Evidence map›Paper›PMID 29034421›Full record

Trial reportTranslational stroke research2018

Hippocampal Deformations and Entorhinal Cortex Atrophy as an Anatomical Signature of Long-Term Cognitive Impairment: from the MCAO Rat Model to the Stroke Patient.

C Delattre, C Bournonville, F Auger, R Lopes, C Delmaire, H Henon, A M Mendyk, S Bombois, J C Devedjian, D Leys and 3 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Translational stroke research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Hydrolase-Treated Royal Jelly Attenuates HInternational journal of food science · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

13 authors at 1 institution in 1 country.

C DelattreU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
C BournonvilleU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
F AugerU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
R LopesU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
C DelmaireU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
H HenonU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
A M MendykU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
S BomboisU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
J C DevedjianU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
D LeysU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
C CordonnierU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France.
R Bordet
M BastideU1171 - Degenerative & Vascular Cognitive Disorders, Université Lille, INSERM, CHU Lille, Université du Littoral Côte d'Opale, 59000, Lille, France. michele.bastide@univ-lille1.fr.ORCID 0000-0002-4865-3700
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke patients have an elevated risk of developing long-term cognitive disorders or dementia. The latter is often associated with atrophy of the medial temporal lobe. However, it is not clear whether hippocampal and entorhinal cortex atrophy is the sole predictor of long-term post-stroke dementia. We hypothesized that hippocampal deformation (rather than atrophy) is a predictive marker of long-term post-stroke dementia on a rat model and tested this hypothesis in a prospective cohort of stroke patients.Male Wistar rats were subjected to transient middle cerebral artery occlusion and assessed 6 months later. Ninety initially dementia-free patients having suffered a first-ever ischemic stroke were prospectively included in a clinical study. In the rat model, significant impairments in hippocampus-dependent memories were observed. MRI studies did not reveal significant atrophy of the hippocampus volume, but significant deformations were indeed observed-particularly on the ipsilateral side. There, the neuronal surface area was significantly lower in ischemic rats and was associated with a lower tissue density and a markedly thinner entorhinal cortex. At 6 months post-stroke, 49 of the 90 patients displayed cognitive impairment (males 55.10%). Shape analysis revealed marked deformations of their left hippocampus, a significantly lower entorhinal cortex surface area, and a wider rhinal sulcus but no hippocampal atrophy. Hence, hippocampal deformations and entorhinal cortex atrophy were associated with long-term impaired cognitive abilities in a stroke rat model and in stroke patients. When combined with existing biomarkers, these markers might constitute sensitive new tools for the early prediction of post-stroke dementia.

Indexed as

Cognitive DysfunctionAgedAnimalsAtrophyBehavior, AnimalBiomarkersBrain IschemiaDisease Models, AnimalEntorhinal CortexFemaleHippocampusHumansInfarction, Middle Cerebral ArteryMagnetic Resonance ImagingMaleMiddle AgedBiomarkersCognitive disorderEntorhinal cortexHippocampusMiddle cerebral artery occlusionRat modelStroke

Identifiers

PMID29034421
OpenAlexW2761238669

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.