Evidence map›Paper›PMID 29247482›Full record

ReviewEpilepsia2018

Commonalities in epileptogenic processes from different acute brain insults: Do they translate?

Pavel Klein, Raymond Dingledine, Eleonora Aronica, Christophe Bernard, Ingmar Blümcke, Detlev Boison, Martin J Brodie, Amy R Brooks-Kayal, Jerome Engel, Patrick A Forcelli and 16 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Epilepsia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 4 pooled it
15.1field-weighted citation impact, top 1% of its field
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

169 citing papers in PubMed, 4 syntheses or guidelines pooled it, 276 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  8. Review
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  10. Observational
  11. Article
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  14. Article
  15. Serum Biomarkers in Paediatric Neurosurgery: Traumatic Brain Injury and Beyond.Advances and technical standards in neurosurgery · 2026
    Article
  16. Article
  17. Adenosine ANeuropharmacology · 2025
    Article
  18. Article
  19. Article
  20. Article

109 more citing papers are in PubMed but not listed here.

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

26 authors at 20 institutions in 8 countries.

Pavel KleinMid-Atlantic Epilepsy and Sleep Center, Bethesda, MD, USA.
Raymond DingledineDepartment of Pharmacology, Emory University, Atlanta, GA, USA.
Eleonora AronicaDepartment of (Neuro) Pathology, Academic Medical Center and Swammerdam Institute for Life Sciences, Center for Neuroscience, University of Amsterdam, Amsterdam, The Netherlands.
Christophe BernardAix Marseille Univ, Inserm, INS, Instit Neurosci Syst, Marseille, 13005, France.ORCID 0000-0003-3014-1966
Ingmar BlümckeDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0001-8676-0788
Detlev BoisonRobert Stone Dow Neurobiology Laboratories, Legacy Research Institute, Portland, OR, USA.
Martin J BrodieEpilepsy Unit, West Glasgow Ambulatory Care Hospital-Yorkhill, Glasgow, UK.ORCID 0000-0003-1781-2892
Amy R Brooks-KayalDivision of Neurology, Departments of Pediatrics and Neurology, University of Colorado School of Medicine, Aurora, CO, USA.
Jerome EngelDepartments of Neurology, Neurobiology, and Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, Brain Research Institute, University of California, Los Angeles, CA, USA.
Patrick A ForcelliDepartment of Pharmacology, Georgetown University, Washington, DC, USA.
Lawrence J HirschDepartment of Neurology, Yale University, New Haven, CT, USA.
Rafal M KaminskiUCB Pharma, Braine-l'Alleud, Belgium.
Henrik KlitgaardUCB Pharma, Braine-l'Alleud, Belgium.
Katja KobowDepartment of Neuropathology, University Hospital Erlangen, Erlangen, Germany.
Daniel H LowensteinDepartment of Neurology, University of California, San Francisco, CA, USA.
Phillip L PearlDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Asla PitkänenDepartment of Neurobiology, A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Noora PuhakkaDepartment of Neurobiology, A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Michael A RogawskiDepartment of Neurology, University of California, Davis, Sacramento, CA, USA.ORCID 0000-0002-3296-8193
Dieter SchmidtEpilepsy Research Group, Berlin, Germany.
Matti SillanpääDepartments of Child Neurology and General Practice, University of Turku and Turku University Hospital, Turku, Finland.
Robert S SloviterDepartment of Neurobiology, Morehouse School of Medicine, Atlanta, GA, USA.
Christian SteinhäuserInstitute of Cellular Neurosciences, Medical Faculty, University of Bonn, Bonn, Germany.
Annamaria VezzaniDepartment of Neuroscience, IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Institute for Pharmacological Research, Milan,, Italy.
Matthew C WalkerDepartment of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, UK.
Wolfgang LöscherDepartment of Pharmacology, Toxicology, and Pharmacy, University of Veterinary Medicine, Hannover, Germany.ORCID 0000-0002-9648-8973
UCB Pharma (Belgium) · BEUniversitätsklinikum Erlangen · DEUniversity of Eastern Finland · FIBoston Children's Hospital · USChildren's Hospital Colorado · USEmory University · USEpilepsy Research UK · GBGeorgetown University · USInserm · FRLegacy Health · USMario Negri Institute for Pharmacological Research · ITMid Atlantic Epilepsy and Sleep Center · USMorehouse School of Medicine · USNetherlands Institute for Neuroscience · NLStobhill Hospital · GBUniversity of Bonn · DEUniversity of California, Davis · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Turku · FI

