Evidence map›Paper›PMID 42563895›Full record

ArticleAnnals of the Child Neurology Society2025

Natural History of Alternating Hemiplegia of Childhood: Vulnerabilities in Early Childhood and Predictive Factors for Long-Term Outcomes.

Shital H Patel, Eleni Panagiotakaki, Beiyu Liu, Carmen Fons, Lyndsey Prange, Maria T Papadopoulou, April Boggs, Elisa De Grandis, Aikaterini Vezyroglou, Francesco Fortunato and 22 more

Abstract read
In one paragraph

Article in Annals of the Child Neurology Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Deep Brain Stimulation for Dystonia and Epilepsy in Alternating Hemiplegia of Childhood.Movement disorders : official journal of the Movement Disorder Society · 2026
    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

32 authors.

Shital H PatelDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.
Eleni PanagiotakakiDepartment of Pediatric Clinical Epileptology, Sleep Disorders and Functional Neurology, Member of the ERN EpiCARE University Hospitals of Lyon (HCL) Lyon France.ORCID https://orcid.org/0000-0003-2611-0227
Beiyu LiuDepartment of Biostatistics & Bioinformatics Duke University Durham North Carolina USA.
Carmen FonsDepartment of Child Neurology, Sant Joan de Déu Children's Hospital Coordinating Member of the ERN EpiCARE Barcelona Spain.
Lyndsey PrangeDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.
Maria T PapadopoulouDepartment of Pediatric Clinical Epileptology, Sleep Disorders and Functional Neurology, Member of the ERN EpiCARE University Hospitals of Lyon (HCL) Lyon France.
April BoggsDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.
Elisa De GrandisChild Neuropsychiatry Unit IRCCS Istituto Giannina Gaslini Genoa Italy.
Aikaterini VezyroglouDepartment of Developmental Neurosciences, UCL NIHR BRC Great Ormond Street Institute of Child Health Collaborating Partner of the ERN EpiCARE London UK.
Francesco FortunatoDepartment of Clinical and Experimental Epilepsy University College of London (UCL), Queen Square Institute of Neurology, Collaborating Partner of the ERN EpiCARE London UK.
Simona BalestriniDepartment of Clinical and Experimental Epilepsy University College of London (UCL), Queen Square Institute of Neurology, Collaborating Partner of the ERN EpiCARE London UK.ORCID https://orcid.org/0000-0001-5639-1969
Francesca RagonaDepartment of Paediatric Neuroscience, Fondazione IRCCS Istituto Neurologico Carlo Besta Member of the ERN EpiCARE Milan Italy.
Eugenia Julia TosiDepartment of Paediatric Neuroscience, Fondazione IRCCS Istituto Neurologico Carlo Besta Member of the ERN EpiCARE Milan Italy.
Claudio ZuccaClinical Neurophysiology Unit, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini Lecco Italy.
Giacomo GaroneNeurology, Epilepsy and Movement Disorders, Bambino Gesù Children's Hospital Member of the ERN EpiCARE, IRCCS Rome Italy.
Andrey MegvinovEuro Mediterranean Institute of Science and Technology I.E.ME.S.T. Palermo Italy.
Giosuè Lo BoscoEuro Mediterranean Institute of Science and Technology I.E.ME.S.T. Palermo Italy.
Michela StagnaroChild Neuropsychiatry Unit IRCCS Istituto Giannina Gaslini Genoa Italy.
Julie UchitelDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.ORCID https://orcid.org/0000-0003-4568-5421
Marion ComajuanDepartment of Pediatric Clinical Epileptology, Sleep Disorders and Functional Neurology, Member of the ERN EpiCARE University Hospitals of Lyon (HCL) Lyon France.
Matthildi Athina Papathanasiou TerziDepartment of Pediatric Clinical Epileptology, Sleep Disorders and Functional Neurology, Member of the ERN EpiCARE University Hospitals of Lyon (HCL) Lyon France.
Jennifer AnticonaDepartment of Child Neurology, Sant Joan de Déu Children's Hospital Coordinating Member of the ERN EpiCARE Barcelona Spain.
Joan M JasienDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.ORCID https://orcid.org/0000-0002-5469-1092
Jeffrey WuchichAgape Pastoral Counseling Rolesville North Carolina USA.
Sigurdur H JohannessonAHC Association of Iceland Reykjavik Iceland.
J NarayanDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.
J Helen CrossDepartment of Developmental Neurosciences, UCL NIHR BRC Great Ormond Street Institute of Child Health Collaborating Partner of the ERN EpiCARE London UK.
Sanjay M SisodiyaDepartment of Clinical and Experimental Epilepsy University College of London (UCL), Queen Square Institute of Neurology, Collaborating Partner of the ERN EpiCARE London UK.
Hwanhee HongDepartment of Biostatistics & Bioinformatics Duke University Durham North Carolina USA.
Alexis ArzimanoglouDepartment of Pediatric Clinical Epileptology, Sleep Disorders and Functional Neurology, Member of the ERN EpiCARE University Hospitals of Lyon (HCL) Lyon France.
Rosaria VavassoriEuro Mediterranean Institute of Science and Technology I.E.ME.S.T. Palermo Italy.
Mohamad A MikatiDivision of Pediatric Neurology and Developmental Medicine Duke University Department of Pediatrics Durham North Carolina USA.

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553
6 · The paper itself

Abstract

Objective: The natural history of the most common Methods: In a large cross-sectional study with a nested period of prospective 1-3-year follow-up, 115 patients (0.3-46.0 years old, 9 centers/5 countries) were evaluated using across-center-standardized protocol and validated scales. Univariable and multivariable linear-mixed-effects models with random intercepts and random slopes for age, adjusted for confounding variables, allowed for the determination of the effect of age throughout the total age range of patients studied. Results: Interpretation: AHC is a progressive disease, and early childhood is the vulnerable period. We identified several novel prognostic indicators and a mortality rate, which provide critical information not only regarding prognostication, counseling, and underlying pathophysiology but also for planning therapeutic studies.

Indexed as

AHCdevelopmentepilepsygeneticsnatural historyrare disease

Identifiers

PMID42563895
PMCPMC13359328

What OpenQuestion holds

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Registered trials

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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.