Evidence map›Paper›PMID 41610868›Full record

ArticleNeuropediatrics2026

Epilepsy and Neurodevelopment Outcomes 24 Months after Neonatal Hypoxic-Ischemic Encephalopathy and Predictive Factors of Post-neonatal Epilepsy.

Graziamaria Cicala, Ornella Ricca, Maria Picilli, Elisa Rolleri, Marco Perulli, Ilaria Contaldo, Chiara Veredice, Michela Quintiliani, Maria Luigia Gambardella, Ida Turrini and 5 more

Abstract readMulticenter Study
In one paragraph

Article in Neuropediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Graziamaria Cicala *Pediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Ornella Ricca *Pediatric Unit, Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'adulto, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Maria PicilliPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0009-0000-2300-1514
Elisa RolleriPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Marco PerulliPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Ilaria ContaldoPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Chiara VeredicePediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Michela QuintilianiPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Maria Luigia GambardellaPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Ida TurriniPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Elisa PedePediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Domenico Marco RomeoPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
Patrizia BergonziniPediatric Unit, Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'adulto, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Licia LugliPediatric Unit, Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'adulto, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Domenica Immacolata BattagliaPediatric Neuropsychiatry, Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective, dual-center Italian study assessed the incidence, electroclinical characteristics, and risk factors for post-neonatal epilepsy among neonates with hypoxic-ischemic encephalopathy (HIE) treated with therapeutic hypothermia (TH). The study aims to better define the long-term risk factors for developing epilepsy or neurodevelopmental issues.We included neonates with HIE who underwent TH. Neurological examination and general movements were assessed before and after TH. Amplified-integrated EEGs (aEEG) or polygraphic EEGs (pEEG) were performed within 6 hours of life; a pEEG was performed after TH (72 hours to 10 days) and at 3, 9 to 12, and 24 months, and then yearly. Brain MRI was conducted within 30 days. The 24-month developmental outcome was evaluated using Griffiths Mental Development Scales. The median follow-up duration was 48 months. Epilepsy was classified according to ILAE criteria.We enrolled 159 patients: 15 (9.4%) developed epilepsy. Nine (5.6%) had onset before 24 months; three of them developed infantile epileptic spasm syndrome (IESS). Seizure onset was after 24 months in 6/159 individuals (3.8%). At the last follow-up, all 15 patients had focal epilepsy. Global development was pathological in 11/15 (10/15 <2SD; 1/15 <1SD). Risk factors for post-neonatal epilepsy included: MRI lesions involving the basal ganglia and thalamus (

Indexed as

Developmental DisabilitiesEpilepsyHypothermia, InducedHypoxia-Ischemia, BrainNeurodevelopmental DisordersChild, PreschoolElectroencephalographyFemaleFollow-Up StudiesHumansInfantInfant, NewbornItalyMagnetic Resonance ImagingMaleNeurodevelopment

Identifiers

PMID41610868
PMCPMC12956382

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