Evidence map›Paper›PMID 30488645›Full record

ArticleBrain and behavior2019

Resting-state functional brain networks in adults with a new diagnosis of focal epilepsy.

Batil K Alonazi, Simon S Keller, Nicholas Fallon, Valerie Adams, Kumar Das, Anthony G Marson, Vanessa Sluming

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Brain and behavior, 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

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  13. Recent developments in imaging of epilepsy.Current opinion in neurology · 2019
    Review
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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.

Batil K AlonaziDepartment of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Simon S KellerDepartment of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.ORCID 0000-0001-5247-9795
Nicholas FallonDepartment of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Valerie AdamsLiverpool Magnetic Resonance Imaging Centre (LiMRIC), University of Liverpool, Liverpool, UK.
Kumar DasThe Department of Neuroradiology, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Anthony G MarsonDepartment of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
Vanessa SlumingDepartment of Psychological Sciences, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
University of Liverpool · GBPrince Sattam Bin Abdulaziz University · SA

Funding

Medical Research Council MR/S00355X/1Medical Research Council P1805
6 · The paper itself

Abstract

objectivesNewly diagnosed focal epilepsy (NDfE) is rarely studied, particularly using advanced neuroimaging techniques. Many patients with NDfE experience cognitive impairments, particularly with respect to memory, sustained attention, mental flexibility, and executive functioning. Cognitive impairments have been related to alterations in resting-state functional brain networks in patients with neurological disorders. In the present study, we investigated whether patients with NDfE had altered connectivity in large-scale functional networks using resting-state functional MRI.

methodsWe recruited 27 adults with NDfE and 36 age- and sex-matched healthy controls. Resting-state functional MRI was analyzed using the Functional Connectivity Toolbox (CONN). We investigate reproducibly determined large-scale functional networks, including the default mode, salience, fronto-parietal attention, sensorimotor, and language networks using a seed-based approach. Network comparisons between patients and controls were thresholded using a FDR cluster-level correction approach.

resultsWe found no significant differences in functional connectivity between seeds within the default mode, salience, sensorimotor, and language networks and other regions of the brain between patients and controls. However, patients with NDfE had significantly reduced connectivity between intraparietal seeds within the fronto-parietal attention network and predominantly frontal and temporal cortical regions relative to controls; this finding was demonstrated including and excluding the patients with brain lesions. No common alteration in brain structure was observed in patients using voxel-based morphometry. Findings were not influenced by treatment outcome at 1 year.

conclusionsPatients with focal epilepsy have brain functional connectivity alterations at diagnosis. Functional brain abnormalities are not necessarily a consequence of the chronicity of epilepsy and are present when seizures first emerge.

Indexed as

Epilepsies, PartialAdultAttentionBrainConnectomeExecutive FunctionFemaleHumansMagnetic Resonance ImagingMaleNeural Pathwaysbrain connectivitycognitive dysfunctionnew-onset seizurestreatment outcome

Identifiers

PMID30488645
PMCPMC6346674
OpenAlexW2903422519

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.