Evidence map›Paper›PMID 39209381›Full record

ArticlePractical neurology2025

POLG epilepsy presenting as new-onset refractory status epilepticus (NORSE) in pregnancy.

Viva Levee, Karthikeyan Sivaganesh, Andrew Schaeffer, Kushan Karunaratne

Abstract readCase Reports
In one paragraph

Article in Practical neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Viva LeveeImperial College Healthcare NHS Trust, London, UK.ORCID http://orcid.org/0000-0003-4850-6791
Karthikeyan SivaganeshImperial College London, London, UK.
Andrew SchaefferNHS Highly Specialised Service for Rare Mitochondrial Disorders, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Kushan KarunaratneImperial College Healthcare NHS Trust, London, UK kushan.karunaratne@nhs.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 21-year-old woman developed explosive new-onset refractory status epilepticus when 18 weeks pregnant. She had been previously well with no history of seizures and a normal developmental history. She had initially presented with focal impaired awareness seizures but subsequently developed status epilepticus requiring intensive care unit admission and was successfully treated with multiple anti-seizure medications. Once stabilised she was stepped down to the inpatient neurology ward and then transferred to the tertiary centre for a planned late termination of pregnancy, which was the patient's choice. Following transfer, she again developed refractory status epilepticus, requiring intensive care readmission. Subsequent investigations identified a compound heterozygous POLG genetic mutation. We discuss the challenges in the acute clinical situation and important considerations in the diagnosis and management of POLG-related epilepsy.

Indexed as

Drug Resistant EpilepsyPregnancy ComplicationsStatus EpilepticusDNA Polymerase gammaFemaleHumansMutationPregnancyYoung AdultDNA Polymerase gammaPOLG protein, humanEPILEPSYMITOCHONDRIAL DISORDERS

Identifiers

PMID39209381
PMCPMC11877079

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.