Evidence map›Paper›PMID 27265831›Full record

ArticleCNS neuroscience & therapeutics2016

White Matter Hyperintensities on Brain Magnetic Resonance Imaging in People with Epilepsy: A Hospital-Based Study.

Yi-Ting Mao, Enid Goh, Leonid Churilov, Anne McIntosh, Yi-Fan Ren, Terence J O'Brien, Stephen Davis, Qiang Dong, Bernard Yan, Patrick Kwan

Open access · bronzeAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

10 authors at 3 institutions in 3 countries.

Yi-Ting MaoDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Enid GohDepartments of Medicine and Neurology, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Leonid ChurilovFlorey Institute of Neuroscience and Mental Health, Melbourne, Vic, Australia.
Anne McIntoshMelbourne Brain Centre, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Yi-Fan RenDepartments of Medicine and Neurology, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Terence J O'BrienDepartments of Medicine and Neurology, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Stephen DavisDepartments of Medicine and Neurology, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Qiang DongDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Bernard YanMelbourne Brain Centre, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
Patrick KwanMelbourne Brain Centre, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Vic, Australia.
The Royal Melbourne Hospital · AUFudan University · CNFlorey Institute of Neuroscience and Mental Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aim to explore whether people with epilepsy have increased white matter hyperintensities (WMHs).

methodsEligible patients were categorized into newly diagnosed epilepsy (NE) and chronic epilepsy (CE); the latter were subdivided to those treated with enzyme-inducing antiepileptic drugs (EIAEDs) with or without non-enzyme-inducing antiepileptic drugs (NEIAEDs) and those with NEIAEDs only. WMHs were measured using age-related white matter changes (ARWMC) scale and compared between patients and healthy control group. Higher scores indicate greater WMH changes. The strengths of associations were estimated as incidence rate ratios (IRRs) with 95% confidence interval (CI).

resultsA total of 217 patients were included in the analysis, of whom 67 had NE, 45 had CE treated with NEIAEDs, and 105 had CE treated with EIAEDs. Age was positively associated with ARWMC score (IRR per year, 1.03; 95%CI, 1.03-1.04, P < 0.001). Compared with the healthy control group (n = 23), all patient groups had higher ARWMC score (P < 0.05). The difference was greatest in patients receiving EIAEDs (IRR, 2.13; 95%CI, 1.22-3.70, P = 0.007).

conclusionsWMHs tended to be observed in people with epilepsy, especially in those treated with EIAEDs. People with epilepsy with white matter changes should be evaluated for stroke risk, particularly if they are receiving EIAEDs.

Indexed as

Magnetic Resonance ImagingAdultAnticonvulsantsElectroencephalographyEpilepsyFemaleHospitalsHumansImage Processing, Computer-AssistedLeukoencephalopathiesMaleMiddle AgedRetrospective StudiesYoung AdultAnticonvulsantsAntiepileptic drugsEpilepsyMagnetic resonance imagingStrokeWhite matter hyperintensities

Identifiers

PMID27265831
PMCPMC6492825
OpenAlexW2410871394

What OpenQuestion holds

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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.