Evidence map›Paper›PMID 30708105›Full record

ArticleNeuroImage2019

Multimodal assessment of recovery from coma in a rat model of diffuse brainstem tegmentum injury.

Patricia Pais-Roldán, Brian L Edlow, Yuanyuan Jiang, Johannes Stelzer, Ming Zou, Xin Yu

Open access · greenAbstract read
In one paragraph

Article in NeuroImage, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.2field-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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  7. Restoring consciousness with pharmacologic therapy: Mechanisms, targets, and future directions.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 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

6 authors at 4 institutions in 3 countries.

Patricia Pais-RoldánHigh-Field Magnetic Resonance Department, Max Planck Institute for Biological Cybernetics, Tuebingen, 72076, Germany; Graduate Training Centre of Neuroscience, International Max Planck Research School, University of Tuebingen, Tuebingen, 72074, Germany.
Brian L EdlowCenter for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA, 02114, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129, USA.
Yuanyuan JiangHigh-Field Magnetic Resonance Department, Max Planck Institute for Biological Cybernetics, Tuebingen, 72076, Germany.
Johannes StelzerHigh-Field Magnetic Resonance Department, Max Planck Institute for Biological Cybernetics, Tuebingen, 72076, Germany.
Ming ZouDepartment of Geriatrics & Neurology, The 2nd Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Xin YuHigh-Field Magnetic Resonance Department, Max Planck Institute for Biological Cybernetics, Tuebingen, 72076, Germany; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, 02129, USA. Electronic address: xin.yu@tuebingen.mpg.de.
Max Planck Institute for Biological Cybernetics · DECenter for Neuro-Oncology · USUniversity of Tübingen · DEWenzhou Medical University · CN

Funding

Brainstem Network Determinants of Recovery from Traumatic ComaK23NS094538 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI EDLOW, BRIAN L. · 2015 to 2019
$994k
NINDS NIH HHS K23 NS094538
6 · The paper itself

Abstract

Despite the association between brainstem lesions and coma, a mechanistic understanding of coma pathogenesis and recovery is lacking. We developed a coma model in the rat mimicking human brainstem coma, which allowed multimodal analysis of a brainstem tegmentum lesion's effects on behavior, cortical electrophysiology, and global brain functional connectivity. After coma induction, we observed a transient period (∼1h) of unresponsiveness accompanied by cortical burst-suppression. Comatose rats then gradually regained behavioral responsiveness concurrent with emergence of delta/theta-predominant cortical rhythms in primary somatosensory cortex. During the acute stage of coma recovery (∼1-8h), longitudinal resting-state functional MRI revealed an increase in functional connectivity between subcortical arousal nuclei in the thalamus, basal forebrain, and basal ganglia and cortical regions implicated in awareness. This rat coma model provides an experimental platform to systematically study network-based mechanisms of coma pathogenesis and recovery, as well as to test targeted therapies aimed at promoting recovery of consciousness after coma.

Indexed as

AnimalsBasal ForebrainBasal GangliaBehavior, AnimalBrain MappingBrain StemCerebral CortexComaDisease Models, AnimalMagnetic Resonance ImagingMaleNerve NetRatsRats, Sprague-DawleySomatosensory CortexThalamusAnimal modelArousal nucleiBrainstemComaConsciousnessFunctional connectivity

Identifiers

PMID30708105
PMCPMC6642798
OpenAlexW2914784186

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.