Evidence map›Paper›PMID 32211752›Full record

ArticleBrain : a journal of neurology2020

Structural and functional footprint of visual snow syndrome.

Christoph J Schankin, Farooq H Maniyar, Denise E Chou, Michael Eller, Till Sprenger, Peter J Goadsby

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Repetitive transcranial magnetic stimulation for visual snow syndrome: symptoms relief and changes in brain dynamics. A case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  6. Article
  7. Article
  8. Visual Snow Is Susceptible to the Motion Aftereffect.Investigative ophthalmology & visual science · 2025
    Article
  9. Neuro-ophthalmic findings of Visual Snow Syndrome in Korea.Japanese journal of ophthalmology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Visual snow syndrome in patients with migraine: widening the clinical spectrum of the syndrome with permanent and episodic manifestations.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Observational
  14. Article
  15. Article
  16. Review
  17. Visual Snow: Updates and Narrative Review.Current pain and headache reports · 2024
    Review
  18. Article
  19. Adapting to Visual Noise Alleviates Visual Snow.Investigative ophthalmology & visual science · 2023
    Article
  20. Review
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 3 institutions in 4 countries.

Christoph J SchankinDepartment of Neurology, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.
Farooq H ManiyarDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Denise E ChouDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Michael EllerDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Till SprengerDepartment of Neurology, DKD HELIOS Klinik Wiesbaden, Wiesbaden, Germany.
Peter J GoadsbyDepartment of Neurology, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USAmgen (United States) · USUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with visual snow syndrome suffer from a continuous pan-field visual disturbance, additional visual symptoms, tinnitus, and non-perceptional symptoms. The pathophysiology of visual symptoms might involve dysfunctional visual cortex. So far, the extra-visual system has not been investigated. We aimed at identifying structural and functional correlates for visual and non-visual symptoms in visual snow syndrome. Patients were compared to age- and sex-matched controls using 18F-2-fluoro-2-deoxy-d-glucose PET (n = 20 per group) and voxel-based morphometry (n = 17 per group). Guided by the PET results, region of interest analysis was done in voxel-based morphometry to identify structural-functional correspondence. Grey matter volume was assessed globally. Patients had corresponding hypermetabolism and cortical volume increase in the extrastriate visual cortex at the junction of the right lingual and fusiform gyrus. There was hypometabolism in the right superior temporal gyrus and the left inferior parietal lobule. Patients had grey matter volume increases in the temporal and limbic lobes and decrease in the superior temporal gyrus. The corresponding structural and functional alterations emphasize the relevance of the visual association cortex for visual snow syndrome. The broad structural and functional footprint, however, confirms the clinical impression that the disorder extends beyond the visual system.

Indexed as

AdultBrainCase-Control StudiesFemaleHumansMaleNeuroimagingPositron-Emission TomographyProspective StudiesSyndromeVision DisordersYoung AdultFDG PETmigrainenon-visual symptomsvisual snowvoxel-based morphometry

Identifiers

PMID32211752
PMCPMC7534145
OpenAlexW3013771391

What OpenQuestion holds

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LicenceCC BY-NC
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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.