Funding

Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
Training and Education CoreU54NS079202 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI LEIN, PAMELA J · 2012 to 2021
$35.7M
The Epilepsy Bioinformatics Study for Antiepileptogenic Therapy (EpiBioS4Rx) Public Engagement CoreU54NS100064 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ENGEL, JEROME NONE, GALANOPOULOU, ARISTEA S · 2017 to 2021
$21.7M
SYSTEMS PATHOPHYSIOLOGYP01NS002808 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BRAGIN, ANATOL · 1985 to 2010
$13.5M
Early Randomized Surgical Epilepsy TrialU01NS042372 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ENGEL, JEROME NONE · 2002 to 2007
$9.8M
Program Evaluation - Internal & External U54NS083932 · NINDS · MOREHOUSE SCHOOL OF MEDICINE · PI MACLEISH, PETER RAYMOND · 2013 to 2017
$7.7M
IN VIVO STUDIES OF THE EPILEPTIC HIPPOCAMPUSR01NS033310 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JEROME NONE ENGEL, Richard Staba · 1994 to 2026
$7.5M
Institutional Career Development CoreKL2TR001432 · NCATS · GEORGETOWN UNIVERSITY · PI UMANS, JASON G · 2015 to 2024
$7.5M
Prostanoid modulators that reduce brain injury and inflammation after seizuresU01NS058158 · NINDS · EMORY UNIVERSITY · PI DINGLEDINE, RAYMOND J · 2006 to 2015
$5.9M
Research_ProjectU54HD090257 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI VITTORIO GALLO, VITTORIO GALLO VITTORIO GALLO · 2016 to 2020
$5.9M
GABA(A) Receptor Subunit Regulation in EpileptogenesisR01NS051710 · NINDS · UNIVERSITY OF COLORADO DENVER · PI BROOKS-KAYAL, AMY R., RUSSEK, SHELLEY J · 2006 to 2018
$5.5M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SAHIN, MUSTAFA · 2016 to 2020
$5.2M
Medical Research Council G0400136Medical Research Council G0802158Medical Research Council G116/147Medical Research Council MR/L01095X/1Medical Research Council MR/P025641/1NCATS NIH HHS KL2 TR001432NCATS NIH HHS UL1 TR001409NICHD NIH HHS U54 HD090255NICHD NIH HHS U54 HD090257NINDS NIH HHS L40 NS103805NINDS NIH HHS P01 NS002808NINDS NIH HHS P20 NS080181NINDS NIH HHS R01 NS033310NINDS NIH HHS R01 NS051710NINDS NIH HHS R01 NS061844NINDS NIH HHS R01 NS065877NINDS NIH HHS R01 NS065957NINDS NIH HHS R01 NS071048NINDS NIH HHS R01 NS082286NINDS NIH HHS R01 NS084920NINDS NIH HHS R01 NS097762NINDS NIH HHS R01 NS097776NINDS NIH HHS R01 NS103740NINDS NIH HHS R21 NS049592NINDS NIH HHS R21 NS083057NINDS NIH HHS R21 NS088024NINDS NIH HHS R37 NS033310NINDS NIH HHS R56 NS065877NINDS NIH HHS RF1 NS033310NINDS NIH HHS U01 NS042372NINDS NIH HHS U01 NS058158NINDS NIH HHS U54 NS079202NINDS NIH HHS U54 NS083932NINDS NIH HHS U54 NS100064Wellcome Trust 083163Wellcome Trust 212285/Z/18/Z
6 · The paper itself

Abstract

The most common forms of acquired epilepsies arise following acute brain insults such as traumatic brain injury, stroke, or central nervous system infections. Treatment is effective for only 60%-70% of patients and remains symptomatic despite decades of effort to develop epilepsy prevention therapies. Recent preclinical efforts are focused on likely primary drivers of epileptogenesis, namely inflammation, neuron loss, plasticity, and circuit reorganization. This review suggests a path to identify neuronal and molecular targets for clinical testing of specific hypotheses about epileptogenesis and its prevention or modification. Acquired human epilepsies with different etiologies share some features with animal models. We identify these commonalities and discuss their relevance to the development of successful epilepsy prevention or disease modification strategies. Risk factors for developing epilepsy that appear common to multiple acute injury etiologies include intracranial bleeding, disruption of the blood-brain barrier, more severe injury, and early seizures within 1 week of injury. In diverse human epilepsies and animal models, seizures appear to propagate within a limbic or thalamocortical/corticocortical network. Common histopathologic features of epilepsy of diverse and mostly focal origin are microglial activation and astrogliosis, heterotopic neurons in the white matter, loss of neurons, and the presence of inflammatory cellular infiltrates. Astrocytes exhibit smaller K

Indexed as

Disease Models, AnimalTranslational Research, BiomedicalAnimalsBrain InjuriesEpilepsyHumansacquired epilepsyantiepileptogenesisCNS infectionsepileptogenesisstatus epilepticusstroketraumatic brain injury

Identifiers

PMID29247482
PMCPMC5993212
OpenAlexW2774413115

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.