Evidence map›Paper›PMID 24630049›Full record

ArticleEpilepsy research2014

Regional brain volumes and cognition in childhood epilepsy: does size really matter?

Frank A Zelko, Heath R Pardoe, Sarah R Blackstone, Graeme D Jackson, Anne T Berg

Abstract read
In one paragraph

Article in Epilepsy research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Control groups in paediatric epilepsy research: do first-degree cousins show familial effects?Epileptic disorders : international epilepsy journal with videotape · 2017
    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

5 authors at 5 institutions in 2 countries.

Frank A ZelkoDepartment of Child and Adolescent Psychiatry, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. Electronic address: fzelko@luriechildrens.org.
Heath R PardoeFlorey Institute of Neuroscience and Mental Health, Melbourne, Australia; New York University School of Medicine, New York, NY, United States.
Sarah R BlackstoneDepartment of Public Health, Northern Illinois University, DeKalb, IL, United States.
Graeme D JacksonFlorey Institute of Neuroscience and Mental Health, Melbourne, Australia; Department of Medicine, University of Melbourne, Parkville, Victoria, Australia.
Anne T BergEpilepsy Center, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
Florey Institute of Neuroscience and Mental Health · AULurie Children's Hospital · USNorthern Illinois University · USNorthwestern University · USUniversity of Melbourne · AU

Funding

Long-term outcomes of childhood-onset epilepsyR37NS031146 · NINDS · NORTHERN ILLINOIS UNIVERSITY · PI BERG, ANNE T. · 2007 to 2013
$7.1M
NINDS NIH HHS NS-R37-31146NINDS NIH HHS R37 NS031146
6 · The paper itself

Abstract

purposeRecent studies have correlated neurocognitive function and regional brain volumes in children with epilepsy. We tested whether brain volume differences between children with and without epilepsy explained differences in neurocognitive function.

methodsThe study sample included 108 individuals with uncomplicated non-syndromic epilepsy (NSE) and 36 healthy age- and gender-matched controls. Participants received a standardized cognitive battery. Whole brain T1-weighted MRI was obtained and volumes analyzed with FreeSurfer (TM). KEY

findingsTotal brain volume (TBV) was significantly smaller in cases. After adjustment for TBV, cases had significantly larger regional grey matter volumes for total, frontal, parietal, and precentral cortex. Cases had poorer performance on neurocognitive indices of intelligence and variability of sustained attention. In cases, TBV showed small associations with intellectual indices of verbal and perceptual ability, working memory, and overall IQ. In controls, TBV showed medium associations with working memory and variability of sustained attention. In both groups, small associations were seen between some TBV-adjusted regional brain volumes and neurocognitive indices, but not in a consistent pattern. Brain volume differences did not account for cognitive differences between the groups. SIGNIFICANCE: Patients with uncomplicated NSE have smaller brains than controls but areas of relative grey matter enlargement. That this relative regional enlargement occurs in the context of poorer overall neurocognitive functioning suggests that it is not adaptive. However, the lack of consistent associations between case-control differences in brain volumes and cognitive functioning suggests that brain volumes have limited explanatory value for cognitive functioning in childhood epilepsy.

Indexed as

AdolescentAttentionBrainChildCognitionEpilepsyFemaleHumansIntelligenceMagnetic Resonance ImagingMaleNerve Fibers, UnmyelinatedNeuropsychological TestsOrgan SizeYoung AdultCase–control studyChildrenCognitive functionEpilepsyMRI volumetrics

Identifiers

PMID24630049
PMCPMC3994880
OpenAlexW2077055424

What OpenQuestion 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 OpenQuestion graph.