Evidence map›Paper›PMID 35490361›Full record

ArticleEpilepsia2022

International consensus on diagnosis and management of Dravet syndrome.

Elaine C Wirrell, Veronica Hood, Kelly G Knupp, Mary Anne Meskis, Rima Nabbout, Ingrid E Scheffer, Jo Wilmshurst, Joseph Sullivan

Open access · hybridAbstract readConsensus Statement
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 120 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 5 pooled it
28.8field-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

120 citing papers in PubMed, 5 syntheses or guidelines pooled it, 210 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  14. Genetic Diagnosis in Epilepsy: Implications for Clinical Management.Current neurology and neuroscience reports · 2026
    Review
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  16. Article
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60 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

8 authors at 7 institutions in 4 countries.

Elaine C WirrellDivisions of Child and Adolescent Medicine and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-3015-8282
Veronica HoodDravet Syndrome Foundation, Cherry Hill, New Jersey, USA.ORCID 0000-0002-1988-4980
Kelly G KnuppDepartments of Pediatrics and Neurology, University of Colorado, Anschutz Campus, Aurora, Colorado, USA.ORCID 0000-0002-1967-0827
Mary Anne MeskisDravet Syndrome Foundation, Cherry Hill, New Jersey, USA.
Rima NabboutReference Center for Rare Epilepsies, Department of Pediatric Neurology, Necker-Enfants Malades Hospital, Member of European Reference Network EpiCARE, University of Paris, Paris, France.ORCID 0000-0001-5877-4074
Ingrid E SchefferAustin Health and Royal Children's Hospital, Florey Institute of Neuroscience and Mental Health, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-2311-2174
Jo WilmshurstDepartment of Paediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7328-1796
Joseph SullivanDepartments of Neurology and Pediatrics, Benioff Children's Hospital, University of California, San Francisco, San Francisco, California, USA.
Dravet Syndrome Foundation · USMayo Clinic · USRoyal Children's Hospital · AUUniversité Paris Cité · FRUniversity of California, San Francisco · USUniversity of Cape Town · ZAUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was undertaken to gain consensus from experienced physicians and caregivers regarding optimal diagnosis and management of Dravet syndrome (DS), in the context of recently approved, DS-specific therapies and emerging disease-modifying treatments.

methodsA core working group was convened consisting of six physicians with recognized expertise in DS and two representatives of the Dravet Syndrome Foundation. This core group summarized the current literature (focused on clinical presentation, comorbidities, maintenance and rescue therapies, and evolving disease-modifying therapies) and nominated the 31-member expert panel (ensuring international representation), which participated in two rounds of a Delphi process to gain consensus on diagnosis and management of DS.

resultsThere was strong consensus that infants 2-15 months old, presenting with either a first prolonged hemiclonic seizure or first convulsive status epilepticus with fever or following vaccination, in the absence of another cause, should undergo genetic testing for DS. Panelists agreed on evolution of specific comorbidities with time, but less agreement was achieved on optimal management. There was also agreement on appropriate first- to third-line maintenance therapies, which included the newly approved agents. Whereas there was agreement for recommendation of disease-modifying therapies, if they are proven safe and efficacious for seizures and/or reduction of comorbidities, there was less consensus for when these should be started, with caregivers being more conservative than physicians. SIGNIFICANCE: This International DS Consensus, informed by both experienced global caregiver and physician voices, provides a strong overview of the impact of DS, therapeutic goals and optimal management strategies incorporating the recent therapeutic advances in DS, and evolving disease-modifying therapies.

Indexed as

Epilepsies, MyoclonicSpasms, InfantileEpileptic SyndromesHumansInfantSeizurescannabidioldevelopmental and epileptic encephalopathydisease-modifying treatmentfenfluramineSCN1Astiripentol

Identifiers

PMID35490361
PMCPMC9543220
OpenAlexW4225248989

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.