Evidence map›Paper›PMID 25853525›Full record

ArticleActa neuropathologica communications2015

Epileptogenic but MRI-normal perituberal tissue in Tuberous Sclerosis Complex contains tuber-specific abnormalities.

Alexander A Sosunov, Robert A McGovern, Charles B Mikell, Xiaoping Wu, David G Coughlin, Peter B Crino, Howard L Weiner, Saadi Ghatan, James E Goldman, Guy M McKhann

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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

10 authors.

Alexander A Sosunov
Robert A McGovern
Charles B Mikell
Xiaoping Wu
David G Coughlin
Peter B Crino
Howard L Weiner
Saadi Ghatan
James E Goldman
Guy M McKhann

Funding

The impact of GFAP mutations upon filament networksP01NS042803 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 2002 to 2012
$11.1M
NINDS NIH HHS NS42803NINDS NIH HHS P01 NS042803
6 · The paper itself

Abstract

introductionRecent evidence has implicated perituberal, MRI-normal brain tissue as a possible source of seizures in tuberous sclerosis complex (TSC). Data on aberrant structural features in this area that may predispose to the initiation or progression of seizures are very limited. We used immunohistochemistry and confocal microscopy to compare epileptogenic, perituberal, MRI-normal tissue with cortical tubers.

resultsIn every sample of epileptogenic, perituberal tissue, we found many abnormal cell types, including giant cells and cytomegalic neurons. The majority of giant cells were surrounded by morphologically abnormal astrocytes with long processes typical of interlaminar astrocytes. Perituberal giant cells and astrocytes together formed characteristic "microtubers". A parallel analysis of tubers showed that many contained astrocytes with features of both protoplasmic and gliotic cells.

conclusionsMicrotubers represent a novel pathognomonic finding in TSC and may represent an elementary unit of cortical tubers. Microtubers and cytomegalic neurons in perituberal parenchyma may serve as the source of seizures in TSC and provide potential targets for therapeutic and surgical interventions in TSC.

Indexed as

AdolescentAstrocytesBrainCerebral CortexChildChild, PreschoolFemaleGliosisHumansImmunohistochemistryMagnetic Resonance ImagingMaleMicroscopy, ConfocalNeuronsSeizuresTuberous Sclerosis

Identifiers

PMID25853525
PMCPMC4383198

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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.