Evidence map›Paper›PMID 26113841›Full record

ReviewFrontiers in neurology2015

Neurological Impairment Linked with Cortico-Subcortical Infiltration of Diffuse Low-Grade Gliomas at Initial Diagnosis Supports Early Brain Plasticity.

Anja Smits, Maria Zetterling, Margareta Lundin, Beatrice Melin, Markus Fahlström, Anna Grabowska, Elna-Marie Larsson, Shala Ghaderi Berntsson

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Anja SmitsDepartment of Neuroscience, Neurology, University Hospital , Uppsala , Sweden ; Department of Neurology, Danish Epilepsy Center , Dianalund , Denmark.
Maria ZetterlingDepartment of Neuroscience, Neurosurgery, University Hospital , Uppsala , Sweden.
Margareta LundinDepartment of Neuroradiology, University Hospital , Örebro , Sweden.
Beatrice MelinDepartment of Radiation Sciences, Umeå University , Umeå , Sweden.
Markus FahlströmDepartment of Radiology, Oncology and Radiotherapy, Radiology, University Hospital , Uppsala , Sweden.
Anna GrabowskaDepartment of Radiology, Oncology and Radiotherapy, Radiology, University Hospital , Uppsala , Sweden.
Elna-Marie LarssonDepartment of Radiology, Oncology and Radiotherapy, Radiology, University Hospital , Uppsala , Sweden.
Shala Ghaderi BerntssonDepartment of Neuroscience, Neurology, University Hospital , Uppsala , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diffuse low-grade gliomas (DLGG) are slow-growing brain tumors that in spite of an indolent behavior at onset show a continuous expansion over time and inevitably transform into malignant gliomas. Extensive tumor resections may be performed with preservation of neurological function due to neuroplasticity that is induced by the slow tumor growth. However, DLGG prefer to migrate along subcortical pathways, and white matter plasticity is considerably more limited than gray matter plasticity. Whether signs of functional decompensating white matter that may be found as early as at disease presentation has not been systematically studied. Here, we examined 52 patients who presented with a DLGG at the time of radiological diagnosis. We found a significant correlation between neurological impairment and eloquent cortico-subcortical tumor localization, but not between neurological function and tumor volume. These results suggest that even small tumors invading white matter pathways may lack compensatory mechanisms for functional reorganization already at disease presentation.

Indexed as

brain plasticitylow-grade gliomasneurological functionprofessional situationradiological diagnosistumor locationtumor volume

Identifiers

PMID26113841
PMCPMC4462100

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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.