Evidence map›Paper›PMID 30128286›Full record

ArticleNeuroImage. Clinical2018

The correlation of asymmetrical functional connectivity with cognition and reperfusion in carotid stenosis patients.

Kuo-Lun Huang, Ting-Yu Chang, Meng-Yang Ho, Wei-Hao Chen, Mei-Yu Yeh, Yeu-Jhy Chang, Ho-Fai Wong, Chien-Hung Chang, Chi-Hung Liu, Tsong-Hai Lee and 1 more

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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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

11 authors.

Kuo-Lun HuangDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan. Electronic address: drkuolun@adm.cgmh.org.tw.
Ting-Yu ChangDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan.
Meng-Yang HoDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan. Electronic address: myho@mail.cgu.edu.tw.
Wei-Hao ChenDepartment of Biomedical Sciences and Engineering, National Central University, Taoyuan, Taiwan.
Mei-Yu YehGraduate Institute of Mind, Brain and Consciousness, Taipei Medical University, Taipei, Taiwan.
Yeu-Jhy ChangDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan. Electronic address: yjc0601@cgmh.org.tw.
Ho-Fai WongDepartment of Radiology, Chang Gung Memorial Hospital, Taoyuan, Taiwan. Electronic address: hfwong@adm.cgmh.org.tw.
Chien-Hung ChangDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan.
Chi-Hung LiuDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan. Electronic address: ivanliu001@cgmh.org.tw.
Tsong-Hai LeeDepartment of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taiwan. Electronic address: thlee@adm.cgmh.org.tw.
Changwei W WuGraduate Institute of Mind, Brain and Consciousness, Taipei Medical University, Taipei, Taiwan. Electronic address: sleepbrain@tmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Neural disruption and cognitive impairment have been reported in patients with carotid stenosis (CS), but carotid artery stenting (CAS) may not contribute to the cognitive recovery. Although functional hyper-connectivity is one of the physiological over-compensation phenomena in neurological diseases, the literature on the cognitive influence of functional hyper-connectivity in CS patients is limited. We aimed to investigate the longitudinal changes of hyper-connectivity after CAS and its association with cognition in CS patients. Methods: Thirteen patients with unilateral CS and 17 controls without CS were included. Cognitive function was evaluated at baseline, and resting-state functional MRI was performed 1 week before and 1 month and 1 year after CAS. Comparisons of functional connectivity (FC) between CS patients and controls in multiple brain networks were performed. Results: In patients before CAS, FC in the cerebral hemispheres ipsilateral and contralateral to CS was mainly decreased and increased, respectively, compared with normal controls. Part of the FC alterations gradually recovered to the normal condition after CAS. The stronger FC abnormality (both hypo- and hyper-connectivity compared with normal controls) was associated with poorer cognitive performances, especially in memory and executive functions. Conclusion: The study demonstrated the lateralization of hyper-connectivity and hypo-connectivity in patients with unilateral CS in contrast to the FC in normal controls. These FC alterations were associated with poor cognitive performances and tended to recover after CAS, implying that hyper-connectivity is served as a compensation for neural challenge.

Indexed as

AgedAged, 80 and overAngioplastyBrainCarotid StenosisCognitionCognitive DysfunctionFemaleFunctional LateralityHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedReperfusionStentsCarotid artery stenosisFunctional connectivityHyper-connectivityResting-state fMRIStroke

Identifiers

PMID30128286
PMCPMC6098231

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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.