Evidence map›Paper›PMID 34029858›Full record

ArticleCortex; a journal devoted to the study of the nervous system and behavior2021

Network topology of the cognitive phenotypes of temporal lobe epilepsy.

Camille Garcia-Ramos, Aaron F Struck, Cole Cook, Vivek Prabhakaran, Veena Nair, Rama Maganti, Jeffrey R Binder, Marybeth Meyerand, Lisa L Conant, Bruce Hermann

Open access · greenAbstract read
In one paragraph

Article in Cortex; a journal devoted to the study of the nervous system and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. The network neuropsychology of juvenile myoclonic epilepsy.Cortex; a journal devoted to the study of the nervous system and behavior · 2025
    Article
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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

10 authors at 2 institutions in 1 country.

Camille Garcia-RamosDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; Department of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. Electronic address: garciaramos@wisc.edu.
Aaron F StruckDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; Middleton Veterans Administration Hospital, Madison, WI, USA.
Cole CookDepartment of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Vivek PrabhakaranDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Veena NairDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Rama MagantiDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jeffrey R BinderDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Marybeth MeyerandDepartment of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Lisa L ConantDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.
Bruce HermannDepartment of Neurology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
University of Wisconsin–Madison · USMedical College of Wisconsin · US

Funding

U.W. RADIOLOGICAL SCIENCES TRAINING PROGRAMT32CA009206 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Bryan Patrick Bednarz · 1985 to 2026
$12.1M
The Epilepsy Connectome ProjectU01NS093650 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI BINDER, JEFFREY R, MEYERAND, MARY E. · 2015 to 2018
$5.1M
The Juvenile Myoclonic Epilepsy Connectome ProjectR01NS111022 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI STRUCK, AARON F · 2020 to 2024
$3.1M
NCI NIH HHS T32 CA009206NINDS NIH HHS R01 NS111022NINDS NIH HHS U01 NS093650
6 · The paper itself

Abstract

purposeThe neuropsychological complications of temporal lobe epilepsy are characterized by a spectrum of reproducible cognitive phenotypes that vary in the presence, type and degree of impairment. The nature of the disruptions to the neuropsychological networks that underlie these phenotypes remain to be characterized and represent the subject of this investigation.

methodsParticipants included 30 healthy controls and 104 patients with temporal lobe epilepsy who fell into three cognitive phenotypes (intact, focal impairment, generalized impairment). Eighteen neuropsychological measures representing multiple cognitive domains (language, memory, executive function, visuoperception, motor speed) were examined by graph theory techniques within the control and each epilepsy cognitive phenotype group to characterize their global and local network properties.

resultsAcross the control and epilepsy cognitive phenotype groups (intact to focal to generalized impairment), there was: 1) an orderly breakdown in the positive manifold reflected by a stepwise reduction of positive associations among the neuropsychological tests, 2) stepwise abnormal increases in global measures including the normalized clustering coefficient and modularity index, 3) stepwise abnormal decreases in normalized global efficiency, 4) a community structure demonstrating well organized modules within the control group while each epilepsy group showed deviations from controls, and 5) lower strength, compared to controls, across 8 nodes in the focal and generalized impairment groups compared to only 3 nodes in the no-impairment epilepsy group, pointing to the superior integration of local connections in controls. DISCUSSION: The cognitive phenotypes of temporal lobe epilepsy are characterized by orderly abnormalities in their underlying neuropsychological networks. These findings inform the network perturbations that underlie the taxonomy of cognitive abnormality in temporal lobe epilepsy and provide a model for examination of similar issues in other focal and generalized epilepsies.

Indexed as

Epilepsy, Temporal LobeCognitionExecutive FunctionHumansNeuropsychological TestsPhenotypeCognitionGraph theoryNetwork analysisPhenotypesTemporal lobe epilepsy

Identifiers

PMID34029858
PMCPMC8319135
OpenAlexW3160953463

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.