Evidence map›Paper›PMID 34806176›Full record

ArticleEpilepsia2022

Serum neurofilament light as biomarker of seizure-related neuronal injury in status epilepticus.

Giada Giovannini, Roberta Bedin, Diana Ferraro, Anna Elisabetta Vaudano, Jessica Mandrioli, Stefano Meletti

Open access · hybridAbstract read
In one paragraph

Article in Epilepsia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  10. Exploring biomarkers of neurodegeneration in epilepsy: Critical insights.Epileptic disorders : international epilepsy journal with videotape · 2025
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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

6 authors at 2 institutions in 1 country.

Giada GiovanniniNeurology Unit, Ospedale Civile Baggiovara Hospital, University Hospital, Modena, Italy.ORCID 0000-0002-3585-5872
Roberta BedinDepartment of Biomedical, Metabolic, and Neural Science, University of Modena and Reggio Emilia, Modena, Italy.
Diana FerraroNeurology Unit, Ospedale Civile Baggiovara Hospital, University Hospital, Modena, Italy.ORCID 0000-0003-4818-3806
Anna Elisabetta VaudanoNeurology Unit, Ospedale Civile Baggiovara Hospital, University Hospital, Modena, Italy.ORCID 0000-0002-6280-7526
Jessica MandrioliNeurology Unit, Ospedale Civile Baggiovara Hospital, University Hospital, Modena, Italy.
Stefano MelettiNeurology Unit, Ospedale Civile Baggiovara Hospital, University Hospital, Modena, Italy.ORCID 0000-0003-0334-539X
University of Modena and Reggio Emilia · ITAzienda Unita' Sanitaria Locale Di Modena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biomarkers of neuronal damage in status epilepticus (SE) would be of great relevance for clinical and research purposes. In a retrospective cross-sectional study, serum neurofilament light chain (NfL) levels were measured in patients with SE (30 subjects), patients with drug-resistant epilepsy (30 subjects), and healthy controls (30 subjects). Serum NfL levels were higher in patients with SE (median = 26.15 pg/ml) compared to both epilepsy patients (median = 7.35 pg/ml) and healthy controls (median = 6.81 pg/ml; p < .001). In patients with SE, serum NfL levels showed a high correlation with cerebrospinal fluid (CSF) NfL (τ = .68, p < .001) as well as with CSF total tau (t-tau) levels (τ = .627, p < .001); they were higher in SE lasting >24 h (p = .013), in refractory/superrefractory SE (p = .004), and in patients who died within 30 days or who presented a worsening of clinical conditions (p = .001). Values of >28.8 pg/ml predicted 30-day clinical worsening or death (odds ratio [OR] = 10.83, 95% confidence interval [CI] = 1.96-59.83, p = .006) and SE refractoriness (OR = 9.33, 95% CI = 1.51-57.65, p = .016). In conclusion, serum NfL levels are increased in SE and correlate with SE treatment response, duration, and outcomes, therefore representing a promising biomarker of seizure-related neuronal damage.

Indexed as

Intermediate FilamentsStatus EpilepticusBiomarkersCross-Sectional StudiesHumansNeurofilament ProteinsRetrospective StudiesSeizuresBiomarkersNeurofilament Proteinsbiomarkersneurofilamentsstatus epilepticus

Identifiers

PMID34806176
PMCPMC9299158
OpenAlexW3217226680

What OpenQuestion holds

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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.