Evidence map›Paper›PMID 31618474›Full record

ArticleAnnals of neurology2019

The Genetic Landscape of Epilepsy of Infancy with Migrating Focal Seizures.

Rosemary Burgess, Shuyu Wang, Amy McTague, Katja E Boysen, Xiaoling Yang, Qi Zeng, Kenneth A Myers, Anne Rochtus, Marina Trivisano, Deepak Gill and 10 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
13.4field-weighted citation impact, top 1% 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

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Clinical and Genetic Characteristics ofJournal of epilepsy research · 2026
    Article
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  19. Article
  20. Developmental and epileptic encephalopathies.Nature reviews. Disease primers · 2024
    Review

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 11 institutions in 7 countries.

Rosemary BurgessEpilepsy Research Centre, Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-2664-4395
Shuyu WangEpilepsy Research Centre, Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia.
Amy McTagueMolecular Neurosciences, Developmental Neurosciences, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.
Katja E BoysenEpilepsy Research Centre, Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia.
Xiaoling YangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Qi ZengDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Kenneth A MyersEpilepsy Research Centre, Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia.
Anne RochtusEpilepsy Genetics Program, Boston Children's Hospital, Boston, MA.
Marina TrivisanoRare and Complex Epilepsies Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Scientific Institute for Research and Health Care, Rome, Italy.
Deepak GillT. Y. Nelson Department of Neurology and Neurosurgery, Children's Hospital at Westmead, Sydney, New South Wales, Australia.
EIMFS Consortium
Lynette G SadleirDepartment of Paediatrics and Child Health, University of Otago Wellington, Wellington, New Zealand.
Nicola SpecchioRare and Complex Epilepsies Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, Scientific Institute for Research and Health Care, Rome, Italy.
Renzo GuerriniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Carla MariniPediatric Neurology, Neurogenetics, and Neurobiology Unit and Laboratories, Children's Hospital A. Meyer-University of Florence, Florence, Italy.
Yue-Hua ZhangDepartment of Pediatrics, Peking University First Hospital, Beijing, China.
Heather C MeffordDepartment of Pediatrics, Division of Genetic Medicine, University of Washington, Seattle, WA.
Manju A KurianMolecular Neurosciences, Developmental Neurosciences, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.
Annapurna H PoduriEpilepsy Genetics Program, Boston Children's Hospital, Boston, MA.
Ingrid E SchefferEpilepsy Research Centre, Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-2311-2174
The University of Melbourne · AUPeking University · CNBambino Gesù Children's Hospital · ITBoston Children's Hospital · USMeyer Children's Hospital · ITChildren's Hospital at Westmead · AUGreat Ormond Street Hospital · GBNational Health Service · GBRoyal Children's Hospital · AUUniversity of Otago · NZUniversity of Washington · US

Funding

A Genomic Approach to EpilepsyR01NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2010 to 2019
$4.9M
A Genomic Approach to EpilepsyR56NS069605 · NINDS · UNIVERSITY OF WASHINGTON · PI MEFFORD, HEATHER C. · 2014 to 2014
$503k
Belgian American Educational FoundationBureau of Educational and Cultural AffairsDepartment of Health RP-2016-07-019GOSH NIHR BRCNational Health and Medical Research Council 1006110National Health and Medical Research Council 1091593National Health and Medical Research Council 1104831National Health and Medical Research Council 628952NIH HHS NS069605NINDS NIH HHS R01 NS069605NINDS NIH HHS R56 NS069605Seventh Framework Programme 602531Translational Research Program, Boston Children's Hospital
6 · The paper itself

Abstract

objectiveEpilepsy of infancy with migrating focal seizures (EIMFS) is one of the most severe developmental and epileptic encephalopathies. We delineate the genetic causes and genotype-phenotype correlations of a large EIMFS cohort.

methodsPhenotypic and molecular data were analyzed on patients recruited through an international collaborative study.

resultsWe ascertained 135 patients from 128 unrelated families. Ninety-three of 135 (69%) had causative variants (42/55 previously reported) across 23 genes, including 9 novel EIMFS genes: de novo dominant GABRA1, GABRB1, ATP1A3; X-linked CDKL5, PIGA; and recessive ITPA, AIMP1, KARS, WWOX. The most frequently implicated genes were KCNT1 (36/135, 27%) and SCN2A (10/135, 7%). Mosaicism occurred in 2 probands (SCN2A, GABRB3) and 3 unaffected mothers (KCNT1). Median age at seizure onset was 4 weeks, with earlier onset in the SCN2A, KCNQ2, and BRAT1 groups. Epileptic spasms occurred in 22% patients. A total of 127 patients had severe to profound developmental impairment. All but 7 patients had ongoing seizures. Additional features included microcephaly, movement disorders, spasticity, and scoliosis. Mortality occurred in 33% at median age 2 years 7 months.

interpretationWe identified a genetic cause in 69% of patients with EIMFS. We highlight the genetic heterogeneity of EIMFS with 9 newly implicated genes, bringing the total number to 33. Mosaicism was observed in probands and parents, carrying critical implications for recurrence risk. EIMFS pathophysiology involves diverse molecular processes from gene and protein regulation to ion channel function and solute trafficking. ANN NEUROL 2019;86:821-831.

Indexed as

AdolescentChildChild, PreschoolCohort StudiesFemaleGenetic Predisposition to DiseaseHumansInfantMaleSeizuresSpasms, Infantile

Identifiers

PMID31618474
PMCPMC7423163
OpenAlexW2980781784

What OpenQuestion holds

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LicenceTDM
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.