Evidence map›Paper›PMID 29934574›Full record

ArticleScientific reports2018

Amygdala enlargement and emotional responses in (autoimmune) temporal lobe epilepsy.

Olga Holtmann, Insa Schlossmacher, Constanze Moenig, Andreas Johnen, Lisa-Marie Rutter, Jan-Gerd Tenberge, Patrick Schiffler, Judith Everding, Kristin S Golombeck, Christine Strippel and 7 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Beyond memories: A narrative review on the role of amygdalo-hippocampal complex in social cognition.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  2. Article
  3. Neuropsychological Performance in Autoimmune Limbic Encephalitis: Evidence from an Immunotherapy-Naïve Cohort.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. 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

17 authors at 2 institutions in 1 country.

Olga HoltmannInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, Muenster, Germany. olga.holtmann@uni-muenster.de.
Insa SchlossmacherInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, Muenster, Germany.
Constanze MoenigDepartment of Neurology, University of Muenster, Muenster, Germany.
Andreas JohnenDepartment of Neurology, University of Muenster, Muenster, Germany.
Lisa-Marie RutterDepartment of Neurology, University of Muenster, Muenster, Germany.
Jan-Gerd TenbergeDepartment of Neurology, University of Muenster, Muenster, Germany.
Patrick SchifflerDepartment of Neurology, University of Muenster, Muenster, Germany.
Judith EverdingInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, Muenster, Germany.
Kristin S GolombeckDepartment of Neurology, University of Muenster, Muenster, Germany.
Christine StrippelDepartment of Neurology, University of Muenster, Muenster, Germany.
Andre DikDepartment of Neurology, University of Muenster, Muenster, Germany.
Wolfram SchwindtDepartment of Clinical Radiology, University of Muenster, Muenster, Germany.
Heinz WiendlDepartment of Neurology, University of Muenster, Muenster, Germany.
Sven G MeuthDepartment of Neurology, University of Muenster, Muenster, Germany.
Maximilian BruchmannInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, Muenster, Germany.
Nico MelzerDepartment of Neurology, University of Muenster, Muenster, Germany.
Thomas StraubeInstitute of Medical Psychology and Systems Neuroscience, University of Muenster, Muenster, Germany.
University of Münster · DECenter for Behavioral Brain Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Temporal lobe epilepsy with amygdala enlargement (TLE-AE) is increasingly recognized as a distinct adult electroclinical syndrome. However, functional consequences of morphological alterations of the amygdala in TLE-AE are poorly understood. Here, two emotional stimulation designs were employed to investigate subjective emotional rating and skin conductance responses in a sample of treatment-naïve patients with suspected or confirmed autoimmune TLE-AE (n = 12) in comparison to a healthy control group (n = 16). A subgroup of patients completed follow-up measurements after treatment. As compared to healthy controls, patients with suspected or confirmed autoimmune TLE-AE showed markedly attenuated skin conductance responses and arousal ratings, especially pronounced for anxiety-inducing stimuli. The degree of right amygdala enlargement was significantly correlated with the degree of autonomic arousal attenuation. Furthermore, a decline of amygdala enlargement following prompt aggressive immunotherapy in one patient suffering from severe confirmed autoimmune TLE-AE with a very recent clinical onset was accompanied by a significant improvement of autonomic responses. Findings suggest dual impairments of autonomic and cognitive discrimination of stimulus arousal as hallmarks of emotional processing in TLE-AE. Emotional responses might, at least partially, recover after successful treatment, as implied by first single case data.

Indexed as

EmotionsAdultAgedAmygdalaArousalAutoimmune DiseasesAutonomic Nervous SystemCase-Control StudiesEpilepsy, Temporal LobeFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan Size

Identifiers

PMID29934574
PMCPMC6015084
OpenAlexW2809113040

What OpenQuestion holds

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Registered trials

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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.