Evidence map›Paper›PMID 38279786›Full record

ReviewEpilepsia2024

Which terms should be used to describe medications used in the treatment of seizure disorders? An ILAE position paper.

Emilio Perucca, Jacqueline A French, Ghaieb Aljandeel, Simona Balestrini, Patricia Braga, Jorge G Burneo, Augustina Charway Felli, J Helen Cross, Aristea S Galanopoulou, Satish Jain and 17 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Epilepsia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Lamotrigine add-on therapy for drug-resistant focal epilepsy.The Cochrane database of systematic reviews · 2023
    Pooled it
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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

27 authors.

Emilio PeruccaDepartment of Medicine, The University of Melbourne (Austin Health), Heidelberg, Victoria, Australia.ORCID https://orcid.org/0000-0001-8703-223X
Jacqueline A FrenchNYU Grossman School of Medicine and NYU Langone Health, New York, New York, USA.ORCID https://orcid.org/0000-0003-2242-8027
Ghaieb AljandeelFaculty of Epileptology, Iraqi Council for Medical Specializations, Medical City, Baghdad, Iraq.ORCID https://orcid.org/0000-0001-5684-0269
Simona BalestriniNeuroscience Department, Meyer Children's Hospital, Florence, Italy.ORCID https://orcid.org/0000-0001-5639-1969
Patricia BragaInstitute of Neurology, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.ORCID https://orcid.org/0000-0001-7928-375X
Jorge G BurneoDepartment of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-3644-2826
Augustina Charway Felli37 Military Hospital, Accra, Ghana.ORCID https://orcid.org/0000-0001-6618-2044
J Helen CrossDevelopmental Neurosciences Research and Teaching Department, UCL NIHR BRC Great Ormond Street Institute of Child Health, London, UK.ORCID https://orcid.org/0000-0001-7345-4829
Aristea S GalanopoulouIsabelle Rapin Division of Child Neurology, Saul R. Korey Department of Neurology, Dominick P Purpura Department of Neuroscience, Albert Einstein College of Medicine, New York, New York, USA.ORCID https://orcid.org/0000-0002-0472-2903
Satish JainIndian Epilepsy Centre, New Delhi, India.ORCID https://orcid.org/0000-0002-0085-6402
Yuwu JiangDepartment of Pediatrics and Pediatric Epilepsy Center, Peking University First Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-5179-9807
Reetta KälviäinenKuopio Epilepsy Center, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0003-2935-5131
Shih Hui LimNational Neuroscience Institute, Singapore, Singapore.ORCID https://orcid.org/0000-0003-1420-0970
Kimford J MeadorDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-7471-882X
Zarine MogalNational Epilepsy Center, Jinnah Postgraduate Medical Center, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-4685-2183
Rima NabboutReference Centre for Rare Epilepsies, Department of Pediatric Neurology, Necker-Enfants Malades Hospital, Paris, France.ORCID https://orcid.org/0000-0001-5877-4074
Francesca SofiaInternational Bureau for Epilepsy, Dublin, Ireland.ORCID https://orcid.org/0000-0002-3172-2669
Ernest SomervillePrince of Wales Hospital, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8789-1122
Michael R SperlingDepartment of Neurology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-0708-6006
Chahnez TrikiChild Neurology Department, Hedi Chaker University Hospital, LR19ES15, Sfax Medical School, University of Sfax, Sfax, Tunisia.ORCID https://orcid.org/0000-0003-2918-3819
Eugen TrinkaDepartment of Neurology, Neurocritical Care, and Neurorehabilitation, Centre for Cognitive Neuroscience, Christian Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria.ORCID https://orcid.org/0000-0002-5950-2692
Matthew C WalkerDepartment of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, London, UK.ORCID https://orcid.org/0000-0002-0812-0352
Samuel WiebeDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0002-1061-9099
Jo M WilmshurstDepartment of Pediatric Neurology, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7328-1796
Elaine WirrellDivisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0003-3015-8282
Elza Márcia YacubianDepartment of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-8367-0189
Jaideep KapurDepartment of Neurology, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0002-8608-1352

Funding

The Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) Public Engagement CoreU54NS100064 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TOGA, ARTHUR W · 2017 to 2021
$21.7M
Established Status Epilepticus Treatment Trial (ESETT)U01NS088034 · NINDS · UNIVERSITY OF VIRGINIA · PI CHAMBERLAIN, JAMES, KAPUR, JAIDEEP · 2014 to 2018
$16.3M
Translational Platform for Epilepsy Therapy and Biomarker DiscoveryR01NS127524 · NINDS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Denes V. Agoston, LISA D COLES · 2022 to 2026
$11.0M
Secondarily generalized tonic clonic seizure; a functional anatomyR37NS119012 · NINDS · UNIVERSITY OF VIRGINIA · PI Jaideep Kapur · 2021 to 2026
$3.4M
NINDS NIH HHS R01 NS127524NINDS NIH HHS R37 NS119012NINDS NIH HHS U01 NS088034NINDS NIH HHS U54 NS100064
6 · The paper itself

Abstract

A variety of terms, such as "antiepileptic," "anticonvulsant," and "antiseizure" have been historically applied to medications for the treatment of seizure disorders. Terminology is important because using terms that do not accurately reflect the action of specific treatments may result in a misunderstanding of their effects and inappropriate use. The present International League Against Epilepsy (ILAE) position paper used a Delphi approach to develop recommendations on English-language terminology applicable to pharmacological agents currently approved for treating seizure disorders. There was consensus that these medications should be collectively named "antiseizure medications". This term accurately reflects their primarily symptomatic effect against seizures and reduces the possibility of health care practitioners, patients, or caregivers having undue expectations or an incorrect understanding of the real action of these medications. The term "antiseizure" to describe these agents does not exclude the possibility of beneficial effects on the course of the disease and comorbidities that result from the downstream effects of seizures, whenever these beneficial effects can be explained solely by the suppression of seizure activity. It is acknowledged that other treatments, mostly under development, can exert direct favorable actions on the underlying disease or its progression, by having "antiepileptogenic" or "disease-modifying" effects. A more-refined terminology to describe precisely these actions needs to be developed.

Indexed as

EpilepsyAnticonvulsantsBehavior TherapyCaregiversConsensusHumansAnticonvulsantsantiepileptic drugsantiseizure medicationsrecommendationsterminology

Identifiers

PMID38279786
PMCPMC10948296

What OpenQuestion holds

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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.