Evidence map›Paper›PMID 31795062›Full record

ArticleNeuroImage. Clinical2019

Cortical gamma-synchrony measured with magnetoencephalography is a marker of clinical status and predicts clinical outcome in stroke survivors.

Giovanni Pellegrino, Giorgio Arcara, Anna Maria Cortese, Luca Weis, Silvia Di Tomasso, Gino Marioni, Stefano Masiero, Francesco Piccione

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

8 authors at 3 institutions in 2 countries.

Giovanni PellegrinoIRCCS San Camillo Hospital, Venice, Italy; Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, 3801 University Street, Montréal, QC H3A 2B4, Canada; Department of Neuroscience, University of Padua, Via Giustiniani, 5 - 35128 Padova, Italy.
Giorgio ArcaraIRCCS San Camillo Hospital, Venice, Italy. Electronic address: giorgio.arcara@gmail.com.
Anna Maria CorteseIRCCS San Camillo Hospital, Venice, Italy.
Luca WeisIRCCS San Camillo Hospital, Venice, Italy.
Silvia Di TomassoIRCCS San Camillo Hospital, Venice, Italy.
Gino MarioniDepartment of Neuroscience, University of Padua, Via Giustiniani, 5 - 35128 Padova, Italy.
Stefano MasieroDepartment of Neuroscience, University of Padua, Via Giustiniani, 5 - 35128 Padova, Italy.
Francesco PiccioneIRCCS San Camillo Hospital, Venice, Italy.
IRCCS San Camillo Hospital · ITUniversity of Padua · ITMontreal Neurological Institute and Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe outcome of stroke survivors is difficult to anticipate. While the extent of the anatomical brain lesion is only poorly correlated with the prognosis, functional measures of cortical synchrony, brain networks and cortical plasticity seem to be good predictors of clinical recovery. In this field, gamma (>30 Hz) cortical synchrony is an ideal marker of brain function, as it plays a crucial role for the integration of information, it is an indirect marker of Glutamate/GABA balance and it directly estimates the reserve of parvalbulin-positive neurons, key players in synaptic plasticity. In this study we measured gamma synchronization driven by external auditory stimulation with magnetoencephalography and tested whether it was predictive of the clinical outcome in stroke survivors undergoing intensive rehabilitation in a tertiary rehabilitation center. MATERIAL AND

methodsEleven stroke survivors undergoing intensive rehabilitation were prospectively recruited. Gamma synchrony was measured non-invasively within one month from stroke onset with magnetoencephalography, both at rest and during entrainment with external 40 Hz amplitude modulated binaural sounds. Lesion location and volume were quantitatively assessed through a high-resolution anatomical MRI. Barthel index (BI) and Functional Independence Measure (FIM) scales were measured at the beginning and at the end of the admission to the rehabilitation unit.

resultsThe spatial distribution of cortical gamma synchrony was altered, and the physiological right hemispheric dominance observed in healthy controls was attenuated or lost. Entrained gamma synchronization (but not resting state gamma synchrony) showed a very high correlation with the clinical status at both admission and discharge (both BI and FIM). Neither clinical status nor gamma synchrony showed a correlation with lesion volume.

conclusionsCortical gamma synchrony related to auditory entrainment can be reliably measured in stroke patients. Gamma synchrony is strongly associated with the clinical outcome of stroke survivors undergoing rehabilitation.

Indexed as

Recovery of FunctionStroke RehabilitationAcoustic StimulationAdultAgedCortical SynchronizationFemaleGamma RhythmHumansMagnetic Resonance ImagingMagnetoencephalographyMaleMiddle AgedPrognosisProspective StudiesStrokeGammaMagnetoencephalographyMEGRehabilitationStrokeSynchrony

Identifiers

PMID31795062
PMCPMC6978213
OpenAlexW2987132758

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.