Evidence map›Paper›PMID 35538233›Full record

ReviewNature reviews. Neurology2022

Why won't it stop? The dynamics of benzodiazepine resistance in status epilepticus.

Richard J Burman, Richard E Rosch, Jo M Wilmshurst, Arjune Sen, Georgia Ramantani, Colin J Akerman, Joseph V Raimondo

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
7.9field-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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Chronological Sequence of Convulsive Status Epilepticus Treatment Steps in a Real-Life Scenario for Patients Enrolled in a Large Multicenter Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Trial
  3. Article
  4. GABASynapse (New York, N.Y.) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Review
  10. Review
  11. Enhancing KCC2 function reduces interictal activity and prevents seizures in temporal lobe epilepsy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Modulating ion channels with nanobodies.Synthetic and systems biotechnology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Richard J BurmanDepartment of Pharmacology, University of Oxford, Oxford, UK. richard.burman@ndcn.ox.ac.uk.ORCID 0000-0003-3107-7871
Richard E RoschDepartment of Neuropediatrics, University Children's Hospital Zürich, Zürich, Switzerland.ORCID 0000-0002-0316-5818
Jo M WilmshurstDepartment of Paediatric Neurology, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Arjune SenOxford Epilepsy Research Group, NIHR Biomedical Research Centre, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.ORCID 0000-0002-8948-4763
Georgia RamantaniDepartment of Neuropediatrics, University Children's Hospital Zürich, Zürich, Switzerland.ORCID 0000-0002-7931-2327
Colin J AkermanDepartment of Pharmacology, University of Oxford, Oxford, UK.
Joseph V RaimondoNeuroscience Institute, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. joseph.raimondo@uct.ac.za.ORCID 0000-0002-8266-3128
University of Oxford · GBUniversity of Cape Town · ZAKing's College London · GBUniversity Children's Hospital Zurich · CH

Funding

Wellcome Trust 209164/Z/17/ZWellcome Trust 214042/Z/18/Z
6 · The paper itself

Abstract

Status epilepticus is a life-threatening neurological emergency that affects both adults and children. Approximately 36% of episodes of status epilepticus do not respond to the current preferred first-line treatment, benzodiazepines. The proportion of episodes that are refractory to benzodiazepines is higher in low-income and middle-income countries (LMICs) than in high-income countries (HICs). Evidence suggests that longer episodes of status epilepticus alter brain physiology, thereby contributing to the emergence of benzodiazepine resistance. Such changes include alterations in GABA

Indexed as

BenzodiazepinesStatus EpilepticusAdultAnticonvulsantsChildHumansReceptors, GABA-AAnticonvulsantsBenzodiazepinesReceptors, GABA-A

Identifiers

PMID35538233
OpenAlexW4229444019

What OpenQuestion holds

Textmetadata
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.