Evidence map›Paper›PMID 34981639›Full record

ArticleCNS neuroscience & therapeutics2022

Asymmetric distribution of enlarged perivascular spaces in centrum semiovale may be associated with epilepsy after acute ischemic stroke.

Nian Yu, Benjamin Sinclair, Lina Maria Garcia Posada, Zhibin Chen, Qing Di, Xingjian Lin, Scott Kolbe, Gernot Hlauschek, Patrick Kwan, Meng Law

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  9. Diffusion Tensor Image Analysis ALong the Perivascular Space (DTI-ALPS): Revisiting the Meaning and Significance of the Method.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2024
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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 6 institutions in 5 countries.

Nian YuDepartment of Neurology, The Affiliated Nanjing Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0003-2988-4658
Benjamin SinclairDepartment of Neuroscience, Monash University, Melbourne, Vic., Australia.
Lina Maria Garcia PosadaDepartment of Radiology, Alfred Hospital, Melbourne, Vic., Australia.
Zhibin ChenDepartment of Neuroscience, Monash University, Melbourne, Vic., Australia.
Qing DiDepartment of Neurology, The Affiliated Nanjing Brain Hospital of Nanjing Medical University, Nanjing, China.
Xingjian LinDepartment of Neurology, The Affiliated Nanjing Brain Hospital of Nanjing Medical University, Nanjing, China.
Scott KolbeDepartment of Neuroscience, Monash University, Melbourne, Vic., Australia.
Gernot HlauschekNational Centre for Epilepsy, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.
Patrick KwanDepartment of Neurology, Royal Melbourne Hospital, Melbourne, Vic., Australia.
Meng LawDepartment of Radiology, Alfred Hospital, Melbourne, Vic., Australia.
Monash University · AUNanjing Brain Hospital · CNThe Alfred Hospital · AUThe Royal Melbourne Hospital · AUOslo University Hospital · NOUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the factors influencing enlarged perivascular space (EPVS) characteristics at the onset of acute ischemic stroke (AIS), and whether the PVS characteristics can predict later post-stroke epilepsy (PSE).

methodsA total of 312 patients with AIS were identified, of whom 58/312 (18.6%) developed PSE. Twenty healthy participants were included as the control group. The number of PVS in the basal ganglia (BG), centrum semiovale (CS), and midbrain (MB) was manually calculated on T

resultsThe EPVS scores were significantly higher in the bilateral BG and CS of AIS patients compared to those of the control group (both p < 0.01). No statistical differences in EPVS scores in BG, CS, and MB were obtained between the PSE group and the nonepilepsy AIS group (all p > 0.01). However, markedly different AI scores in CS were found between the PSE group and the nonepilepsy AIS group (p = 0.004). Multivariable analysis showed that high asymmetry index of EPVS (AI≥0.2) in CS was an independent predictor for PSE (OR = 3.7, 95% confidence interval 1.5-9.1, p = 0.004).

conclusionsAsymmetric distribution of EPVS in CS may be an independent risk factor and a novel imaging biomarker for the development of PSE. Further studies to understand the mechanisms of this association and confirmation with larger patient populations are warranted.

Indexed as

EpilepsyGlymphatic SystemIschemic StrokeStrokeBasal GangliaCorpus CallosumHumansMagnetic Resonance Imagingasymmetric indexcentrum semiovaleenlarged perivascular spaceepileptogenesispost-stroke epilepsy

Identifiers

PMID34981639
PMCPMC8841310
OpenAlexW4205651344

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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.