Evidence map›Paper›PMID 33448525›Full record

ArticleHuman brain mapping2021

Disrupted connectivity within visual, attentional and salience networks in the visual snow syndrome.

Francesca Puledda, Owen O'Daly, Christoph Schankin, Dominic Ffytche, Steven Cr Williams, Peter J Goadsby

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Visual Snow: Updates and Narrative Review.Current pain and headache reports · 2024
    Review
  20. 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 3 institutions in 2 countries.

Francesca PuleddaHeadache Group, Department of Basic and Clinical Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0002-1933-4049
Owen O'DalyCentre for Neuroimaging Sciences, Department of Neuroimaging, King's College London, London, United Kingdom.
Christoph SchankinDepartment of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Dominic FfytcheDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Steven Cr WilliamsCentre for Neuroimaging Sciences, Department of Neuroimaging, King's College London, London, United Kingdom.
Peter J GoadsbyHeadache Group, Department of Basic and Clinical Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0003-3260-5904
King's College London · GBWellcome Centre for Human Neuroimaging · GBUniversity of Bern · CH

Funding

National Institute for Health Research
6 · The paper itself

Abstract

Here we investigate brain functional connectivity in patients with visual snow syndrome (VSS). Our main objective was to understand more about the underlying pathophysiology of this neurological syndrome. Twenty-four patients with VSS and an equal number of gender and age-matched healthy volunteers attended MRI sessions in which whole-brain maps of functional connectivity were acquired under two conditions: at rest while watching a blank screen and during a visual paradigm consisting of a visual-snow like stimulus. Eight unilateral seed regions were selected a priori based on previous observations and hypotheses; four seeds were placed in key anatomical areas of the visual pathways and the remaining were derived from a pre-existing functional analysis. The between-group analysis showed that patients with VSS had hyper and hypoconnectivity between key visual areas and the rest of the brain, both in the resting state and during a visual stimulation, compared with controls. We found altered connectivity internally within the visual network; between the thalamus/basal ganglia and the lingual gyrus; between the visual motion network and both the default mode and attentional networks. Further, patients with VSS presented decreased connectivity during external sensory input within the salience network, and between V5 and precuneus. Our results suggest that VSS is characterised by a widespread disturbance in the functional connectivity of several brain systems. This dysfunction involves the pre-cortical and cortical visual pathways, the visual motion network, the attentional networks and finally the salience network; further, it represents evidence of ongoing alterations both at rest and during visual stimulus processing.

Indexed as

ConnectomeAdultAttentionBrainFemaleHumansMagnetic Resonance ImagingMaleNerve NetVision DisordersVisual PerceptionYoung Adultfunctional connectivitymagnetic resonance imagingmigrainephotophobiaprolonged visual disturbancesalience networkvisual motion networkvisual snow syndrome

Identifiers

PMID33448525
PMCPMC8046036
OpenAlexW3124241268

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.