Evidence map›Paper›PMID 32372102›Full record

ArticleBrain : a journal of neurology2020

A venous mechanism of ventriculomegaly shared between traumatic brain injury and normal ageing.

Toshihiko Aso, Genichi Sugihara, Toshiya Murai, Shiho Ubukata, Shin-Ichi Urayama, Tsukasa Ueno, Gaku Fujimoto, Dinh Ha Duy Thuy, Hidenao Fukuyama, Keita Ueda

Erratum issuedOpen access · hybridAbstract 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. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 8% 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, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Pediatric low-pressure hydrocephalus: a case series and re-analysis of a rare disease.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  4. Article
  5. Inflammaging and Brain Aging.International journal of molecular sciences · 2024
    Review
  6. VICTR: Venous transit time imaging by changes in TMagnetic resonance in medicine · 2024
    Article
  7. Article
  8. Article
  9. Cerebral venous congestion alters brain metabolite profiles, impairing cognitive function.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Brain aging mechanisms with mechanical manifestations.Mechanisms of ageing and development · 2021
    Review
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Toshihiko AsoDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Genichi SugiharaDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Toshiya MuraiDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shiho UbukataDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Shin-Ichi UrayamaHuman Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Tsukasa UenoDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Gaku FujimotoDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Dinh Ha Duy ThuyHuman Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hidenao FukuyamaHuman Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Keita UedaDepartment of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kyoto University · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, age-related timing dissociation between the superficial and deep venous systems has been observed; this was particularly pronounced in patients with normal pressure hydrocephalus, suggesting a common mechanism of ventriculomegaly. Establishing the relationship between venous drainage and ventricular enlargement would be clinically relevant and could provide insight into the mechanisms underlying brain ageing. To investigate a possible link between venous drainage and ventriculomegaly in both normal ageing and pathological conditions, we compared 225 healthy subjects (137 males and 88 females) and 71 traumatic brain injury patients of varying ages (53 males and 18 females) using MRI-based volumetry and a novel perfusion-timing analysis. Volumetry, focusing on the CSF space, revealed that the sulcal space and ventricular size presented different lifespan profiles with age; the latter presented a quadratic, rather than linear, pattern of increase. The venous timing shift slightly preceded this change, supporting a role for venous drainage in ventriculomegaly. In traumatic brain injury, a small but significant disease effect, similar to idiopathic normal pressure hydrocephalus, was found in venous timing, but it tended to decrease with age at injury, suggesting an overlapping mechanism with normal ageing. Structural bias due to, or a direct causative role of ventriculomegaly was unlikely to play a dominant role, because of the low correlation between venous timing and ventricular size after adjustment for age in both patients and controls. Since post-traumatic hydrocephalus can be asymptomatic and occasionally overlooked, the observation suggested a link between venous drainage and CSF accumulation. Thus, hydrocephalus, involving venous insufficiency, may be a part of normal ageing, can be detected non-invasively, and is potentially treatable. Further investigation into the clinical application of this new marker of venous function is therefore warranted.

Indexed as

AdultAgedAgingBrain Injuries, TraumaticCerebral VentriclesFemaleFemoral VeinHumansHydrocephalusHydrocephalus, Normal PressureIliac VeinMagnetic Resonance ImagingMaleMiddle AgedNervous System MalformationsPopliteal Veinbrain ageingnormal pressure hydrocephalustraumatic brain injuryvenous drainageventricular enlargement

Identifiers

PMID32372102
PMCPMC7296851
OpenAlexW3021651326

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Registered trials

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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.