Evidence map›Paper›PMID 37927747›Full record

ReviewCureus2023

Vigabatrin (Sabril) for the Treatment of Refractory Complex Focal Seizures in Adults: Pharmacologic and Clinical Considerations.

Taylor N Gatson, Orlandria A Freemont, Rachel L Coleman, Stewart J Lockett, Noah J Spillers, Shahab Ahmadzadeh, Omar Viswanath, Giustino Varrassi, Sahar Shekoohi, Alan D Kaye

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

10 authors at 4 institutions in 2 countries.

Taylor N GatsonMedicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Orlandria A FreemontMedicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Rachel L ColemanMedicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Stewart J LockettMedicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Noah J SpillersMedicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Shahab AhmadzadehAnesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Omar ViswanathPain Management, Valley Pain Consultants - Envision Physician Services, Phoenix, USA.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Sahar ShekoohiAnesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Alan D KayeAnesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, USA.
Fondazione Roma · ITPain Management Institute · USLouisiana State University Health Sciences Center Shreveport · USLouisiana State University in Shreveport · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To review the pharmacokinetics, efficacy, and adverse effects of vigabatrin (Sabril) and its role in managing refractory focal unaware seizures in adults. In the present investigation, a search of English-language literature from 1999 through 2023 was conducted using vigabatrin and Sabril as search terms to identify relevant studies and review articles. A 2000 double-blind, placebo-controlled multicenter study found that out of 90 adult patients, 48% of those treated with vigabatrin achieved a 50% or greater reduction in the frequency of complex partial seizures, compared to 26% of placebo-treated patients. This study also observed that vigabatrin was well tolerated by 72.4% of patients, with the most common side effects being drowsiness, dizziness, headache, and fatigue. Further studies with a significant risk of vigabatrin-associated visual field loss necessitate vigabatrin only being an option for refractory cases. Additional studies suggest that despite the potential risk of vision loss and adverse effects, adult patients continue to use vigabatrin long-term. Sabril is an antiepileptic medication prescribed as an additional treatment for refractory complex partial seizures in patients at least ten years old who have not responded well to other alternative therapies. Multiple clinical trials indicate that Sabril sufficiently reduces the frequency of seizures when used as an adjunct treatment of refractory complex focal seizures. However, it is important to carefully monitor patients for any adverse effects, particularly long-term use, and to discontinue the drug if serious side effects occur.

Indexed as

epilepsyrefractory complex partial seizuressabrilseizurevigabatrin

Identifiers

PMID37927747
PMCPMC10621625
OpenAlexW4387300940

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.