Evidence map›Paper›PMID 31040879›Full record

ArticleTherapeutic advances in neurological disorders2019

Are morphologic features of recent small subcortical infarcts related to specific etiologic aspects?

Sebastian Eppinger, Thomas Gattringer, Lena Nachbaur, Simon Fandler, Lukas Pirpamer, Stefan Ropele, Joanna Wardlaw, Christian Enzinger, Franz Fazekas

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Sebastian EppingerDepartment of Neurology, Medical University of Graz, Austria.
Thomas GattringerDepartment of Neurology, Medical University of Graz, Auenbruggerplatz 22, A-8036 Graz, Austria.
Lena NachbaurDepartment of Neurology, Medical University of Graz, Austria.
Simon FandlerDepartment of Neurology, Medical University of Graz, Austria.
Lukas PirpamerDepartment of Neurology, Medical University of Graz, Austria.
Stefan RopeleDepartment of Neurology, Medical University of Graz, Austria.
Joanna WardlawBrain Research Imaging Centre, The University of Edinburgh, Edinburgh, UK.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Franz FazekasDepartment of Neurology, Medical University of Graz, Austria.
Medical University of Graz · ATUniversity of Edinburgh · GB

Funding

Medical Research Council MR/J006971/1
6 · The paper itself

Abstract

backgroundRecent small subcortical infarcts (RSSIs) mostly result from the occlusion of a single, small, brain artery due to intrinsic cerebral small-vessel disease (CSVD). Some RSSIs may be attributable to other causes such as cardiac embolism or large-artery disease, and their association with coexisting CSVD and vascular risk factors may vary with morphological magnetic resonance imaging (MRI) features.

methodsWe retrospectively identified all inpatients with a single symptomatic MRI-confirmed RSSI between 2008 and 2013. RSSIs were rated for size, shape, location (i.e. anterior: basal ganglia and centrum semiovale posterior cerebral circulation: thalamus and pons) and MRI signs of concomitant CSVD. In a further step, clinical data, including detailed diagnostic workup and vascular risk factors, were analyzed with regard to RSSI features.

resultsAmong 335 RSSI patients (mean age 71.1 ± 12.1 years), 131 (39%) RSSIs were >15 mm in axial diameter and 66 (20%) were tubular shaped. Atrial fibrillation (AF) was present in 44 (13.1%) and an ipsilateral vessel stenosis > 50% in 30 (9%) patients. Arterial hypertension and CSVD MRI markers were more frequent in patients with anterior-circulation RSSIs, whereas diabetes was more prevalent in posterior-circulation RSSIs. Larger RSSIs occurred more frequently in the basal ganglia and pons, and the latter were associated with signs of large-artery atherosclerosis. Patients with concomitant AF had no specific MRI profile.

conclusionOur findings suggest the contribution of different pathophysiological mechanisms to the occurrence of RSSIs in the anterior and posterior cerebral circulation. While there appears to be some general association of larger infarcts in the pons with large-artery disease, we found no pattern suggestive of AF in RSSIs.

Indexed as

cerebral small-vessel diseaseetiologylacunar strokemagnetic resonance imagingrecent small subcortical infarctsrisk factor

Identifiers

PMID31040879
PMCPMC6477767
OpenAlexW2941766955

What OpenQuestion holds

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Registered trials

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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.