone Schmidt, Susanne Pirker

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical autonomic research : official journal of the Clinical Autonomic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% 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, 52 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Seizure Detection Devices.Journal of clinical medicine · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. The Reciprocal Relationship between Sleep and Epilepsy.Journal of personalized medicine · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. A novel compound heterozygous EPM2A mutation in a Chinese boy with Lafora disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  19. The autonomic signatures of epilepsy: diagnostic clues and novel treatment avenues.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    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

5 authors at 2 institutions in 1 country.

Christoph BaumgartnerDepartment of Neurology, General Hospital Hietzing-Neurological Center Rosenhügel, Riedelgasse 5, 1130, Vienna, Austria. christoph.baumgartner@wienkav.at.
Johannes KorenDepartment of Neurology, General Hospital Hietzing-Neurological Center Rosenhügel, Riedelgasse 5, 1130, Vienna, Austria.
Martha Britto-AriasDepartment of Neurology, General Hospital Hietzing-Neurological Center Rosenhügel, Riedelgasse 5, 1130, Vienna, Austria.
Simone SchmidtDepartment of Neurology, General Hospital Hietzing-Neurological Center Rosenhügel, Riedelgasse 5, 1130, Vienna, Austria.
Susanne PirkerDepartment of Neurology, General Hospital Hietzing-Neurological Center Rosenhügel, Riedelgasse 5, 1130, Vienna, Austria.
Klinik Hietzing · ATKarl Landsteiner Society · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review the epidemiology and pathophysiology of autonomic symptoms and signs during epileptic seizures.

methodsWe performed a systematic literature search on the following autonomic symptoms and signs during epileptic seizures: cardiovascular changes, respiratory manifestations, gastrointestinal symptoms, cutaneous manifestations, sexual and genital manifestations, and urinary symptoms.

resultsAutonomic symptoms and signs can represent the predominant symptom at the onset of a focal seizure, which would then lead to the seizure being classified as a focal onset autonomic seizure. Conversely, clinically relevant autonomic symptoms and signs frequently accompany seizures of focal, generalized, and/or unknown onset, but the seizure is regardless classified according to other, more relevant features. Autonomic symptoms and signs do not represent mere reactions to motor activity or other behavioral seizure manifestations, but rather they are generated by epileptic discharges affecting the central autonomic network. We have reviewed the localizing and lateralizing information currently available on the seizure onset zone and on seizure propagation pathways as provided by systematic analysis of specific autonomic seizure symptoms and signs. We present data on how autonomic seizure symptoms and signs are useful for gaining a better understanding of the anatomical and functional organization of the central autonomic network. Finally, we discuss the differential diagnosis of focal autonomic seizures with autonomic symptoms and signs representing the sole seizure manifestation versus various non-epileptic conditions.

conclusionsAutonomic seizure symptoms and signs are relevant in clinical epileptology and open a unique window on the functional organization and pathophysiology of the central autonomic network.

Indexed as

Autonomic Nervous SystemHumansSeizuresAutonomicEpilepsySeizuresSemiology

Identifiers

PMID30805869
OpenAlexW2917665218

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.