Evidence map›Paper›PMID 33748736›Full record

ArticleEpilepsy & behavior reports2021

Resolution of cryptogenic new onset refractory status epilepticus with tocilizumab.

Jonathan P Donnelly, Nidhi Kasatwar, Shaheryar Hafeez, Ali Seifi, Andrea Gilbert, Colleen Barthol, Clay Small, C Ákos Szabó

Open access · goldAbstract readCase Reports
In one paragraph

Article in Epilepsy & behavior reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. 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.

Jonathan P DonnellyDepartments of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Nidhi KasatwarDepartments of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Shaheryar HafeezDepartments of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Ali SeifiDepartments of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Andrea GilbertDepartments of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Colleen BartholPharmacotherapy and Pharmacy Services, University Health System, San Antonio, TX, United States.
Clay SmallPharmacotherapy and Pharmacy Services, University Health System, San Antonio, TX, United States.
C Ákos SzabóDepartments of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
The University of Texas Health Science Center at San Antonio · USUniversity Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New onset refractory status epilepticus (NORSE) was defined by the International League Against Epilepsy as occurring in patients presenting without a prior diagnosis of epilepsy or other neurological disease, with seizures that persist beyond 24 h. There is still a need to develop new treatment strategies for NORSE, particularly for those patients who are least responsive to conventional medical therapies. We present a case of a young female patient without any medical history presenting with status epilepticus, which was refractory not only to anti-seizure medications and anesthetics, but also to conventional immunomodulatory therapies. After nine weeks of electroclinical seizure activity, the patient responded to two doses of tocilizumab.

Indexed as

Interleukin-6RefractoryStatus epilepticusTocilizumab

Identifiers

PMID33748736
PMCPMC7972955
OpenAlexW3127752959

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.