Evidence map›Paper›PMID 31503424›Full record

ArticleBrain and behavior2019

Clinical correlates of mathematical modeling of cortical spreading depression: Single-cases study.

Julia M Kroos, Marina de Tommaso, Sebastiano Stramaglia, Eleonora Vecchio, Nicola Burdi, Luca Gerardo-Giorda

Open 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Revisiting Migraine Pathophysiology: from Neurons To Immune Cells Through Lens of Immune Regulatory Pathways.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
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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 2 countries.

Julia M KroosBasque Center for Applied Mathematics, Bilbao, Spain.
Marina de TommasoApplied Neurophysiology and Pain Unit, SMBNOS Department, Bari Aldo Moro University, Bari, Italy.ORCID 0000-0001-6567-5373
Sebastiano StramagliaCenter of Innovative Technologies for Signal Detection and Processing TIRES, Physic Department, Bari Aldo Moro University, Bari, Italy.
Eleonora VecchioApplied Neurophysiology and Pain Unit, SMBNOS Department, Bari Aldo Moro University, Bari, Italy.
Nicola BurdiDepartment of Radiology-Neuroradiology, Santissima Annunziata Hospital, Taranto, Italy.
Luca Gerardo-GiordaBasque Center for Applied Mathematics, Bilbao, Spain.
Basque Center for Applied Mathematics · ESUniversity of Bari Aldo Moro · ITIstituto Nazionale di Fisica Nucleare, Sezione di Bari · ITOspedale SS. Annunziata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConsiderable connections between migraine with aura and cortical spreading depression (CSD), a depolarization wave originating in the visual cortex and traveling toward the frontal lobe, lead to the hypothesis that CSD is underlying migraine aura. The highly individual and complex characteristics of the brain cortex suggest that the geometry might impact the propagation of cortical spreading depression.

methodsIn a single-case study, we simulated the CSD propagation for five migraine with aura patients, matching their symptoms during a migraine attack to the CSD wavefront propagation. This CSD wavefront was simulated on a patient-specific triangulated cortical mesh obtained from individual MRI imaging and personalized diffusivity tensors derived locally from diffusion tensor imaging data.

resultsThe CSD wave propagation was simulated on both hemispheres, despite in all but one patient the symptoms were attributable to one hemisphere. The CSD wave diffused with a large wavefront toward somatosensory and prefrontal regions, devoted to pain processing. DISCUSSION: This case-control study suggests that the cortical geometry may contribute to the modality of CSD evolution and partly to clinical expression of aura symptoms. The simulated CSD is a large and diffuse phenomenon, possibly capable to activate trigeminal nociceptors and to involve cortical areas devoted to pain processing.

Indexed as

AdultBrainCase-Control StudiesCortical Spreading DepressionDiffusion Tensor ImagingHumansMagnetic Resonance ImagingMaleMigraine with AuraModels, TheoreticalNociceptorsPatient-Specific ModelingPrefrontal CortexSomatosensory CortexVisual CortexYoung Adultcortical spreading depressiondiffusion tensor imagingfinite element methodmagnet resonance imagingmigraine with aurapatient-specific mathematical model

Identifiers

PMID31503424
PMCPMC6790336
OpenAlexW2973206598

What OpenQuestion holds

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LicenceCC BY
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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.