Evidence map›Paper›PMID 23840805›Full record

ArticlePloS one2013

Epileptic discharges affect the default mode network--FMRI and intracerebral EEG evidence.

Firas Fahoum, Rina Zelmann, Louise Tyvaert, François Dubeau, Jean Gotman

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Epilepsy in the aged : Challenges in diagnostics and treatment].Zeitschrift fur Gerontologie und Geriatrie · 2021
    Article
  12. An ESR Framework for the Study of Consciousness.Entropy (Basel, Switzerland) · 2021
    Article
  13. Article
  14. Article
  15. A Comprehensive Review of Brain Connectomics and Imaging to Improve Deep Brain Stimulation Outcomes.Movement disorders : official journal of the Movement Disorder Society · 2020
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Cognition and dementia in older patients with epilepsy.Brain : a journal of neurology · 2018
    Review
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

5 authors at 3 institutions in 2 countries.

Firas FahoumMontreal Neurological Institute, McGill University, Montréal, Québec, Canada.
Rina Zelmann
Louise Tyvaert
François Dubeau
Jean Gotman
McGill University · CAMontreal Neurological Institute and Hospital · CAHôpital Roger Salengro · FR

Funding

Canadian Institutes of Health Research MOP-38079
6 · The paper itself

Abstract

Functional neuroimaging studies of epilepsy patients often show, at the time of epileptic activity, deactivation in default mode network (DMN) regions, which is hypothesized to reflect altered consciousness. We aimed to study the metabolic and electrophysiological correlates of these changes in the DMN regions. We studied six epilepsy patients that underwent scalp EEG-fMRI and later stereotaxic intracerebral EEG (SEEG) sampling regions of DMN (posterior cingulate cortex, Pre-cuneus, inferior parietal lobule, medial prefrontal cortex and dorsolateral frontal cortex) as well as non-DMN regions. SEEG recordings were subject to frequency analyses comparing sections with interictal epileptic discharges (IED) to IED-free baselines in the IED-generating region, DMN and non-DMN regions. EEG-fMRI and SEEG were obtained at rest. During IEDs, EEG-fMRI demonstrated deactivation in various DMN nodes in 5 of 6 patients, most frequently the pre-cuneus and inferior parietal lobule, and less frequently the other DMN nodes. SEEG analyses demonstrated decrease in gamma power (50-150 Hz), and increase in the power of lower frequencies (<30 Hz) at times of IEDs, in at least one DMN node in all patients. These changes were not apparent in the non-DMN regions. We demonstrate that, at the time of IEDs, DMN regions decrease their metabolic demand and undergo an EEG change consisting of decreased gamma and increased lower frequencies. These findings, specific to DMN regions, confirm in a pathological condition a direct relationship between DMN BOLD activity and EEG activity. They indicate that epileptic activity affects the DMN, and therefore may momentarily reduce the consciousness level and cognitive reserve.

Indexed as

AdultBrain MappingCerebral CortexElectroencephalographyEpilepsyFemaleHumansMagnetic Resonance ImagingMaleNeural Networks, ComputerYoung Adult

Identifiers

PMID23840805
PMCPMC3695970
OpenAlexW2027353840

What OpenQuestion 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 OpenQuestion graph.