Evidence map›Paper›PMID 39143740›Full record

ArticleDevelopmental medicine and child neurology2025

International consensus definitions for infection-triggered encephalopathy syndromes.

Hiroshi Sakuma, Terrence Thomas, Carly Debinski, Michael Eyre, Velda X Han, Hannah F Jones, Go Kawano, Vanessa W Lee, Stephen Malone, Toyojiro Matsuishi and 8 more

Abstract readConsensus Statement
In one paragraph

Article in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. [Clinical features and prognosis of influenza-associated encephalopathy in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Development and Validation of a Comprehensive Acute Encephalitis Syndrome Severity Score in Children with Acute Encephalitis Syndrome.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Intrathecal dexamethasone for pediatric influenza-associated acute necrotizing encephalitis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  20. 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

18 authors.

Hiroshi SakumaDepartment of Brain & Neurosciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.ORCID 0000-0001-8736-9027
Terrence ThomasDepartment of Paediatrics, Neurology Service, KK Women's and Children's Hospital, Singapore.
Carly DebinskiMonash Children's Hospital, Melbourne, VIC, Australia.
Michael EyreSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.ORCID 0000-0002-6704-5727
Velda X HanKhoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore.ORCID 0000-0003-4633-4316
Hannah F JonesDepartment of Neuroservices, Starship Children's Hospital, Auckland, New Zealand.
Go KawanoDepartment of Paediatrics, St Mary's Hospital, Fukuoka, Japan.
Vanessa W LeeChildren's Neurosciences, Evelina London Children's Hospital, London, UK.
Stephen MaloneNeuroscience Department, Queensland Children's Hospital, South Brisbane, QLD, Australia.
Toyojiro MatsuishiDepartment of Paediatrics, St Mary's Hospital, Fukuoka, Japan.
Shekeeb S MohammadKids Neuroscience Centre and Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, Westmead, NSW, Australia.
Takayuki MoriDepartment of Brain & Neurosciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Hiroya NishidaDepartment of Brain & Neurosciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Margherita NosadiniPaediatric Neurology and Neurophysiology Unit, Department of Women's and Children's Health, University Hospital of Padova, Padova, Italy.ORCID 0000-0002-6395-7614
Jun-Ichi TakanashiDepartment of Pediatrics and Pediatric Neurology, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Masashi MizuguchiDepartment of Developmental Medical Sciences, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ming LimChildren's Neurosciences, Evelina London Children's Hospital, London, UK.ORCID 0000-0001-7738-8910
Russell C DaleKids Neuroscience Centre, The Children's Hospital at Westmead, Faculty of Medicine and Health, University of Sydney, Westmead, NSW, Australia.ORCID 0000-0002-2495-1826

Funding

Japan Agency for Medical Research and Development 21fk0108514Japan Society for the Promotion of Science 22K07831Ministry of Health, Labour and Welfare 21FC1005Ministry of Health, Labour and Welfare 22HA1003Shionogi Infectious Disease Research Promotion Foundation 2023S037
6 · The paper itself

Abstract

aimTo develop standardized diagnostic criteria for 'infection-triggered encephalopathy syndrome (ITES)' and five specific clinical syndromes of ITES.

methodThe draft definitions were based on existing criteria, standardized, and discussed by a panel of international experts using nominal group technique over 18 months to achieve consensus. All criteria use the same format: (1) presence of infection/fever; (2) clinical features including encephalopathy; (3) neuroradiological features on magnetic resonance imaging; (4) exclusion of other causes.

resultsWe first highlighted differences between ITES and infectious and autoimmune encephalitis, which is the most important differential diagnosis. Consensus was achieved to define five specific ITESs: acute encephalopathy with biphasic seizures and late reduced diffusion; acute necrotizing encephalopathy; mild encephalopathy with a reversible splenial lesion; acute fulminant cerebral oedema; and acute shock with encephalopathy and multiorgan failure. Two further conditions that are currently classified as epilepsy syndromes but have similar features to ITES, namely febrile infection-related epilepsy syndrome and hemiconvulsion-hemiplegia-epilepsy syndrome, are also discussed.

interpretationThe consensus definition is expected to improve awareness of this disease concept, provide diagnostic framework, and facilitate future international research and clinical trials.

Indexed as

Brain DiseasesDiagnosis, DifferentialEncephalitisHumansMagnetic Resonance ImagingSyndrome

Identifiers

PMID39143740
PMCPMC11695768

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Registered trials

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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.