Evidence map›Paper›PMID 33916495›Full record

ReviewBrain sciences2021

Hippocampal Malrotation: A Genetic Developmental Anomaly Related to Epilepsy?

Ting-Ying Fu, Chen-Rui Ho, Chih-Hsiang Lin, Yan-Ting Lu, Wei-Che Lin, Meng-Han Tsai

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  5. Review
  6. Observational
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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

6 authors at 3 institutions in 1 country.

Ting-Ying FuDepartment of Pathology, Yuan's General Hospital, 162 Cheng Hung 1st Road, Kaohsiung 80249, Taiwan.
Chen-Rui HoDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosung District, Kaohsiung 83301, Taiwan.ORCID 0000-0001-8800-3932
Chih-Hsiang LinDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosung District, Kaohsiung 83301, Taiwan.
Yan-Ting LuDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosung District, Kaohsiung 83301, Taiwan.
Wei-Che LinDepartment of Radiology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 83301, Taiwan.
Meng-Han TsaiDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital, 123 Dapi Road, Niaosung District, Kaohsiung 83301, Taiwan.ORCID 0000-0002-4570-5712
Kaohsiung Chang Gung Memorial Hospital · TWChang Gung University · TWYuan's General Hospital · TW

Funding

Chang Gung Medical Foundation CMRPG8J1161, CMRPG8K0631,CMRPG8K1441Ministry of Science and Technology, Taiwan MOST107-2314-B-182A-057-MA3National Health Research Institute, Taiwan NHRI-EX110-11022NI
6 · The paper itself

Abstract

Hippocampal malrotation (HIMAL) is an increasingly recognized neuroimaging feature but the clinical correlation and significance in epilepsies remain under debate. It is characterized by rounded hippocampal shape, deep collateral, or occipitotemporal sulcus, and medial localization of the hippocampus. In this review, we describe the embryonic development of the hippocampus and HIMAL, the qualitative and quantitative diagnosis issues, and the pathological findings of HIMAL. HIMAL can be bilateral or unilateral and more on the left side. Furthermore, the relevance of HIMAL diagnosis in clinical practice, including its role in epileptogenesis and the impact on the pre-surgical decision are reviewed. Finally, the relationship between HIMAL and hippocampal sclerosis (HS) and the possible role of genetics in the etiology of HIMAL are discussed. The evidence so far suggested that HIMAL does not have a significant role in epileptogenesis or surgical decision. HIMAL could be a genetic developmental imaging feature that represents a more diffuse but subtle structural error during brain development. Many questions remain to be explored, such as possible cognitive alteration associated with HIMAL and whether HIMAL predisposes to the development of HS. Further studies using high-quality MRI, unified consensus qualitative and quantitative diagnostic criteria, and comprehensive cognitive assessment are recommended.

Indexed as

epilepsygeneticsHippocampal malrotationHippocampal SclerosisMRI

Identifiers

PMID33916495
PMCPMC8067421
OpenAlexW3142809247

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.