Evidence map›Paper›PMID 40502808›Full record

ReviewEpilepsy currents2025

Rebuilding the Tower of Babel: The Current Landscape and Emerging Opportunities in DEE-SWAS.

Robert C Stowe, Sarah A Kelley, Sonal Bhatia, John R McLaren, Lekha M Rao, Shital H Patel, Anthony L Fine, Fiona Baumer, Priscilla Duong, Spriha Pavuluri and 2 more

Abstract readReview
In one paragraph

Review in Epilepsy currents, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

12 authors.

Robert C StoweBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0002-0277-6879
Sarah A KelleyJohns Hopkins Hospital, Baltimore, MD, USA.ORCID https://orcid.org/0000-0002-1424-6891
Sonal BhatiaShawn Jenkins Children's Hospital and Medical University of South Carolina, Charleston, SC, USA.ORCID https://orcid.org/0000-0001-9735-4304
John R McLarenBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Lekha M RaoUCLA Mattel Children's Hospital, Los Angeles, CA, USA.
Shital H PatelDuke University Medical Center, Durham, NC, USA.
Anthony L FineMayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-5256-8368
Fiona BaumerDepartment of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Priscilla DuongAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Spriha PavuluriUniversity of Nebraska Medical Center, Omaha, NE, USA.ORCID https://orcid.org/0009-0000-0710-2593
Virginia B LiuChildren's Hospital of Orange County, Orange, CA, USA.
Donald J PhillipsChildren's Hospital of Orange County, Orange, CA, USA.ORCID https://orcid.org/0009-0000-2817-4481

Funding

Speaking of Spikes: Connectivity and Language in Benign Epilepsy with Centrotemporal SpikesK23NS116110 · NINDS · STANFORD UNIVERSITY · PI BAUMER, FIONA MITCHELL · 2020 to 2024
$1.1M
NINDS NIH HHS K23 NS116110
6 · The paper itself

Abstract

Developmental/epileptic encephalopathy with spike-wave activation in sleep (DEE-SWAS) is newly proposed nomenclature put forth by the International League Against Epilepsy (ILAE) to replace the problematic electrographic and/or clinical phenotypes of electrical status epilepticus of sleep (ESES) and continuous spike-wave in sleep (CSWS). The nomenclature update represents a noble effort to minimize the confusion of how to define and appropriately utilize this alphabet soup of acronyms, thereby aiding in future clinical and research efforts. The name change fails to capture greater challenges within the field, which still plague diagnosis and treatment and stagnates substantive research advancements. Through a directed literature review of DEE-SWAS with emphasis on the new ILAE nomenclature and the RESCUE-ESES trial, we will highlight major persistent quandaries in the field. These include inadequate or insufficient diagnostic biomarkers (ie, the spike wave index), the highly variable clinical manifestations, ranging from dubious associations to profound developmental regression, presumptively caused by spike-wave activation in sleep, and variable and often ineffective treatment paradigms. We will also review the broader diagnostic evaluation of DEE-SWAS. By doing so, we aim to shed light on crucial research and clinical questions that could advance our understanding of diagnosing and treating children with DEE-SWAS, as well as addressing the uncertainty surrounding the neurological effects of sleep-activated epileptiform discharges.

Indexed as

CSWSDEE-SWASdevelopmental epileptic encephalopathyESESLandau Kleffner syndromespike wave activation in sleep

Identifiers

PMID40502808
PMCPMC12149166

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.