Evidence map›Paper›PMID 38962068›Full record

ArticleEpilepsy & behavior reports2024

Predictive factors for seizure freedom after epilepsy surgery for pediatric low-grade tumors and focal cortical dysplasia.

Alena Hornak, Jeffery Bolton, Melissa Tsuboyama, Phillip L Pearl, Song Dam, Trey Moore, Brigitte Wilson, Scellig Stone, Alyssa Ailion

Abstract read
In one paragraph

Article in Epilepsy & behavior reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Editorial: Seizures in brain tumors.Frontiers in surgery · 2024
    Article
  6. 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

9 authors.

Alena HornakBoston Children's Hospital, Department of Radiology and Neurology, United States.
Jeffery BoltonBoston Children's Hospital, Department of Neurology, United States.
Melissa TsuboyamaBoston Children's Hospital, Department of Neurology, United States.
Phillip L PearlBoston Children's Hospital, Department of Neurology, United States.
Song DamBoston Children's Hospital, Department of Neurology, United States.
Trey MooreBoston Children's Hospital, Department of Neurology, United States.
Brigitte WilsonBoston Children's Hospital, Department of Psychiatry, United States.
Scellig StoneBoston Children's Hospital, Department of Neurosurgery, United States.
Alyssa AilionBoston Children's Hospital, Department of Psychiatry, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epilepsy may be drug-resistant in a third of patients necessitating alternative treatments, such as surgery. Among refractory epilepsy patients, the most common etiologies are tumors and focal cortical dysplasia (FCD). Surgical management of tumor-related epilepsy has one of the highest rates of seizure freedom, whereas FCD represents some of the lowest success rates in epilepsy treatment. This study investigates the pre-operative characteristics associated with differences in postsurgical seizure outcomes in patients with FCD and tumors. We completed a retrospective cross-sectional review of epilepsy surgery patients with tumors (n = 29) or FCD (n = 44). Participants had a minimum medical follow-up at least 6 months after surgery (FCD M = 2.1 years; Tumors M = 2.0 years). Patients with FCD trended toward an earlier age of onset (t = -4.19, p = 0.058) and longer epilepsy duration (t = 3.75, p < 0.001). Epilepsy surgery is highly effective in reducing seizures in patients with FCD or tumors with over 70 % of all patients achieving seizure freedom. We found a higher rate of seizure freedom in patients with tumors than FCD, but this difference did not reach significance (79 vs. 66 %). Predictive factors of outcomes for FCD and tumors differ. Findings indicate that diagnostic tests may be differentially sensitive to patients with tumors, and future research is needed.

Indexed as

EpilepsyFCDLow-Grade TumorsPediatricSeizure OutcomesSurgery

Identifiers

PMID38962068
PMCPMC11220547

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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.