Evidence map›Paper›PMID 40177522›Full record

ArticleAnnals of neurosciences2025

Serum Ammonia as a Biomarker to 
Differentiate Between True Epileptic and 
Psychogenic Non-epileptic Seizures: 
A Cross-sectional Study.

Sumirini Puppala, Srimant Pattnaik, Abhijit Acharya, Srikanta Sahoo, Surjyaprakash S Choudhury, Tanuraj Sirohi

Abstract read
In one paragraph

Article in Annals of neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sumirini PuppalaDepartment of Neurology, IMS   SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar, Odisha, India.ORCID https://orcid.org/0000-0002-9679-1577
Srimant PattnaikDepartment of Neurology, IMS   SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar, Odisha, India.
Abhijit AcharyaDepartment of Neurology, IMS   SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar, Odisha, India.
Srikanta SahooDepartment of Neurology, IMS   SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar, Odisha, India.
Surjyaprakash S ChoudhuryDepartment of Medicine, Swami Vivekananda Subharti University, Meerut, Uttar Pradesh, India.
Tanuraj SirohiDepartment of Neurology, IMS   SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A kind of conversion condition known as psychogenic non-epileptic seizures (PNES) is characterised by brief episodes that resemble epileptic fits but lack electroencephalographic (EEG) confirmation. Although the clinical history plays a significant role in the seizure diagnosis, imaging and serum markers are included in the initial evaluation for patients who present to the emergency. Objectives: To validate the prevalence of serum ammonia as a biomarker in differentiating true epileptic and non-epileptic seizures. Material Methods: The study was a hospital-based observational, prospective comparative study spanning over 2 years after surpassing the patient consent, inclusion and exclusion criteria. Results: The mean of the study participants were middle-aged, males predominant in IES and females in PNES. A slightly higher proportion of the patients in the IES group had episodes of less than 5 minutes in the PNES group, where episodes lasted between 5 to 10 minutes. Awareness of symptoms was observed more frequently in the PNES group. The area under the curve (AUC) for the serum ammonia level at arrival was 0.972 (95% CI: 0.94-0.99) with a Conclusion: Mean serum ammonia levels at arrival and after 48 hours of admissions in the idiopathic epileptic seizure group were significantly higher compared to the PNES group with

Indexed as

epilepsyPNESpseudoseizureseizuresSerum ammonia

Identifiers

PMID40177522
PMCPMC11959567

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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.