Evidence map›Paper›PMID 40518816›Full record

ArticleJournal of Alzheimer's disease : JAD2025

Seizing the link: Exploring the potential association between anti-seizure medications and Alzheimer's disease.

Ifrah Zawar, Jaideep Kapur

Abstract readLetterScoping Review
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 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. Article
  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

2 authors.

Ifrah ZawarEpilepsy Division, Department of Neurology, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Jaideep KapurEpilepsy Division, Department of Neurology, School of Medicine, University of Virginia, Charlottesville, VA, USA.

Funding

Ketamine Add-On for Established Status Epilepticus Treatment Trial (KESETT)UG3NS131532 · NINDS · UNIVERSITY OF VIRGINIA · PI CHAMBERLAIN, JAMES, KAPUR, JAIDEEP · 2025 to 2025
$9.3M
Secondarily generalized tonic clonic seizure; a functional anatomyR37NS119012 · NINDS · UNIVERSITY OF VIRGINIA · PI Jaideep Kapur · 2021 to 2026
$3.4M
Motor cortex plasticity in temporal lobe epilepsyR01NS120945 · NINDS · UNIVERSITY OF VIRGINIA · PI KAPUR, JAIDEEP · 2021 to 2025
$2.5M
Epilepsy in Alzheimer's disease and related dementiasK23AG084893 · NIA · UNIVERSITY OF VIRGINIA · PI Ifrah Zawar · 2024 to 2026
$575k
NIA NIH HHS K23 AG084893NINDS NIH HHS R01 NS120945NINDS NIH HHS R37 NS119012NINDS NIH HHS UG3 NS131532
6 · The paper itself

Abstract

Ongoing seizures in Alzheimer's disease (AD) are associated with worse cognitive and mortality outcomes. However, the relationship between anti-seizure medications (ASMs) and AD remains uncertain. This scoping review of 27 studies (1,241,796 participants) found ASM use to be associated with slightly increased AD risk, though findings were largely inconclusive. Associations between ASMs and AD-related symptoms, including mood, cognition, quality of life, function, and neuropsychiatric symptoms, were similarly mixed. The review establishes the scope of the problem, highlights the gaps, and maps available evidence. However, the included studies have methodological limitations, including inadequate control for the presence and severity of seizures, unclear ASM indications, lack of biomarker-based AD diagnosis, and limited ethnic and racial diversity, which limit conclusions and generalizability. Addressing these gaps in future studies will provide a more nuanced understanding of the relationship between seizures, ASMs, and AD.

Indexed as

Alzheimer DiseaseAnticonvulsantsSeizuresHumansAnticonvulsantsAlzheimer's diseaseanti-seizure medicationsbenzodiazepinescognitionepilepsyseizures

Identifiers

PMID40518816
PMCPMC12224195

What OpenQuestion holds

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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.