Evidence map›Paper›PMID 33676164›Full record

ArticleNeuroImage. Clinical2021

Structural reorganization of the cerebral cortex after vestibulo-cerebellar stroke.

Julian Conrad, Maximilian Habs, Maxine Ruehl, Rainer Boegle, Matthias Ertl, Valerie Kirsch, Ozan Eren, Sandra Becker-Bense, Thomas Stephan, Frank Wollenweber and 3 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Dynamic reorganization of cortical structure in multi-domain regions after capsular and pontine stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Observational
  7. Observational
  8. Article
  9. Review
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

13 authors at 4 institutions in 2 countries.

Julian ConradDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany. Electronic address: Julian.conrad@med.uni-muenchen.de.
Maximilian HabsDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany.
Maxine RuehlDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany.
Rainer BoegleDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany; Graduate School of Systemic Neurosciences - GSN-LMU, LMU Munich, Germany.
Matthias ErtlDepartment of Psychology, University of Bern, Switzerland.
Valerie KirschDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany.
Ozan ErenDepartment of Neurology, University Hospital, LMU Munich, Germany.
Sandra Becker-BenseGerman Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany.
Thomas StephanDepartment of Neurology, University Hospital, LMU Munich, Germany.
Frank WollenweberInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany; Department of Neurology, Helios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany.
Marco DueringInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Marianne DieterichDepartment of Neurology, University Hospital, LMU Munich, Germany; German Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
Peter Zu EulenburgGerman Center for Vertigo and Balance Disorders (DSGZ), University Hospital, LMU Munich, Germany; Institute for Neuroradiology, University Hospital, LMU Munich, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.
LMU Klinikum · DEGerman Center for Lung Research · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStructural reorganization following cerebellar infarcts is not yet known. This study aimed to demonstrate structural volumetric changes over time in the cortical vestibular and multisensory areas (i.e., brain plasticity) after acute cerebellar infarcts with vestibular and ocular motor symptoms. Additionally, we evaluated whether structural reorganization in the patients topographically correlates with cerebello-cortical connectivity that can be observed in healthy participants.

methodsWe obtained high-resolution structural imaging in seven patients with midline cerebellar infarcts at two time points. These data were compared to structural imaging of a group of healthy age-matched controls using voxel-based morphometry (2×2 ANOVA approach). The maximum overlap of the infarcts was used as a seed region for a separate resting-state functional connectivity analysis in healthy volunteers.

resultsVolumetric changes were detected in the multisensory cortical vestibular areas around the parieto-opercular and (retro-) insular cortex. Furthermore, structural reorganization was evident in parts of the frontal, temporal, parietal, limbic, and occipital lobes and reflected functional connections between the main infarct regions in the cerebellum and the cerebral cortex in healthy individuals.

conclusionsThis study demonstrates structural reorganization in the parieto-opercular insular vestibular cortex after acute vestibulo-cerebellar infarcts. Additionally, the widely distributed structural reorganization after midline cerebellar infarcts provides additional in vivo evidence for the multifaceted contribution of cerebellar processing to cortical functions that extend beyond vestibular or ocular motor function.

Indexed as

StrokeVestibule, LabyrinthCerebral CortexHumansMagnetic Resonance ImagingNeuronal PlasticityCerebellarNeuroplasticityStrokeVBMVestibular

Identifiers

PMID33676164
PMCPMC7933782
OpenAlexW3132883948

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.