Evidence map›Paper›PMID 40835197›Full record

ArticleArquivos de neuro-psiquiatria2025

Adrenocorticotropic hormone combined with vigabatrin as a second-line therapy for West syndrome.

Luciana de Paula Souza, Danielle Caldas Bufara, Tallulah Spina Tensini, Sergio Antonio Antoniuk, Gustavo L Franklin, Ana Chrystina de Souza Crippa

Abstract readMulticenter Study
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Luciana de Paula SouzaSecretaria de Estado da Saúde, Departamento de Saúde do Paraná, Curitiba PR, Brazil.ORCID 0000-0002-1510-6364
Danielle Caldas BufaraUniversidade Federal do Paraná, Hospital de Clínicas, Unidade de Neuropediatria, Curitiba PR, Brazil.ORCID 0000-0001-8229-787X
Tallulah Spina TensiniUniversidade Federal do Paraná, Hospital de Clínicas, Departamento de Neurologia, Curitiba PR, Brazil.ORCID 0000-0002-7826-2452
Sergio Antonio AntoniukUniversidade Federal do Paraná, Hospital de Clínicas, Departamento de Pediatria, Curitiba PR, Brazil.ORCID 0000-0002-0678-3339
Gustavo L FranklinPontifícia Universidade Católica do Paraná, Escola de Medicina, Departamento de Medicina Interna, Curitiba PR, Brazil.ORCID 0000-0002-0207-3671
Ana Chrystina de Souza CrippaSecretaria de Estado da Saúde, Departamento de Saúde do Paraná, Curitiba PR, Brazil.ORCID 0000-0001-6669-7312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

West syndrome is an epileptic encephalopathy for which combination therapies with adrenocorticotropic hormone and vigabatrin have emerged as new treatment options.To evaluate the clinical and electroencephalographic remission rates, tolerability, and relapse rates in patients with West syndrome who failed primary treatment and underwent sequential therapy with vigabatrin and adrenocorticotropic hormone.We included 39 patients with West syndrome from 2 specialized centers, aged 2 to 120 months. The patients were treated with intramuscular tetracosactide depot added to vigabatrin and were prospectively followed up for ≥ 1 year. The outcomes were clinical, and electroencephalographic remission rates at 7 and 30 days and 1 year following combined therapy initiation, progression to other epilepsy types, therapy tolerability, and relapse rates were recorded.Of the original sample, 71% of the subjects were boys, and 87% had a known etiology. The clinical and electroencephalographic remission rates were 46.1%, 94.8% (

Indexed as

Adrenocorticotropic HormoneAnticonvulsantsCosyntropinSpasms, InfantileVigabatrinChild, PreschoolDrug Therapy, CombinationElectroencephalographyFemaleFollow-Up StudiesHumansInfantMaleProspective StudiesRecurrenceRemission InductionAdrenocorticotropic HormoneAnticonvulsantsCosyntropinVigabatrin

Identifiers

PMID40835197
PMCPMC12367372

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.