Evidence map›Paper›PMID 31737865›Full record

ArticleEpilepsy & behavior reports2019

No effect of electrical transcranial direct current stimulation adjunct treatment for epilepsia partialis continua in POLG disease.

Lynn Marquardt, Tom Eichele, Laurence A Bindoff, Henning Kristian Olberg, Gyri Veiby, Heike Eichele, Isabella Kusztrits, Marco Hirnstein

Open access · goldAbstract read
In one paragraph

Article in Epilepsy & behavior reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

8 authors at 2 institutions in 1 country.

Lynn MarquardtDepartment of Biological and Medical Psychology, University of Bergen, Jonas Lies vei 21, 5009 Bergen, Norway.
Tom EicheleDepartment of Neurology, Haukeland University Hospital, Bergen, Jonas Lies vei 71, 5053 Bergen, Norway.
Laurence A BindoffDepartment of Neurology, Haukeland University Hospital, Bergen, Jonas Lies vei 71, 5053 Bergen, Norway.
Henning Kristian OlbergDepartment of Neurology, Haukeland University Hospital, Bergen, Jonas Lies vei 71, 5053 Bergen, Norway.
Gyri VeibyDepartment of Neurology, Haukeland University Hospital, Bergen, Jonas Lies vei 71, 5053 Bergen, Norway.
Heike EicheleDepartment of Biological and Medical Psychology, University of Bergen, Jonas Lies vei 21, 5009 Bergen, Norway.
Isabella KusztritsDepartment of Biological and Medical Psychology, University of Bergen, Jonas Lies vei 21, 5009 Bergen, Norway.
Marco HirnsteinDepartment of Biological and Medical Psychology, University of Bergen, Jonas Lies vei 21, 5009 Bergen, Norway.
Haukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a 15-year-old female with POLG-related mitochondrial disease who developed severe multifocal epilepsia partialis continua, unresponsive to standard anti seizure drug treatment and general anesthesia. Based on an earlier case report, we treated her focal seizures that affected her right upper limb with 20-min sessions of transcranial direct current stimulation (tDCS) at an intensity of 2 mA on each of five consecutive days. The cathode was placed over the left primary motor cortex, the anode over the contralateral orbitofrontal cortex. Surface electromyography (EMG) were recorded 20 min before, 20 min during, and 20 min after four of five tDCS sessions to measure its effect on the muscle jerks. The electroencephalography (EEG) was recorded before and after tDCS to measure the frequency of spikes. Our results showed no statistically or clinically significant reduction of seizures or epileptiform activity using EEG and EMG, with this treatment protocol. To our knowledge, this is only the second time that adjunct tDCS treatment of epileptic seizures has been tried in POLG-related mitochondrial disease. Taken together with the positive findings from the earlier case report, the present study highlights that more data are needed to determine if, and under which parameters, the treatment is effective.

Indexed as

Mitochondrial diseaseNeurostimulationPOLGRefractory status epilepticustDCS

Identifiers

PMID31737865
PMCPMC6849077
OpenAlexW2981333955

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.