Evidence map›Paper›PMID 33243681›Full record

ArticleEpilepsy & behavior : E&B2021

Psychiatric comorbidities, sexual health and neurodevelopmental outcomes of offspring in men with epilepsy.

Marc Casale, Hernan Nicolas Lemus, James J Young, Lara V Marcuse, Ji Yeoun Yoo, Svetlana Faktorovich, Bridget Mueller, Madeline C Fields

Open access · greenAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2021. 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
0.3field-weighted citation impact, top 34% 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, 8 citations in OpenAlex.

  1. Article
  2. Review
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  4. 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.

Marc CasaleIcahn School of Medicine at Mount Sinai, School of Medicine, 1 Gustave L. Levy Place, New York, NY 10029, United States. Electronic address: marc.casale@icahn.mssm.edu.
Hernan Nicolas LemusIcahn School of Medicine at Mount Sinai Downtown, Department of Neurology, 10 Union Square East, Suite 5D, New York, NY 10003, United States.
James J YoungIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Lara V MarcuseIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Ji Yeoun YooIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Svetlana FaktorovichIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Bridget MuellerIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Madeline C FieldsIcahn School of Medicine at Mount Sinai Hospital, Department of Neurology, 5 E 98th Street, New York, NY 10029, United States.
Icahn School of Medicine at Mount Sinai · USMount Sinai Hospital · US

Funding

Mount Sinai Neurology Resident-Researcher Training ProgramR25NS079102 · NINDS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HADJIPANAYIS, CONSTANTINOS GEORGE, HAVTON, LEIF A · 2012 to 2022
$1.1M
NINDS NIH HHS R25 NS079102
6 · The paper itself

Abstract

backgroundThere is a paucity of data in the literature specific to men with epilepsy on anti-seizure medication (ASM). The current study investigated the time to conception as well as the gestational and the neurodevelopmental outcomes of offspring of men with epilepsy on ASM compared to controls. Additionally, the prevalence of psychiatric comorbidities, and measures of sexual performance in males with and without epilepsy were analyzed.

methodsA total of 450 male patients with and without epilepsy at one hospital were provided questionnaires to determine demographic characteristics, epilepsy history, type of ASM at the time of conception, comorbidities and sexual health. Time to conception, fertility methods and offspring birth and developmental history born to males with and without epilepsy was recorded. Survey data was evaluated using Student's t-test for continuous variables and Fisher's exact test for categorical variables. Odds ratio (OR) were calculated to determine associations between the measured data.

resultsAfter matching for age, we analyzed a total of 110 males with epilepsy and 110 without epilepsy. In the epilepsy group there was a higher rate of psychiatric comorbidities such as major depressive disorder, general anxiety disorder, bipolar disorder, and suicidal ideation when compared to the control group (N = 110; OR 3.39; 95% IC: 1.87-6.13, p < 0.001). Males with epilepsy also had a higher frequency of low erection scores when compared to males without epilepsy (N = 70 with epilepsy, N = 76 without epilepsy; OR 3.67; 95% IC: 1.44-9.39, p = 0.005). Of the 110 men with a diagnosis of epilepsy, 17 conceived children while using ASMs (38 total children). A total of 18.42% of children born to fathers on ASMs experienced developmental delays compared to 2.63% of controls, however this result was not statistically significant (p = 0.056). In addition, we did not find that offspring had significantly different birth weights or gestational ages in men on ASM compared to controls (p > 0.05).

conclusionsThe present study suggests that men with epilepsy have an increased incidence of psychiatric comorbidities, and altered sexual performance, specifically erectile dysfunction, when compared with men without epilepsy. There was no statistically significant difference in the rates of developmental disorders and birth characteristics among those men with epilepsy on ASM at the time of conception and controls.

Indexed as

EpilepsyMajor Depressive DisorderSexual HealthChildComorbidityHumansIncidenceMaleAnti-seizure medicationsDelayed milestonesEpilepsyMale sexual dysfunctionNeurodevelopment

Identifiers

PMID33243681
PMCPMC8238437
OpenAlexW3107059806

What OpenQuestion holds

Textmetadata
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.