Evidence map›Paper›PMID 34239494›Full record

ReviewFrontiers in neurology2021

The Pharmacoresistant Epilepsy: An Overview on Existent and New Emerging Therapies.

Antonella Fattorusso, Sara Matricardi, Elisabetta Mencaroni, Giovanni Battista Dell'Isola, Giuseppe Di Cara, Pasquale Striano, Alberto Verrotti

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 2 pooled it
28.1field-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

122 citing papers in PubMed, 2 syntheses or guidelines pooled it, 246 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Antiepileptic and antiepileptogenic effects ofIBRO neuroscience reports · 2026
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  8. Review
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  15. Observational
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  17. Genetic Polymorphisms inPharmaceuticals (Basel, Switzerland) · 2026
    Article
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  19. Article
  20. Article

62 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Antonella FattorussoDepartment of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy.
Sara MatricardiChild Neurology and Psychiatry Unit, Children's Hospital "G. Salesi", Ospedali Riuniti Ancona, Ancona, Italy.
Elisabetta MencaroniDepartment of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy.
Giovanni Battista Dell'IsolaDepartment of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy.
Giuseppe Di CaraDepartment of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy.
Pasquale StrianoPediatric Neurology and Muscular Diseases Unit, IRCCS "G. Gaslini" Institute, Genoa, Italy.
Alberto VerrottiDepartment of Medicine and Surgery, Pediatric Clinic, University of Perugia, Perugia, Italy.
University of Perugia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedali Riuniti di Ancona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy is one of the most common neurological chronic disorders, with an estimated prevalence of 0. 5 - 1%. Currently, treatment options for epilepsy are predominantly based on the administration of symptomatic therapy. Most patients are able to achieve seizure freedom by the first two appropriate drug trials. Thus, patients who cannot reach a satisfactory response after that are defined as pharmacoresistant. However, despite the availability of more than 20 antiseizure medications (ASMs), about one-third of epilepsies remain drug-resistant. The heterogeneity of seizures and epilepsies, the coexistence of comorbidities, and the broad spectrum of efficacy, safety, and tolerability related to the ASMs, make the management of these patients actually challenging. In this review, we analyze the most relevant clinical and pathogenetic issues related to drug-resistant epilepsy, and then we discuss the current evidence about the use of available ASMs and the alternative non-pharmacological approaches.

Indexed as

antiseizure medications (ASMs)cannabidioldrug resistant epilepsyfenfluraminepharmacoresistancerational polytherapy

Identifiers

PMID34239494
PMCPMC8258148
OpenAlexW3177289043

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.