Evidence map›Paper›PMID 30178324›Full record

Trial reportAdvances in experimental medicine and biology2018

Cerebral Hemodynamics After Transcranial Direct Current Stimulation (tDCS) in Patients with Consequences of Traumatic Brain Injury.

Alexey O Trofimov, George Kalentiev, Michael Karelsky, Cristina Ksenofontova, Alevtina Ruzavina, Michail Yuriev, Denis E Bragin

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Advances in experimental medicine and biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

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

  1. Pooled it
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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

7 authors at 2 institutions in 2 countries.

Alexey O TrofimovDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
George KalentievDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
Michael KarelskyDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
Cristina KsenofontovaDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
Alevtina RuzavinaDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
Michail YurievDepartment of Neurosurgery, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.
Denis E BraginDepartment of Neurosurgery, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM, USA.
Privolzhsky Research Medical University · RUUniversity of New Mexico · US

Funding

University of New Mexico (UNM) Center for Brain Recovery and RepairP20GM109089 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI SHUTTLEWORTH, CLAUDE W · 2015 to 2024
$22.7M
NIGMS NIH HHS P20 GM109089
6 · The paper itself

Abstract

In recent years, hopes for better treatment of traumatic brain injury (TBI) have focused on non-pharmacologic transcranial electrical brain stimulation; however, studies of perfusion changes after stimulation are few and contradictory. Therefore, the aim of this study was to assess cerebral perfusion after high-definition transcranial direct current stimulation (HD-tDCS) in patients with posttraumatic encephalopathy (PTE).

methodsTwenty patients with PTE (16 men and 4 women, aged 35.5 ± 14.8 years) underwent perfusion computed tomography (PCT), followed by anodal HD-tDCS and post-stimulation tomography at 21 days after TBI. The Westermark perfusion maps were constructed and quantitative perfusion parameters calculated. Significance was preset to P < 0.05.

resultsQualitative analysis revealed that all patients had areas with reduced cerebral blood flow (CBF) and increased average mean transit time (MTT). HD-tDCS was accompanied by a significant decrease in the number of zones of both hypoperfusion and ischemia (p < 0.05). Quantitative analysis showed that, in all patients, HD-tDCS caused a significant increase in CBF (p < 0.001), cerebral blood volume (CBV) (p < 0.01) and MTT shortening (p < 0.05) in the frontotemporal region on the anode side. In the basal ganglia, a significant increase in CBF was found only in the five patients in whom this was initially reduced (p < 0.01) and only with an anode placed on the same side.

conclusionsIn patients with complications due to PTE TBI, HD-tDCS causes a significant increase in CBV, CBF and a decrease in the average MTT, suggesting better oxygen delivery to tissue.

Indexed as

AdultBrainBrain Injuries, TraumaticCerebrovascular CirculationFemaleHemodynamicsHumansMaleMiddle AgedTranscranial Direct Current StimulationYoung Adult

Identifiers

PMID30178324
PMCPMC6312702
OpenAlexW2890505458

What OpenQuestion holds

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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.