Evidence map›Paper›PMID 34514397›Full record

ArticleBrain communications2021

Neuropathology in the North American sudden unexpected death in epilepsy registry.

Dominique F Leitner, Arline Faustin, Chloe Verducci, Daniel Friedman, Christopher William, Sasha Devore, Thomas Wisniewski, Orrin Devinsky

Open access · goldAbstract read
In one paragraph

Article in Brain communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Forensic neuropathology: 2026 update.Free neuropathology · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

8 authors at 1 institution in 1 country.

Dominique F LeitnerComprehensive Epilepsy Center, NYU Grossman School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-1371-9861
Arline FaustinDepartment of Neurology, NYU Langone Health and School of Medicine, New York, NY, USA.
Chloe VerducciComprehensive Epilepsy Center, NYU Grossman School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-1580-5130
Daniel FriedmanComprehensive Epilepsy Center, NYU Grossman School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-1068-1797
Christopher WilliamDepartment of Neurology, NYU Langone Health and School of Medicine, New York, NY, USA.
Sasha DevoreComprehensive Epilepsy Center, NYU Grossman School of Medicine, New York, NY, USA.
Thomas WisniewskiDepartment of Neurology, NYU Langone Health and School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-3379-8966
Orrin DevinskyComprehensive Epilepsy Center, NYU Grossman School of Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-0044-4632
NYU Langone Health · US

Funding

Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
Transgenic/Behavior CoreP01AG060882 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SHAO, YONGZHAO · 2020 to 2024
$12.0M
NIA NIH HHS P01 AG060882NIA NIH HHS P30 AG066512
6 · The paper itself

Abstract

Sudden unexpected death in epilepsy is the leading category of epilepsy-related death and the underlying mechanisms are incompletely understood. Risk factors can include a recent history and high frequency of generalized tonic-clonic seizures, which can depress brain activity postictally, impairing respiration, arousal and protective reflexes. Neuropathological findings in sudden unexpected death in epilepsy cases parallel those in other epilepsy patients, with no implication of novel structures or mechanisms in seizure-related deaths. Few large studies have comprehensively reviewed whole brain examination of such patients. We evaluated 92 North American Sudden unexpected death in epilepsy Registry cases with whole brain neuropathological examination by board-certified neuropathologists blinded to the adjudicated cause of death, with an average of 16 brain regions examined per case. The 92 cases included 61 sudden unexpected death in epilepsy (40 definite, 9 definite plus, 6 probable, 6 possible) and 31 people with epilepsy controls who died from other causes. The mean age at death was 34.4 years and 65.2% (60/92) were male. The average age of death was younger for sudden unexpected death in epilepsy cases than for epilepsy controls (30.0 versus 39.6 years;

Indexed as

epilepsyneuropathologyseizuresSUDEP

Identifiers

PMID34514397
PMCPMC8417454
OpenAlexW3195296369

What Socratic holds

Textmetadata
LicenceCC BY
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.