Evidence map›Paper›PMID 30006411›Full record

ArticleNeurology2018

The spike onset zone: The region where epileptic spikes start and from where they propagate.

Hui Ming Khoo, Nicolás von Ellenrieder, Natalja Zazubovits, Daniel He, François Dubeau, Jean Gotman

Abstract read
In one paragraph

Article in Neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

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  20. Treatment of Epilepsy Associated with Periventricular Nodular Heterotopia.Current neurology and neuroscience reports · 2020
    Review
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

6 authors.

Hui Ming KhooFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan. hui.ming.khoo@mail.mcgill.ca.
Nicolás von EllenriederFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan.
Natalja ZazubovitsFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan.
Daniel HeFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan.
François DubeauFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan.
Jean GotmanFrom the Montreal Neurological Institute and Hospital (H.M.K., N.v.E., N.Z., D.H., F.D., J.G.), McGill University, Montreal, Canada; and Department of Neurosurgery (H.M.K.), Osaka University Graduate School of Medicine, Suita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether the maximum hemodynamic response to scalp interictal epileptic discharges (IEDs) corresponds to the region where IEDs originate and from where they propagate.

methodsWe studied 19 patients who underwent first an EEG-fMRI showing responses in the gray matter, and then intracranial EEG (iEEG). We coregistered the hemodynamic responses to the iEEG electrode contacts and analyzed IEDs in the iEEG channel adjacent to a maximum response (labeled the

resultsThe median latency of IEDs in the main channel was significantly smaller than in other channels for either the peak (15.5 vs 67.5 milliseconds,

conclusionIED adjacent to a maximum hemodynamic response, which often corresponds to the seizure onset zone, is more likely to precede IEDs in remote locations during a widespread intracranial discharge. Thus, EEG-fMRI is a unique noninvasive method to reveal the origin of IEDs, which we propose to label the spike onset zone.

Indexed as

AdolescentAdultBrainBrain WavesElectroencephalographyEpilepsyFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOxygenReaction TimeRetrospective StudiesYoung AdultOxygen

Identifiers

PMID30006411
PMCPMC6105041

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.