Evidence map›Paper›PMID 25779827›Full record

ArticlePediatric radiology2015

Periventricular hyperintensity in children with hydrocephalus.

S Hassan A Akbari, David D Limbrick, Robert C McKinstry, Mekibib Altaye, Dustin K Ragan, Weihong Yuan, Francesco T Mangano, Scott K Holland, Joshua S Shimony

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Pediatric radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Rehabilitation after diagnosis of hydrocephalus in severe acquired brain injury: the unmet need for evidence-based guidelines.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

9 authors at 3 institutions in 1 country.

S Hassan A AkbariDepartment of Neurological Surgery, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, MO, USA.
David D Limbrick
Robert C McKinstry
Mekibib Altaye
Dustin K Ragan
Weihong Yuan
Francesco T Mangano
Scott K Holland
Joshua S Shimony
Cincinnati Children's Hospital Medical Center · USSt. Louis Children's Hospital · USNeurological Surgery · US

Funding

Longitudinal DTI study in Children Treated for Congenital HydrocephalusR01NS066932 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI MANGANO, FRANCESCO, YUAN, WEIHONG · 2009 to 2012
$1.8M
NINDS NIH HHS R01 NS066932
6 · The paper itself

Abstract

backgroundMagnetic resonance images of children with hydrocephalus often include a rim of hyperintensity in the periventricular white matter (halo).

objectiveThe purpose of this study was to decide between the hypothesis that the halo is caused by cerebrospinal fluid (CSF) flow during the cardiac cycle, and the alternate hypothesis that the halo is caused by anatomical changes (stretching and compression of white matter). MATERIALS AND

methodsParticipants were selected from a multicenter imaging study of pediatric hydrocephalus. We compared 19 children with hydrocephalus to a group of 52 controls. We quantified ventricle enlargement using the frontal-occipital horn ratio. We conducted qualitative and quantitative analysis of diffusion tensor imaging in the corpus callosum and posterior limb of the internal capsule. Parameters included the fractional anisotropy (FA), mean diffusivity, axial diffusivity and radial diffusivity.

resultsThe halo was seen in 16 of the 19 children with hydrocephalus but not in the controls. The corpus callosum of the hydrocephalus group demonstrated FA values that were significantly decreased from those in the control group (P = 4 · 10(-6)), and highly significant increases were seen in the mean diffusivity and radial diffusivity in the hydrocephalus group. In the posterior limb of the internal capsule the FA values of the hydrocephalus group were higher than those for the control group (P = 0.002), and higher values in the hydrocephalus group were also noted in the axial diffusivity. We noted correlations between the diffusion parameters and the frontal-occipital horn ratio.

conclusionOur results strongly support the hypothesis that the halo finding in hydrocephalus is caused by structural changes rather than pulsatile CSF flow.

Indexed as

Diffusion Tensor ImagingAdolescentAnisotropyChildChild, PreschoolCorpus CallosumFemaleHumansHydrocephalusInfantInfant, NewbornMaleWhite Matter

Identifiers

PMID25779827
PMCPMC4512883
OpenAlexW2139448378

What OpenQuestion holds

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Registered trials

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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.