Evidence map›Paper›PMID 35869793›Full record

ArticleEpilepsia open2022

Epilepsy and inborn errors of metabolism in adults: The diagnostic odyssey of a young woman with medium-chain acyl-coenzyme A dehydrogenase deficiency.

Ilaria Cani, Federica Pondrelli, Laura Licchetta, Raffaella Minardi, Tania Giangregorio, Barbara Mostacci, Lorenzo Muccioli, Lidia Di Vito, Anna Fetta, Carmen Barba and 4 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Epilepsia open, 2022. 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
0.5field-weighted citation impact, top 36% 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, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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

14 authors at 4 institutions in 1 country.

Ilaria CaniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Federica PondrelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Laura LicchettaIRCCS Istituto delle Scienze Neurologiche di Bologna, Full member of the European Reference Network EpiCARE, Bologna, Italy.ORCID 0000-0001-7979-9895
Raffaella MinardiIRCCS Istituto delle Scienze Neurologiche di Bologna, Full member of the European Reference Network EpiCARE, Bologna, Italy.
Tania GiangregorioDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Barbara MostacciIRCCS Istituto delle Scienze Neurologiche di Bologna, Full member of the European Reference Network EpiCARE, Bologna, Italy.
Lorenzo MuccioliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0001-6827-0099
Lidia Di VitoIRCCS Istituto delle Scienze Neurologiche di Bologna, Full member of the European Reference Network EpiCARE, Bologna, Italy.
Anna FettaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0003-0175-6486
Carmen BarbaNeuroscience Department, Meyer Children's Hospital, Firenze, Italy.ORCID 0000-0001-5445-5842
Carlo Alberto CastioniIRCCS Istituto delle Scienze Neurologiche di Bologna, Full member of the European Reference Network EpiCARE, Bologna, Italy.
Andrea BordugoInherited Metabolic Diseases Unit and Regional Centre for Newborn Screening, Diagnosis and Treatment of Inherited Metabolic Diseases and Congenital Endocrine Diseases, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Paolo TinuperDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Francesca BisulliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-1109-7296
Istituto delle Scienze Neurologiche di Bologna · ITUniversity of Bologna · ITAzienda Ospedaliera Universitaria Integrata Verona · ITMeyer Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a case of epileptic encephalopathy in a young woman with undiagnosed medium-chain acyl-coenzyme A dehydrogenase deficiency (MCADD), who presented with an early-onset focal motor status epilepticus (SE) then followed by permanent left hemiplegia and drug-resistant epilepsy with neurodevelopmental delay. Throughout her clinical history, recurrent episodes of lethargy, feeding difficulties, and clustering seizures occurred, progressing into a super refractory SE and death at the age of 25 years. Although epilepsy is not a distinctive feature of MCADD, we advise considering this metabolic disease as a possible etiology of epileptic encephalopathy and hemiconvulsion-hemiplegia-epilepsy syndrome of unknown origin, on the chance to provide a timely and targeted treatment preventing development delay and evolution to SE. Adult patients with epilepsy of unknown etiology not screened at birth for inborn errors of metabolism, such as MCADD, should be promptly investigated for these treatable conditions.

Indexed as

EpilepsyLipid Metabolism, Inborn ErrorsStatus EpilepticusAcyl-CoA DehydrogenaseAdultFemaleHemiplegiaHumansInfant, NewbornAcyl-CoA Dehydrogenaseepileptic syndromefatty acid oxidation disorderinherited metabolic disorderintellectual disabilitynewborn screening

Identifiers

PMID35869793
PMCPMC9712474
OpenAlexW4286696950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.