Evidence map›Paper›PMID 31238977›Full record

ArticleBMC cardiovascular disorders2019

Cortical thickness and cognitive performance in asymptomatic unilateral carotid artery stenosis.

Alina Nickel, Simon Kessner, Andreas Niebuhr, Julian Schröder, Caroline Malherbe, Felix Fischer, Marlene Heinze, Bastian Cheng, Jens Fiehler, Hans Pinnschmidt and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Cerebral Hemodynamic Impairment and Cognitive Dysfunction inJournal of the American Heart Association · 2025
    Observational
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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

13 authors at 1 institution in 1 country.

Alina NickelDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. a.nickel@uke.de.ORCID 0000-0003-2591-1807
Simon KessnerDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Andreas NiebuhrDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Julian SchröderDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Caroline MalherbeCenter for Experimental Medicine, Institute of Computational Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Felix FischerDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marlene HeinzeDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Bastian ChengDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jens FiehlerDepartment of Neuroradiological diagnostics and intervention, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Hans PinnschmidtInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Axel Larena-AvellanedaDepartment of Vascular Medicine, University Heart Center Hamburg GmbH (UHZ), Hamburg, Germany.
Christian GerloffDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Götz ThomallaDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated changes of cortical thickness and its association with cognitive performance in patients with high-grade carotid artery stenosis without ischemic brain lesions.

methodsWe studied 25 patients with unilateral carotid artery stenosis ≥50% and 25 age-matched controls. All subjects underwent T1-weighted MRI, and cortical thickness was measured in 33 regions of interest in each hemisphere, as well as in brain regions belonging to the vascular territory of the middle cerebral artery (MCA). General linear mixed models were fitted to the dependent variable cortical thickness. Cognitive assessment comprised the Stroop Test and Trail Making Test B.

resultsIn the linear mixed model, presence of carotid stenosis had no effect on cortical thickness. There was a significant interaction of stenosis and region with a trend towards lower cortical thickness in the MCA region on the side of carotid stenosis. Patients with carotid stenosis performed significantly worse on the Stroop test than controls, but there was no correlation with cortical thickness.

conclusionIn patients with carotid stenosis without ischemic brain lesions, neither a clear pattern of reduced cortical thickness nor an association of cortical thickness with cognitive function was observed. Our data do not support the hypothesized association of cortical thinning and cognitive impairment in carotid stenosis.

Indexed as

CognitionMagnetic Resonance ImagingStroop TestTrail Making TestAgedCarotid StenosisCase-Control StudiesCerebral CortexCognitive DysfunctionFemaleHumansMaleMiddle AgedPredictive Value of TestsCarotid artery stenosisCognitiveCortical thicknessMRI

Identifiers

PMID31238977
PMCPMC6593546
OpenAlexW2953501701

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.