Evidence map›Paper›PMID 33681649›Full record

ArticleEpilepsia open2021

Proposal to optimize evaluation and treatment of Febrile infection-related epilepsy syndrome (FIRES): A Report from FIRES workshop.

Sookyong Koh, Elaine Wirrell, Annamaria Vezzani, Rima Nabbout, Eyal Muscal, Marios Kaliakatsos, Ronny Wickström, James J Riviello, Andreas Brunklaus, Eric Payne and 11 more

Abstract read
In one paragraph

Article in Epilepsia open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Review
  2. Article
  3. [How I treat pediatric febrile infection-related epilepsy syndrome].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. His brain is on FIRES.Journal of neurology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Severe A(H1N1)pdm09 influenza acute encephalopathy outbreak in children in Tuscany, Italy, December 2023 to January 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. AnFrontiers in neurology · 2023
    Article
  19. Article
  20. 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

21 authors.

Sookyong KohDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID https://orcid.org/0000-0002-2717-6888
Elaine WirrellChild and Adolescent Neurology and Epilepsy, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0003-3015-8282
Annamaria VezzaniDepartment of Neuroscience, Instituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Rima NabboutReference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker Enfants Malades Hospital, APHP, Imagine Institute, Paris Descartes University, Paris, France.
Eyal MuscalDepartment of Pediatrics, Section of Pediatric, Rheumatology, Baylor College of Medicine, Houston, TX, USA.
Marios KaliakatsosDepartment of Neurology, Great Ormond Street Hospital for Children, London, UK.
Ronny WickströmNeuropediatric Unit, Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
James J RivielloDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Andreas BrunklausPaediatric Neurosciences Research Group, Royal Hospital for Children, Glasgow, UK.ORCID https://orcid.org/0000-0002-7728-6903
Eric PayneChild and Adolescent Neurology and Epilepsy, Mayo Clinic, Rochester, MN, USA.
Antonio ValentinDepartment of Basic and Clinical Neuroscience, Psychology and Neuroscience, Department of Clinical Neurophysiology, King's College Hospital NHS Trust, London, UK.
Elizabeth WellsCenter for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Jessica L CarpenterCenter for Neuroscience and Behavioral Medicine, Children's National Health System, Washington, DC, USA.
Kihyeong LeeComprehensive Epilepsy Center, Advent Health for Children, Orlando, FL, USA.
Yi-Chen LaiJan and Dan Duncan Neurological Research Institute, Baylor College of Medicine, Houston, TX, USA.ORCID https://orcid.org/0000-0002-9450-5506
Krista EschbachDepartment of Pediatrics, Section of Neurology, University of Colorado Denver, Denver, CO, USA.ORCID https://orcid.org/0000-0002-4249-338X
Craig A PressDepartment of Pediatrics, Section of Neurology, University of Colorado Denver, Denver, CO, USA.
Mark GormanDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
Coral M StrednyDepartment of Neurology, Boston Children's Hospital, Boston, MA, USA.
William RocheDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Tara MangumDepartment of Pediatrics, Phoenix Children's Hospital, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Febrile infection-related epilepsy syndrome (FIRES) is a rare catastrophic epileptic encephalopathy that presents suddenly in otherwise normal children and young adults causing significant neurological disability, chronic epilepsy, and high rates of mortality. To suggest a therapy protocol to improve outcome of FIRES, workshops were held in conjunction with American Epilepsy Society annual meeting between 2017 and 2019. An international group of pediatric epileptologists, pediatric neurointensivists, rheumatologists and basic scientists with interest and expertise in FIRES convened to propose an algorithm for a standardized approach to the diagnosis and treatment of FIRES. The broad differential for refractory status epilepticus (RSE) should include FIRES, to allow empiric therapies to be started early in the clinical course. FIRES should be considered in all previously healthy patients older than two years of age who present with explosive onset of seizures rapidly progressing to RSE, following a febrile illness in the preceding two weeks. Once FIRES is suspected, early administrations of ketogenic diet and anakinra (the IL-1 receptor antagonist that blocks biologic activity of IL-1β) are recommended.

Indexed as

Drug Resistant EpilepsyEpileptic SyndromesSeizures, FebrileAdolescentCannabidiolChildChild, PreschoolDiet, KetogenicEncephalitisHumansImmune System DiseasesInfantInterleukin 1 Receptor Antagonist ProteinStatus EpilepticusCannabidiolInterleukin 1 Receptor Antagonist Proteinanakinracytokinesepileptic encephalopathyimmune activationneuroinflammationnew‐onset refractory status epilepticus

Identifiers

PMID33681649
PMCPMC7918329

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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.