Evidence map›Paper›PMID 31480966›Full record

SynthesisStroke2019

Central Nervous System Electrical Stimulation for Neuroprotection in Acute Cerebral Ischemia: Meta-Analysis of Preclinical Studies.

Mersedeh Bahr Hosseini, Jesse Hou, Marom Bikson, Marco Iacoboni, Jeffrey Gornbein, Jeffrey L Saver

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Transcranial direct current stimulation is safe and feasible in hyperacute ischemic stroke (DICAST-SF trial).Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Trial
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  3. Overestimation of ischemic core on baseline MRI in acute stroke.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
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  5. 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

6 authors at 1 institution in 1 country.

Mersedeh Bahr HosseiniFrom the Department of Neurology and Comprehensive Stroke Center (M.B.H., J.H., J.L.S.), David Geffen School of Medicine at UCLA.
Jesse HouFrom the Department of Neurology and Comprehensive Stroke Center (M.B.H., J.H., J.L.S.), David Geffen School of Medicine at UCLA.
Marom BiksonDepartment of Biomedical Engineering, The City College of New York (CCNY) (M.B.).
Marco IacoboniDepartment of Psychiatry and Biobehavioral Sciences (M.I.), David Geffen School of Medicine at UCLA.
Jeffrey GornbeinDepartment of Biomedical Engineering, The City College of New York (CCNY) (M.B.).
Jeffrey L SaverFrom the Department of Neurology and Comprehensive Stroke Center (M.B.H., J.H., J.L.S.), David Geffen School of Medicine at UCLA.
Neurobehavioral Systems · US

Funding

Training and Career Development CoreU54CA132378 · NCI · CITY COLLEGE OF NEW YORK · PI Tim Alan Ahles, ADRIANA ESPINOSA · 2008 to 2026
$28.9M
Training and Career Development and Education CoreU54CA137788 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ADRIANA ESPINOSA, FRANCESCA M GANY · 2008 to 2026
$28.1M
A tool-box to control and enhance tDCS spatial precisionR01MH111896 · NIMH · CITY COLLEGE OF NEW YORK · PI BIKSON, MAROM · 2016 to 2019
$2.2M
The coupled vascular hypothesis for transcranial direct current stimulation (tDCS)R01NS101362 · NINDS · CITY COLLEGE OF NEW YORK · PI BIKSON, MAROM · 2017 to 2021
$1.7M
Mechanisms of Deep Brain Stimulation: Joule Heating and ElectroporationR03NS054783 · NINDS · CITY COLLEGE OF NEW YORK · PI BIKSON, MAROM · 2007 to 2008
$153k
NCI NIH HHS U54 CA132378NCI NIH HHS U54 CA137788NIMH NIH HHS R01 MH111896NINDS NIH HHS R01 NS101362NINDS NIH HHS R03 NS054783
6 · The paper itself

Abstract

Background and Purpose- Brain electrical stimulation, widely studied to facilitate recovery from stroke, has also been reported to confer direct neuroprotection in preclinical models of acute cerebral ischemia. Systematic review of controlled preclinical acute cerebral ischemia studies would aid in planning for initial human clinical trials. Methods- A systematic Medline search identified controlled, preclinical studies of central nervous system electrical stimulation in acute cerebral ischemia. Studies were categorized among 6 stimulation strategies. Three strategies applied different stimulation types to tissues within the ischemic zone (cathodal hemispheric stimulation [CHS], anodal hemispheric stimulation, and pulsed hemispheric stimulation), and 3 strategies applied deep brain stimulation to different neuronal targets remote from the ischemic zone (fastigial nucleus stimulation, subthalamic vasodilator area stimulation, and dorsal periaqueductal gray stimulation). Random-effects meta-analysis assessed electrical stimulation modification of final infarct volume. Study-level risk of bias and intervention-level readiness-for-translation were assessed using formal rating scales. Results- Systematic search identified 28 experiments in 21 studies, including a total of 350 animals, of electrical stimulation in preclinical acute cerebral ischemia. Overall, in animals undergoing electrical stimulation, final infarct volumes were reduced by 37% (95% CI, 34%-40%;

Indexed as

AnimalsBrain IschemiaDisease Models, AnimalElectric StimulationMiceStrokeacute strokecentral nervous systemelectrical stimulationmeta-analysisneuroprotection

Identifiers

PMID31480966
PMCPMC6756951
OpenAlexW2977063141

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.