Evidence map›Paper›PMID 32513122›Full record

ArticleBMC neurology2020

The morphological characteristics of hippocampus and thalamus in mesial temporal lobe epilepsy.

Dongyan Wu, Feiyan Chang, Dantao Peng, Sheng Xie, Xiaoxuan Li, Wenjing Zheng

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Dongyan WuDepartment of Neurology, China-Japan Friendship Hospital, Beijing, 100029, China. wudongyan2008@sina.com.ORCID http://orcid.org/0000-0003-0175-3904
Feiyan ChangDepartment of Radiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Dantao PengDepartment of Neurology, China-Japan Friendship Hospital, Beijing, 100029, China.
Sheng XieDepartment of Radiology, China-Japan Friendship Hospital, Beijing, 100029, China.
Xiaoxuan LiDepartment of Neurology, China-Japan Friendship Hospital, Beijing, 100029, China.
Wenjing ZhengDepartment of Neurology, China-Japan Friendship Hospital, Beijing, 100029, China.
China-Japan Friendship Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMesial temporal lobe epilepsy (MTLE) is the most common form of focal epilepsy, which is frequently characterized by hippocampal sclerosis (HS). Accumulating studies have suggested widespread cortico-cortical connections related to MTLE. The role of subcortical structures involved in general epilepsy has been extensively investigated, but it is still limited in MTLE. Our purpose was to determine the specific morphological correlation between sclerotic hippocampal and thalamic sub-regions, using quantitative analysis, in MTLE.

methodsIn this study, 23 MTLE patients with unilateral hippocampal sclerosis and 24 healthy controls were examined with three-dimensional T1 MRI. Volume quantitative analysis in the hippocampus and thalamus was conducted and group-related volumetric difference was assessed. Moreover, vertex analysis was further performed using automated software to delineate detailed morphological patterns of the hippocampus and thalamus. The correlation was used to examine whether there is a relationship between volume changes of two subcortical structures and clinical characteristics.

resultsThe patients had a significant volume decrease in the sclerotic hippocampus (p < 0.001). Compared to controls, obvious atrophic patterns were observed in the bilateral hippocampus in MTLE (p < 0.05). Only small patches of shrinkage were noted in the bilateral thalamus (p < 0.05). Moreover, the volume change of the hippocampus had a significant positive correlation with that of the thalamus (P < 0.001). Intriguingly, volume changes of the hippocampus and thalamus were correlated with the duration of epilepsy (hippocampus: P = 0.024; thalamus: P = 0.022). However, only volume changes of thalamus possibly differentiated between two prognostic groups in patients (P = 0.026).

conclusionsWe demonstrated the morphological characteristics of the hippocampus and thalamus in MTLE, providing new insights into the interrelated mechanisms between the hippocampus and thalamus, which have potential clinical significance for refining neuromodulated targets.

Indexed as

Epilepsy, Temporal LobeHippocampusThalamusAdolescentAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedSclerosisYoung AdultHippocampusMorphologyTemporal lobe epilepsyThalamus

Identifiers

PMID32513122
PMCPMC7282186
OpenAlexW3033058341

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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.