Evidence map›Paper›PMID 32251905›Full record

ArticleNeuroImage. Clinical2020

Temporal lobe epilepsy alters spatio-temporal dynamics of the hippocampal functional network.

Victoria L Morgan, Catie Chang, Dario J Englot, Baxter P Rogers

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The network neuropsychology of juvenile myoclonic epilepsy.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
  6. Aberrant functional connectivity of amygdala subregions in temporal lobe epilepsy with ictal panic.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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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

4 authors at 3 institutions in 1 country.

Victoria L MorganInstitute of Imaging Science, Vanderbilt University Medical Center, USA. Electronic address: victoria.morgan@vanderbilt.edu.
Catie ChangInstitute of Imaging Science, Vanderbilt University Medical Center, USA; Department of Electrical Engineering and Computer Science, Vanderbilt University, USA.
Dario J EnglotInstitute of Imaging Science, Vanderbilt University Medical Center, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, USA.
Baxter P RogersInstitute of Imaging Science, Vanderbilt University Medical Center, USA.
Vanderbilt University Medical Center · USNeurological Surgery · USVanderbilt University · US

Funding

Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
Relating Vigilance to Connectivity and Neurocognition in Temporal Lobe EpilepsyR01NS112252 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ENGLOT, DARIO J · 2019 to 2023
$3.0M
The Role of Network Connectivity in Post-Surgical Seizure Recurrence in Temporal Lobe EpilepsyR01NS110130 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, VICTORIA L · 2018 to 2023
$2.5M
MRI Connectivity Biomarkers of Treatment Response in Focal EpilepsyR01NS108445 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, VICTORIA L · 2019 to 2024
$2.5M
Replacement and Upgrade of a 3T MR Scanner for ResearchS10OD021771 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2016 to 2016
$2.0M
MRI Structural and Functional Connectivity Changes in Temporal Lobe EpilepsyR01NS075270 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, VICTORIA L · 2012 to 2016
$1.7M
MULTIMODAL MAPPING OF SUBCORTICAL AND CORTICAL FUNCTIONAL NETWORK DISTURBANCES IN FOCAL EPILEPSYR00NS097618 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ENGLOT, DARIO J · 2017 to 2019
$743k
NICHD NIH HHS U54 HD083211NIH HHS S10 OD021771NINDS NIH HHS R00 NS097618NINDS NIH HHS R01 NS075270NINDS NIH HHS R01 NS108445NINDS NIH HHS R01 NS110130NINDS NIH HHS R01 NS112252
6 · The paper itself

Abstract

Mesial temporal lobe epilepsy (TLE) is characterized by transient abnormal electrical activity originating in the hippocampus. The objective of this study was to characterize dynamic spatio-temporal fluctuations in hippocampal network connectivity in mTLE using functional connectivity (FC) mapping in 41 unilateral mTLE patients (28 right, 13 left) and 56 healthy control participants using 3T MRI. Dynamic FC was computed across the scan using sliding 60-s windows. This was compared to static FC computed using the whole 10-min functional MRI scan, and to the variance in the hippocampal functional MRI signal. Four states of healthy hippocampal dynamic FC were identified and compared to TLE patients. TLE patients fluctuated between these four states, but the hippocampus ipsilateral to the seizure focus spent more time in a state distinguished by lower prefrontal and parietal FC than the dominant healthy state. Increased time spent in this state was associated with increased impairment in static FC and increased variance in the hippocampal functional MRI signal. Overall, this work provides evidence that increases in variance in signal fluctuations occurring at the seizure focus in the hippocampus in patients with mTLE may contribute to disruptions in healthy FC network dynamics within an fMRI scan that contribute to decreases in static hippocampal FC. These alterations result in decreased hippocampal connectivity to bilateral prefrontal and parietal regions in TLE which may be related to behavior and cognitive impairments in these patients. Therefore, characterization of an individual patient's hippocampal dynamics at different time scales may provide more specific spatio-temporal profiles of network impairment that may be related to hippocampal dysfunction in TLE.

Indexed as

AdultBrain MappingEpilepsy, Temporal LobeFemaleHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetNeural PathwaysDynamicsEpilepsyFmriFunctional connectivity

Identifiers

PMID32251905
PMCPMC7132094
OpenAlexW3013807556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.