Evidence map›Paper›PMID 39877767›Full record

ArticleCureus2024

Immediate Postoperative Activation of Vagus Nerve Stimulation (VNS) for Super-refractory Status Epilepticus: A Case Report.

Karen J Camarena-Rubio, Brandon Flores-Patiño, Jonathan U Macías López, Diego Pichardo-Rojas, Valeria I Bravo Osorno, Irene Gomez-Oropeza, María F Castelo-Pablos, Sonia Iliana Mejía-Pérez, Elma Paredes, Manuel A Del Río-Quiñones and 1 more

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. 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. 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

11 authors.

Karen J Camarena-RubioEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Brandon Flores-PatiñoEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Jonathan U Macías LópezEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Diego Pichardo-RojasEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Valeria I Bravo OsornoEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Irene Gomez-OropezaNeurology, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
María F Castelo-PablosEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Sonia Iliana Mejía-PérezNeurosurgical Oncology, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Elma ParedesEpilepsy Clinic, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Manuel A Del Río-QuiñonesEpilepsy Surgery, National Institute of Neurology and Neurosurgery, Mexico City, MEX.
Laura Hernandez VanegasClinical Research, National Institute of Neurology and Neurosurgery, Mexico City, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-NMDA (N-methyl-D-aspartate) receptor encephalitis (ANRE) is a rare autoimmune condition targeting brain receptors, often linked to ovarian tumors in young women. In severe cases, it can lead to status epilepticus, but in sporadic cases, it may progress to super-refractory status epilepticus (SRSE), a dangerous state of continuous or repetitive seizures demanding urgent medical attention that continues or recurs more than 24 hours after the initiation of anesthetic therapy. We present a case report of anti-NMDA receptor limbic encephalitis-triggered SRSE terminated with vagus nerve stimulation (VNS) and titrated to high stimulation parameters in the immediate postoperative period. Titrating VNS to high stimulation parameters immediately postoperatively under specialized neuroanesthesia is a safe and effective treatment for nonconvulsive SRSE in anti-NMDA receptor limbic encephalitis. However, further research is needed to solidify this approach as a standard treatment option in these circumstances since the SRSE is rare. Expanding the evidence base will help improve patient outcomes and reduce morbidity and mortality associated with this condition.

Indexed as

anti-nmdaencephalitisimmediate postoperative activation vnssuper-refractory status epilepticusvns

Identifiers

PMID39877767
PMCPMC11772603

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.