Evidence map›Paper›PMID 33681644›Full record

ReviewEpilepsia open2021

Super refractory status in a case of Febrile Infection-Related Epilepsy Syndrome due to hemophagocytic lymphocytic histiocytosis.

Salvadeeswaran Meenakshi-Sundaram, Muthukani Sankaranarayanan, Murugan Jeyaraman, Chitra Ayyappan, Somalinga Nagendran Karthik, Suresh Pandi

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. [Febrile infection-related epilepsy syndrome caused by hemophagocytic lymphohistiocytosis: a case report].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

6 authors at 1 institution in 1 country.

Salvadeeswaran Meenakshi-SundaramDepartment of Neurosciences, Apollo Speciality Hospitals, Madurai, India.ORCID https://orcid.org/0000-0001-7809-325X
Muthukani SankaranarayananDepartment of Neurosciences, Apollo Speciality Hospitals, Madurai, India.
Murugan JeyaramanDepartment of Pediatrics, Apollo Speciality Hospitals, Madurai, India.
Chitra AyyappanDepartment of Pediatrics, Apollo Speciality Hospitals, Madurai, India.
Somalinga Nagendran KarthikDepartment of Neurosciences, Apollo Speciality Hospitals, Madurai, India.
Suresh PandiDepartment of Neurosciences, Apollo Speciality Hospitals, Madurai, India.
Apollo Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 14-year-old boy presented with a prodromal respiratory infection followed by super refractory status epilepticus. A diagnosis of Febrile Infection-Related Epilepsy Syndrome (FIRES) was made. Initial MRI study and CSF analysis were normal. He required multiple anticonvulsants owing to the refractory nature of the seizures. The course of the illness was rather stormy, laced with various medical problems viz. hepatic dysfunction, sepsis, hemodynamic, and hematological abnormalities which posed several challenges in the management. Hemophagocytic lymphocytic histiocytosis (HLH) was identified as the etiology of the illness and was treated but without success. The case report highlights the several immunomodulatory strategies that were employed to treat the disease, despite which the outcome was unfavorable.

Indexed as

AdolescentAnticonvulsantsAnti-Inflammatory AgentsEpileptic SyndromesFatal OutcomeHistiocytosisHumansImmune System DiseasesLacosamideMaleMethylprednisoloneStatus EpilepticusAnticonvulsantsAnti-Inflammatory AgentsLacosamideMethylprednisoloneanticonvulsant polytherapyFebrile Infection‐Related Epilepsy Syndromehemophagocytic lymphocytic histiocytosisimmunomodulationsuper refractory status epilepticus

Identifiers

PMID33681644
PMCPMC7918320
OpenAlexW3107334603

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.