Evidence map›Paper›PMID 33683811›Full record

ArticleCNS neuroscience & therapeutics2021

Characteristics and outcome-related factors of seizure at the first onset of autoimmune encephalitis: A retrospective study.

Yilin Wang, Xin Li, Pingping He, Jiangning Yin, Ruofei Dong, Yu Fu, Hong Zhang

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Acute Symptomatic Seizures and Risk of Seizure Recurrence in Patients with Anti-NMDAR, Anti-LGI1, and Anti-GABANeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

7 authors at 1 institution in 1 country.

Yilin WangDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Xin LiDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Pingping HeDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Jiangning YinDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Ruofei DongDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Yu FuDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Hong ZhangDepartment of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.ORCID 0000-0003-1395-5028
China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSeizure outcome of autoimmune encephalitis (AE) varies from seizure-free to refractory epilepsy, and the associated factors remain unclear. We aimed to describe seizure characteristics, identify seizure outcome-related factors, and discuss the medication strategy of antiepileptic drugs (AEDs) at the first onset of AE.

methodsWe retrospectively studied the data of 86 patients with clinically diagnosed AE. The clinical characteristics were described using a chi-square test. Seizure outcome-related factors were assessed using multivariable logistic regression analysis.

results56 patients were finally enrolled, with antibodies to N-methyl-D-aspartate receptor found in 29, to γ-aminobutyric acid receptor B found in 13, and to leucine-rich glioma-inactivated protein 1 found in 14. Status epilepticus occurrence and onset with seizure lead to a poor seizure outcome, while administration of human gamma globulin and a low antibody titer contributed to a good seizure outcome.

conclusionsIn the acute phase, seizure characteristics may be considered in the utilization of AEDs. For patients with seizure-free status in the acute phase, clinical manifestation (onset with seizure or not, whether status epilepticus occurs or not), therapy regimen (human gamma globulin administered or not), and antibody titer may be considered when formulating the strategy for withdrawal of AEDs post-acute phase.

Indexed as

AdolescentAdultAnticonvulsantsAutoimmune DiseasesChildChild, PreschoolEncephalitisFemalegamma-GlobulinsHumansImmunotherapyInfantInfant, NewbornMaleReceptors, GABA-AReceptors, N-Methyl-D-AspartateAnticonvulsantsgamma-GlobulinsReceptors, GABA-AReceptors, N-Methyl-D-Aspartateantiepileptic drugsautoimmune encephalitisimmunotherapyseizure outcomestatus epilepticus

Identifiers

PMID33683811
PMCPMC8111501
OpenAlexW3135043043

What OpenQuestion holds

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Registered trials

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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.