Evidence map›Paper›PMID 39436521›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Effectiveness and safety of Perampanel in refractory status epilepticus: a case series.

Rosaria Renna, Vincenzo Andreone, Paolo Barone, Pietro Penza

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. 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
–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

2 citing papers in PubMed.

  1. Perampanel as a candidate for polytherapy in Stage 1 Plus status epilepticus: biological rationale and translational limits.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

4 authors.

Rosaria RennaNeurological Clinic and Stroke Unit, "A. Cardarelli" Hospital, Naples, Italy. rosrenna@yahoo.it.ORCID http://orcid.org/0000-0002-5913-3153
Vincenzo AndreoneNeurological Clinic and Stroke Unit, "A. Cardarelli" Hospital, Naples, Italy.
Paolo BaroneDepartment of Neurosciences, AOU "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.
Pietro PenzaDepartment of Neurosciences, AOU "San Giovanni di Dio e Ruggi d'Aragona", Salerno, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPerampanel is a selective non-competitive antagonist of AMPA receptors, and the first agent of this class to become available for the treatment of epilepsy. It could be a useful tool for treatment of refractory status epilepticus (RSE).

methodsWe describe a series of eight RSE cases treated with Perampanel.

resultsPerampanel was successful in terminating SE in all the described cases. Only in one patient a severe psychomotor agitation occurred, but without needing PER discontinuation. No other adverse events were observed. CONSLUSION: Our case series of eight patients, albeit small, broadens the clinical experiences on the efficacy and safety of PER as a treatment for RSE. It may also support the early use of PER, considering the role of AMPA receptors in sustaining epileptic firing in SE. Further studies are warranted to clarify the potential of Perampanel in the treatment of status epilepticus and, in particular, in RSE.

Indexed as

AnticonvulsantsDrug Resistant EpilepsyStatus EpilepticusHumansNitrilesPyridonesReceptors, AMPATreatment OutcomeAnticonvulsantsNitrilesperampanelPyridonesReceptors, AMPAEffectivenessPerampanelRefractory status epilepticusSafety

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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.