Evidence map›Paper›PMID 34489622›Full record

ArticleFrontiers in neuroscience2021

Vagus Nerve Stimulation Therapy for the Treatment of Seizures in Refractory Postencephalitic Epilepsy: A Retrospective Study.

Yulin Sun, Jian Chen, Tie Fang, Lin Wan, Xiuyu Shi, Jing Wang, Zhichao Li, Jiaxin Wang, Zhiqiang Cui, Xin Xu and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Yulin SunDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Jian ChenDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Tie FangDepartment of Functional Neurosurgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Lin WanDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Xiuyu ShiDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Jing WangDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Zhichao LiDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Jiaxin WangDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Zhiqiang CuiDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, China.
Xin XuDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, China.
Zhipei LingDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, China.
Liping ZouDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Guang YangDepartment of Pediatrics, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNBeijing Children’s Hospital · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVagus nerve stimulation (VNS) has been demonstrated to be safe and effective for patients with refractory epilepsy, but there are few reports on the use of VNS for postencephalitic epilepsy (PEE). This retrospective study aimed to evaluate the efficacy of VNS for refractory PEE.

methodsWe retrospectively studied 20 patients with refractory PEE who underwent VNS between August 2017 and October 2019 in Chinese PLA General Hospital and Beijing Children's Hospital. VNS efficacy was evaluated based on seizure reduction, effective rate (percentage of cases with seizure reduction ≥ 50%), McHugh classification, modified Early Childhood Epilepsy Severity Scale (E-Chess) score, and Grand Total EEG (GTE) score. The follow-up time points were 3, 6, and 12 months after VNS. Pre- and postoperative data were compared and analyzed.

resultsThe median [interquartile range (IQR)] seizure reduction rates at 3, 6, and 12 months after VNS were 23.72% (0, 55%), 46.61% (0, 79.04%), and 67.99% (0, 93.78%), respectively. The effective rates were 30% at 3 months, 45% at 6 months, and 70% at 12 months. E-chess scores before the operation and at 3, 6, and 12 months after the operation were 10 (10, 10.75), 9 (9, 10), 9 (9, 9.75), and 9 (8.25, 9) (

conclusionsOur study shows that VNS can reduce the frequency and severity of seizure in patients with refractory PEE. VNS has a good application prospect in patients with refractory PEE.

Indexed as

childrenencephalitispostencephalitic epilepsyrefractory epilepsyvagus nerve stimulation

Identifiers

PMID34489622
PMCPMC8418307
OpenAlexW3195939439

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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.