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

Ann Clin Transl Neurol

Division of Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.

Published: March 2023

AI Article Synopsis

  • A retrospective study analyzed the early clinical outcomes and potential biomarkers in 10 children with cryptogenic FIRES after starting anakinra treatment.
  • Six out of the ten children were able to stop anesthetic treatment within three weeks, with one child taking four weeks.
  • Notable changes were observed in EEG patterns and inflammatory markers (CRP, IL-6, IL-10), suggesting these could be useful for tracking treatment effectiveness and disease progression, warranting further research.

Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013998PMC
http://dx.doi.org/10.1002/acn3.51714DOI Listing

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