Evidence map›Paper›PMID 30472489›Full record

ArticleEpilepsy research2019

Resting state functional connectivity patterns associated with pharmacological treatment resistance in temporal lobe epilepsy.

Christina Pressl, Philip Brandner, Stefan Schaffelhofer, Karen Blackmon, Patricia Dugan, Manisha Holmes, Thomas Thesen, Ruben Kuzniecky, Orrin Devinsky, Winrich A Freiwald

Registry-linked trialAbstract read
In one paragraph

Article in Epilepsy research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05450822 (The BrainDrugs-Epilepsy Study), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT05450822 recruitingnot on this mapstarted 2022, after this paper: background citation

The BrainDrugs-Epilepsy Study: A Prospective Open-label Cohort Precision Medicine Study in Epilepsy

TypeobservationalSponsorGitte Moos KnudsenRan2022 to 2031Enrolled550ConditionsEpilepsyArmsLevetiracetam, Levetiracetam Tablets, Lamotrigine tablet
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 34 citations in OpenAlex.

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  7. Aberrant functional connectivity associated with drug response in patients with newly diagnosed epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

10 authors at 4 institutions in 2 countries.

Christina PresslLaboratory of Neural Systems, The Rockefeller University, New York, NY, USA; Department of Neurology, New York University, New York, NY, USA.
Philip BrandnerLaboratory of Neural Systems, The Rockefeller University, New York, NY, USA.
Stefan SchaffelhoferLaboratory of Neural Systems, The Rockefeller University, New York, NY, USA.
Karen BlackmonDepartment of Neurology, New York University, New York, NY, USA; Department of Physiology, Neuroscience and Behavioral Sciences, St George's University, Grenada, West Indies.
Patricia DuganDepartment of Neurology, New York University, New York, NY, USA.
Manisha HolmesDepartment of Neurology, New York University, New York, NY, USA.
Thomas ThesenDepartment of Neurology, New York University, New York, NY, USA; Department of Physiology, Neuroscience and Behavioral Sciences, St George's University, Grenada, West Indies.
Ruben KuznieckyDepartment of Neurology, Hofstra-Northwell Medical School, New York, NY, USA.
Orrin DevinskyDepartment of Neurology, New York University, New York, NY, USA.
Winrich A FreiwaldLaboratory of Neural Systems, The Rockefeller University, New York, NY, USA. Electronic address: wfreiwald@rockefeller.edu.
New York University · USRockefeller University · USSt. George's University · GDHofstra University · US

Funding

Developing, Demonstrating, and Disseminating Innovative Programs to Achieve Translational SuccessUL1TR001866 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY, KRUEGER, JAMES G · 2016 to 2025
$40.6M
NCATS NIH HHS UL1 TR001866
6 · The paper itself

Abstract

There are no functional imaging based biomarkers for pharmacological treatment response in temporal lobe epilepsy (TLE). In this study, we investigated whether there is an association between resting state functional brain connectivity (RsFC) and seizure control in TLE. We screened a large database containing resting state functional magnetic resonance imaging (Rs-fMRI) data from 286 epilepsy patients. Patient medical records were screened for seizure characterization, EEG reports for lateralization and location of seizure foci to establish uniformity of seizure localization within patient groups. Rs-fMRI data from patients with well-controlled left TLE, patients with treatment-resistant left TLE, and healthy controls were analyzed. Healthy controls and cTLE showed similar functional connectivity patterns, whereas trTLE exhibited a significant bilateral decrease in thalamo-hippocampal functional connectivity. This work is the first to demonstrate differences in neural network connectivity between well-controlled and treatment-resistant TLE. These differences are spatially highly focused and suggest sites for the etiology and possibly treatment of TLE. Altered thalamo-hippocampal RsFC thus is a potential new biomarker for TLE treatment resistance.

Indexed as

RestAdultAnticonvulsantsBrainDrug Resistant EpilepsyEpilepsy, Temporal LobeFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysOxygenRetrospective StudiesAnticonvulsantsOxygenBiomarkerEpilepsyfMRIResting State fMRITemporal lobe epilepsyTreatment response

Identifiers

PMID30472489
PMCPMC6483378
OpenAlexW2950094148

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.