Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra

Abstract In a retrospective case series of 10 children with cryptogenic FIRES, we sought to describe the early clinical course and potential biomarkers following anakinra initiation. Six children achieved anesthetic withdrawal within 3 weeks of therapy and one in week four. Of the available cEEG (si...

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Main Authors: Yi‐Chen Lai, Gabriella Abou‐El‐Kheir, Thao Nguyen, Margo Hanerhoff, James J. Riviello, Eyal Muscal
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51714
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author Yi‐Chen Lai
Gabriella Abou‐El‐Kheir
Thao Nguyen
Margo Hanerhoff
James J. Riviello
Eyal Muscal
author_facet Yi‐Chen Lai
Gabriella Abou‐El‐Kheir
Thao Nguyen
Margo Hanerhoff
James J. Riviello
Eyal Muscal
author_sort Yi‐Chen Lai
collection DOAJ
description Abstract In a retrospective case series of 10 children with cryptogenic FIRES, we sought to describe the early clinical course and potential biomarkers following anakinra initiation. Six children achieved anesthetic withdrawal within 3 weeks of therapy and one in week four. Of the available cEEG (six children), CRP (10 children), and serum cytokine (six children) studies, there were temporal changes in highly epileptiform bursts (observed in three children), CRP, IL‐6, and IL‐10 levels that might parallel clinical progression. These observations may represent candidate biomarkers for monitoring clinical progression and therapeutic interventions including anakinra, which merits further investigation in future studies.
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spelling doaj.art-1c348a0f80ea4714887d3daf1ff8770b2023-04-06T17:45:38ZengWileyAnnals of Clinical and Translational Neurology2328-95032023-03-0110344044610.1002/acn3.51714Systemic inflammatory markers and EEG features of children with FIRES receiving anakinraYi‐Chen Lai0Gabriella Abou‐El‐Kheir1Thao Nguyen2Margo Hanerhoff3James J. Riviello4Eyal Muscal5Division of Pediatric Critical Care Medicine Baylor College of Medicine Houston Texas USADivision of Pediatric Critical Care Medicine Baylor College of Medicine Houston Texas USADivision of Pediatric Critical Care Medicine Baylor College of Medicine Houston Texas USATexas Children's Hospital Houston Texas USADivision of Neurology and Developmental Neuroscience, Department of Pediatrics Baylor College of Medicine Houston Texas USADivision of Neurology and Developmental Neuroscience, Department of Pediatrics Baylor College of Medicine Houston Texas USAAbstract In a retrospective case series of 10 children with cryptogenic FIRES, we sought to describe the early clinical course and potential biomarkers following anakinra initiation. Six children achieved anesthetic withdrawal within 3 weeks of therapy and one in week four. Of the available cEEG (six children), CRP (10 children), and serum cytokine (six children) studies, there were temporal changes in highly epileptiform bursts (observed in three children), CRP, IL‐6, and IL‐10 levels that might parallel clinical progression. These observations may represent candidate biomarkers for monitoring clinical progression and therapeutic interventions including anakinra, which merits further investigation in future studies.https://doi.org/10.1002/acn3.51714
spellingShingle Yi‐Chen Lai
Gabriella Abou‐El‐Kheir
Thao Nguyen
Margo Hanerhoff
James J. Riviello
Eyal Muscal
Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
Annals of Clinical and Translational Neurology
title Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
title_full Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
title_fullStr Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
title_full_unstemmed Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
title_short Systemic inflammatory markers and EEG features of children with FIRES receiving anakinra
title_sort systemic inflammatory markers and eeg features of children with fires receiving anakinra
url https://doi.org/10.1002/acn3.51714
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