Evidence map›Paper›PMID 33574098›Full record

ArticleAJNR. American journal of neuroradiology2021

Altered Processing of Complex Visual Stimuli in Patients with Postconcussive Visual Motion Sensitivity.

J W Allen, A Trofimova, V Ahluwalia, J L Smith, S A Abidi, M A K Peters, S Rajananda, J E Hurtado, R K Gore

Open access · greenAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

J W AllenFrom the Department of Radiology and Imaging Sciences (J.W.A., A.T., J.L.S.), Emory University, Atlanta, Georgia jwallen@emory.edu.ORCID 0000-0002-5274-1105
A TrofimovaFrom the Department of Radiology and Imaging Sciences (J.W.A., A.T., J.L.S.), Emory University, Atlanta, Georgia.ORCID 0000-0002-3110-7914
V AhluwaliaGeorgia State University/Georgia Tech Center for Advanced Brain Imaging (V.A.), Atlanta, Georgia.ORCID 0000-0003-3143-5835
J L SmithFrom the Department of Radiology and Imaging Sciences (J.W.A., A.T., J.L.S.), Emory University, Atlanta, Georgia.ORCID 0000-0003-0841-5297
S A AbidiSchool of Medicine (S.A.A.), Emory University, Atlanta, Georgia.ORCID 0000-0002-0406-0049
M A K PetersDepartment of Bioengineering (M.A.K.P., S.R.), University of California, Riverside, Riverside, California.ORCID 0000-0002-0248-0816
S RajanandaDepartment of Bioengineering (M.A.K.P., S.R.), University of California, Riverside, Riverside, California.ORCID 0000-0002-0356-1095
R K GoreWallace H. Coulter Department of Biomedical Engineering (J.W.A., R.K.G.), Georgia Institute of Technology and Emory University, Atlanta, Georgia.ORCID 0000-0002-8012-1579
Emory University · USGeorgia Institute of Technology · USUniversity of California, Riverside · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeVestibular symptoms are common after concussion. Vestibular Ocular Motor Screening identifies vestibular impairment, including postconcussive visual motion sensitivity, though the underlying functional brain alterations are not defined. We hypothesized that alterations in multisensory processing are responsible for postconcussive visual motion sensitivity, are detectable on fMRI, and correlate with symptom severity. MATERIALS AND

methodsTwelve patients with subacute postconcussive visual motion sensitivity and 10 healthy control subjects underwent vestibular testing and a novel fMRI visual-vestibular paradigm including 30-second "neutral" or "provocative" videos. The presence of symptoms/intensity was rated immediately after each video. fMRI group-level analysis was performed for a "provocative-neutral" condition.

resultsSubjects with postconcussive visual motion sensitivity had significantly more Vestibular Ocular Motor Screening abnormalities and increased symptoms while viewing provocative videos. While robust mean activation in the primary and secondary visual areas, the parietal lobe, parietoinsular vestibular cortex, and cingulate gyrus was seen in both groups, selective increased activation was seen in subjects with postconcussive visual motion sensitivity in the primary vestibular/adjacent cortex and inferior frontal gyrus, which are putative multisensory visual-vestibular processing centers. Moderate-to-strong correlations were found between Vestibular Ocular Motor Screening scores and fMRI activation in the left frontal eye field, left middle temporal visual area, and right posterior hippocampus.

conclusionsIncreased fMRI brain activation in visual-vestibular multisensory processing regions is selectively seen in patients with postconcussive visual motion sensitivity and is correlated with Vestibular Ocular Motor Screening symptom severity, suggesting that increased visual input weighting into the vestibular network may underlie postconcussive visual motion sensitivity.

Indexed as

AdultBrainBrain MappingFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMalePost-Concussion SyndromeSensation Disorders

Identifiers

PMID33574098
PMCPMC8115356
OpenAlexW3128792626

What OpenQuestion holds

Textmetadata
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.