Evidence map›Paper›PMID 34902661›Full record

ArticleEpilepsy & behavior : E&B2022

Cognitive impairment following experimental febrile seizures is determined by sex and seizure duration.

Michelle L Kloc, Dylan H Marchand, Gregory L Holmes, Rachel D Pressman, Jeremy M Barry

Open access · greenAbstract read
In one paragraph

Article in Epilepsy & behavior : E&B, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

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  9. Impact of Respiratory Viruses and SARS-CoV-2 on Febrile Seizures in Saudi Children: Insights into Etiologies, Gender, and Familial Associations.Medical science monitor : international medical journal of experimental and clinical research · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michelle L KlocDepartment of Neurological Sciences, University of Vermont, Larner College of Medicine, Burlington, VT, United States.
Dylan H MarchandDepartment of Neurological Sciences, University of Vermont, Larner College of Medicine, Burlington, VT, United States.
Gregory L HolmesDepartment of Neurological Sciences, University of Vermont, Larner College of Medicine, Burlington, VT, United States.
Rachel D PressmanDepartment of Neurological Sciences, University of Vermont, Larner College of Medicine, Burlington, VT, United States.
Jeremy M BarryDepartment of Neurological Sciences, University of Vermont, Larner College of Medicine, Burlington, VT, United States. Electronic address: jbarry4@uvm.edu.
University of Vermont · US

Funding

Cognitive Deficits After Experimental Febrile Seizures: Neurobiology & BiomarkersR01NS108296 · NINDS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI BARAM, TALLIE Z., HOLMES, GREGORY L. · 2018 to 2022
$2.6M
Mechanisms of Cognitive Impairment Following Early-Life SeizuresR01NS108765 · NINDS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HOLMES, GREGORY L. · 2018 to 2022
$1.9M
NINDS NIH HHS R01 NS108296NINDS NIH HHS R01 NS108765
6 · The paper itself

Abstract

backgroundFebrile seizures are the most common type of seizures in children. While in most children the outcome is favorable, children with febrile status epilepticus may exhibit modest cognitive impairment. Whether children with other forms of complex febrile seizure, such as repetitive febrile seizures within the same illness are at risk of cognitive deficits is not known. In this study, we used a well-established model of experimental febrile seizures in rat pups to compare the effects of febrile status epilepticus and recurrent febrile seizures on subsequent spatial cognition and anxiety.

methodsMale and female rat pups were subjected to hyperthermic seizures at postnatal day 10 and were divided into groups of rats with continuous seizures for ≥40 min or recurrent febrile seizures. They were then tested as adults in the active avoidance and spatial accuracy tests to assess spatial learning and memory and the elevated plus maze to measure anxiety.

resultsFebrile status epilepticus rats demonstrated impaired spatial cognition in active avoidance and spatial accuracy and exhibited reduced anxiety-like behavior in the elevated plus maze. Rats with recurrent febrile seizures did not differ significantly from the controls on any measures. There were also significant sex-related differences with females with FSE performing far better than males with FSE in active avoidance but demonstrating a navigational learning impairment relative to CTL females in spatial accuracy. However, once learned, females with FSE performed the spatial accuracy task as well as CTL females.

conclusionThere is a duration-dependent effect of febrile seizures on subsequent cognitive and behavioral outcomes. Febrile status epilepticus resulted in spatial cognitive deficits and reduced anxiety-related behaviors whereas rats with recurrent febrile seizures did not differ from controls. Sex had a remarkable effect on spatial cognitive outcome where males with FSE fared worse than females with FSE. The results demonstrate that sex should be considered as a biological variable in studies evaluating the effects of seizures on the developing brain.

Indexed as

Cognitive DysfunctionSeizures, FebrileStatus EpilepticusAnimalsCognitionFemaleHippocampusHumansMaleMaze LearningRatsSeizuresActive avoidance testElevated plus mazeLearningMemorySpatial accuracy testSpatial cognition

Identifiers

PMID34902661
PMCPMC8748413
OpenAlexW4200193089

What OpenQuestion holds

Textmetadata
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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.