Evidence map›Paper›PMID 33165921›Full record

ArticleEpilepsia2020

Parallel pathways to decreased subcortical arousal in focal limbic seizures.

Charlie W Zhao, Li Feng, Lim-Anna Sieu, Brian Pok, Abhijeet Gummadavelli, Hal Blumenfeld

Open access · greenAbstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 48% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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 2 institutions in 2 countries.

Charlie W ZhaoDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-8670-0985
Li FengDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0001-7658-1399
Lim-Anna SieuDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.
Brian PokDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.
Abhijeet GummadavelliDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.
Hal BlumenfeldDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0003-0812-8132
Yale University · USCentral South University · CN

Funding

Remote effects of focal hippocampal seizures on neocortical functionR01NS066974 · NINDS · YALE UNIVERSITY · PI HAL BLUMENFELD · 2011 to 2026
$5.5M
Network mechanisms of seizure-induced cardiorespiratory impairmentR01NS096088 · NINDS · YALE UNIVERSITY · PI BLUMENFELD, HAL · 2016 to 2020
$1.8M
Betsy and Jonathan Blattmachr familyMark Loughridge and Michele Williams FoundationNINDS NIH HHS R01 NS066974NINDS NIH HHS R01 NS096088
6 · The paper itself

Abstract

Focal limbic seizures can cause loss of consciousness. Previous work suggests that hippocampal seizures can increase activity in the lateral septum (LS) and decrease cholinergic output from the basal forebrain (BF), leading to deficits in conscious arousal. The mechanism by which LS and BF interact is unclear. In this study, we used anterograde and retrograde tracing to investigate anatomical pathways connecting LS and BF. We found that LS projects directly to BF and indirectly to BF via the thalamic paratenial nucleus (PT). Acute electrophysiology experiments during electrically induced focal limbic seizures showed that multiunit activity decreased in PT during the ictal period and was associated with increased cortical slow wave activity. These results suggest that LS could functionally inhibit BF during a seizure directly, or could indirectly decrease excitatory output to BF through PT. Further work investigating such parallel inhibitory and excitatory pathways to subcortical arousal may ultimately lead to new treatment targets for consciousness-impairing limbic seizures.

Indexed as

AnimalsArousalBasal ForebrainHippocampusMidline Thalamic NucleiNeural PathwaysRatsRats, Long-EvansRats, Sprague-DawleySeizuresSeptal Nucleibasal forebrainconsciousnessepilepsyparatenial nucleussleepthalamus

Identifiers

PMID33165921
PMCPMC8491398
OpenAlexW3099294730

What OpenQuestion holds

Textmetadata
LicenceTDM
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.