Evidence map›Paper›PMID 33923061›Full record

ReviewBiomedicines2021

Pharmacological and Therapeutic Approaches in the Treatment of Epilepsy.

Shampa Ghosh, Jitendra Kumar Sinha, Tarab Khan, Kuramkote Shivanna Devaraju, Prabhakar Singh, Kumar Vaibhav, Pankaj Gaur

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
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  7. CRISPR-Based Gene Therapy for Brain Disease.Molecular neurobiology · 2026
    Review
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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 6 institutions in 2 countries.

Shampa GhoshICMR-National Institute of Nutrition (NIN), Tarnaka, Hyderabad 500007, India.ORCID 0000-0002-3252-7216
Jitendra Kumar SinhaAmity Institute of Neuropsychology and Neurosciences (AINN), Amity University UP, Noida 201303, India.ORCID 0000-0002-7444-6932
Tarab KhanAmity Institute of Neuropsychology and Neurosciences (AINN), Amity University UP, Noida 201303, India.
Kuramkote Shivanna DevarajuDepartment of Biochemistry, Karnatak University, Dharwad 580003, India.
Prabhakar SinghDepartment of Anatomy, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
Kumar VaibhavDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.ORCID 0000-0002-4206-3830
Pankaj GaurLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20007, USA.ORCID 0000-0002-9718-3565
Amity University · INAll India Institute of Medical Sciences · INAugusta University · USGeorgetown University · USKarnatak University · INNational Institute of Nutrition · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy affects around 50 million people across the globe and is the third most common chronic brain disorder. It is a non-communicable disease of the brain that affects people of all ages. It is accompanied by depression, anxiety, and substantially increased morbidity and mortality. A large number of third-generation anti-epileptic drugs are available, but they have multiple side-effects causing a decline in the quality of life. The inheritance and etiology of epilepsy are complex with multiple underlying genetic and epigenetic mechanisms. Different neurotransmitters play intricate functions to maintain the normal physiology of various neurons. If there is any dysregulation of neurotransmission due to aberrant transmitter levels or their receptor biology, it can result in seizures. In this review, we have discussed the roles played by various neurotransmitters and their receptors in the pathophysiology of epilepsy. Drug-resistant epilepsy (DRE) has remained one of the forefront areas of epilepsy research for a long time. Understanding the mechanisms underlying DRE is of utmost importance because of its high incidence rate among epilepsy patients and increased risks of psychosocial problems and premature death. Here we have enumerated various hypotheses of DRE. Further, we have discussed different non-conventional therapeutic strategies, including combination therapy and non-drug treatment. The recent studies supporting the modern approaches for the treatment of epilepsy have been deliberated with particular reference to the mTOR pathway, breakdown of the blood-brain barrier, and inflammatory pathways.

Indexed as

anti-convulsantsanti-epileptic drugsdrug targetsepileptogenesisnon-communicable diseasepseudo-resistanceseizurestranscriptional modifications

Identifiers

PMID33923061
PMCPMC8146518
OpenAlexW3158574736

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.