Evidence map›Paper›PMID 26748554›Full record

ArticleBrain pathology (Zurich, Switzerland)2017

Mild Malformation of Cortical Development with Oligodendroglial Hyperplasia in Frontal Lobe Epilepsy: A New Clinico-Pathological Entity.

Johannes Schurr, Roland Coras, Karl Rössler, Tom Pieper, Manfred Kudernatsch, Hans Holthausen, Peter Winkler, Friedrich Woermann, Christian G Bien, Tilman Polster and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

65 citing papers in PubMed, 130 citations in OpenAlex.

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  14. International journal of molecular sciences · 2025
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5 more citing papers are in PubMed but not listed here.

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

22 authors at 9 institutions in 5 countries.

Johannes SchurrDepartment of Neuropathology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Roland CorasDepartment of Neuropathology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Karl RösslerDepartment of Neurosurgery, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Tom PieperNeuropediatric Clinic and Clinic for Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen-Klinik Vogtareuth, Vogtareuth, Germany.
Manfred KudernatschNeuropediatric Clinic and Clinic for Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen-Klinik Vogtareuth, Vogtareuth, Germany.
Hans HolthausenNeuropediatric Clinic and Clinic for Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen-Klinik Vogtareuth, Vogtareuth, Germany.
Peter WinklerNeuropediatric Clinic and Clinic for Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schoen-Klinik Vogtareuth, Vogtareuth, Germany.
Friedrich WoermannEpilepsy Center Bethel, Hospital Mara, Bielefeld, Germany.
Christian G BienEpilepsy Center Bethel, Hospital Mara, Bielefeld, Germany.
Tilman PolsterEpilepsy Center Bethel, Hospital Mara, Bielefeld, Germany.
Reinhard SchulzEpilepsy Center Bethel, Hospital Mara, Bielefeld, Germany.
Thilo KalbhennDepartment of Neurosurgery, Evangelisches Krankenhaus Bielefeld, Kantensiek 11, 33617 Bielefeld, Germany.
Horst UrbachDepartment of Radiology, University Hospital Bonn, 53127 Bonn, Germany.
Albert BeckerDepartment of Neuropathology, University Hospital Bonn, 53127 Bonn, Germany.
Thomas GrunwaldSwiss Epilepsy Center, Zurich, Switzerland.
Hans-Juergen HuppertzSwiss Epilepsy Center, Zurich, Switzerland.
Antonio Gil-NagelServicio de Neurología, Hospital Ruber International, C/La Masó n 38, 28034 Madrid, Spain.
Rafael ToledanoServicio de Neurología, Hospital Ruber International, C/La Masó n 38, 28034 Madrid, Spain.
Martha FeuchtDepartment of Pediatrics, Medical University Vienna, 1090 Vienna, Austria.
Angelika MühlebnerDepartment of Pediatrics, Medical University Vienna, 1090 Vienna, Austria.
Thomas CzechDepartment of Neurosurgery, Medical University Vienna, 1090 Vienna, Austria.
Ingmar BlümckeDepartment of Neuropathology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Evangelisches Krankenhaus Bielefeld · DESchön Klinik Vogtareuth · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEMedical University of Vienna · ATHospital Ruber Internacional · ESSwiss Epilepsy Center · CHUniversity Hospital Bonn · DEBethel University · USUniversitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The histopathological spectrum of human epileptogenic brain lesions is widespread including common and rare variants of cortical malformations. However, 2-26% of epilepsy surgery specimens are histopathologically classified as nonlesional. We hypothesized that these specimens include also new diagnostic entities, in particular when presurgical magnetic resonance imaging (MRI) can identify abnormal signal intensities within the anatomical region of seizure onset. In our series of 1381 en bloc resected epilepsy surgery brain specimens, 52 cases could not be histopathologically classified and were considered nonlesional (3.7%). An increase of Olig2-, and PDGFR-alpha-immunoreactive oligodendroglia was observed in white matter and deep cortical layers in 22 of these patients (42%). Increased proliferation activity as well as heterotopic neurons in white matter were additional histopathological hallmarks. All patients suffered from frontal lobe epilepsy (FLE) with a median age of epilepsy onset at 4 years and 16 years at epilepsy surgery. Presurgical MRI suggested focal cortical dysplasia (FCD) in all patients. We suggest to classify this characteristic histopathology pattern as "mild malformation of cortical development with oligodendroglial hyperplasia (MOGHE)." Further insights into pathomechanisms of MOGHE may help to bridge the diagnostic gap in children and young adults with difficult-to-treat FLE.

Indexed as

AdolescentAdultAge of OnsetCell DivisionChildChild, PreschoolDrug Resistant EpilepsyEpilepsy, Frontal LobeFemaleHumansHyperplasiaIn Situ Hybridization, FluorescenceMagnetic Resonance ImagingMaleMalformations of Cortical DevelopmentMiddle AgedOLIG2 protein, humanOligodendrocyte Transcription Factor 2epilepsyfrontal lobehyperplasianeuropathologyoligodendrocytes

Identifiers

PMID26748554
PMCPMC8029051
OpenAlexW2230815614

What OpenQuestion holds

Textmetadata
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.