Evidence map›Paper›PMID 40447856›Full record

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

Case series of functional non epileptic seizures (PNES) in patients with brain tumors.

Roni Loebenstein, Shany Guly Gofrit, Mailam Eltity, Erez Magiel, Uriel Fennig, Keren Altman, Ory Haisraely, Noga Atar, Elisheva Jan, Naum Margolin and 3 more

Abstract read
In one paragraph

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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Clinical insights on "Case series of functional non epileptic seizures (PNES) in patients with brain tumors".Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    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

13 authors.

Roni Loebenstein *Department of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Shany Guly Gofrit *Department of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel. shanygo@gmail.com.ORCID http://orcid.org/0000-0001-6104-606X
Mailam EltityDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Erez MagielDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Uriel FennigDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Keren AltmanDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Ory HaisraelyNeuro-oncology unite, The Chaim Sheba Medical Center, Ramat Gan, Israel.
Noga AtarNeuro-oncology unite, The Chaim Sheba Medical Center, Ramat Gan, Israel.
Elisheva JanNeuro-oncology unite, The Chaim Sheba Medical Center, Ramat Gan, Israel.
Naum MargolinDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Marina BoxerDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Nicola MaggioDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.
Alisa TalianskyDepartment of Neurology, The Chaim Sheba Medical Center, Derech Sheba 2, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFunctional (Psychogenic) non epileptic seizures (PNES) are events which mimic epileptic seizures without ictal electrical findings on the EEG recording during the events. Diagnosis of PNES is made by correlating the clinical presentation with the lack of ictal activity as diagnosed by video EEG (VEEG) and is crucial for proper decision-making regarding management. Patients with brain tumors have a high prevalence of epileptic seizures. However, clinician's awareness of PNES in those patients is often insufficient. PATIENTS AND

methodsWe collected data regarding 6 patients with brain tumors which were followed-up in the neuro-oncology unit in Sheba medical center and were diagnosed with epilepsy, along with PNES according to VEEG.

resultsWe describe data regarding 6 patients aged 20-68, four of them females, with different brain tumors and in various stages of the disease. PNES were mostly focal, and a clear trigger was identified in four patients. Improvement in PNES frequency alongside a reduction in anti-seizure medicaions followed diagnosis of PNES in 5 out of the 6 patients.

conclusionsIn our case series, PNES were usually focal, and patients did not have all the risk factors associated with PNES in the general population. PNES frequency was unrelated to oncological status. Diagnosis of PNES with open discussion reduced PNES frequency and dosages of anti-seizure medications in our patients.

Indexed as

Brain NeoplasmsSeizuresAdultAgedElectroencephalographyFemaleHumansMaleMiddle AgedYoung AdultBrain tumorsEpilepsyEpilepsy monitoring unitGlioblastomaPNESSeizures

Identifiers

PMID40447856
PMCPMC12394318

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