Evidence map›Paper›PMID 35079091›Full record

ArticleScientific reports2022

Scalp HFO rates decrease after successful epilepsy surgery and are not impacted by the skull defect resulting from craniotomy.

Dorottya Cserpan, Antonio Gennari, Luca Gaito, Santo Pietro Lo Biundo, Ruth Tuura, Johannes Sarnthein, Georgia Ramantani

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. 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
2.5field-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

13 citing papers in PubMed, 20 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

7 authors at 3 institutions in 1 country.

Dorottya CserpanDepartment of Neuropediatrics, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Antonio GennariDepartment of Neuropediatrics, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Luca GaitoDepartment of Neuropediatrics, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Santo Pietro Lo BiundoDepartment of Neuropediatrics, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Ruth TuuraMR-Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.
Johannes SarntheinDepartment of Neurosurgery, University Hospital Zurich, Zurich, Switzerland.
Georgia RamantaniDepartment of Neuropediatrics, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland. georgia.ramantani@kispi.uzh.ch.
University Children's Hospital Zurich · CHUniversity of Zurich · CHUniversity Hospital of Zurich · CH

Funding

Swiss National Science Foundation CRSK-3_190895
6 · The paper itself

Abstract

Epilepsy surgery can achieve seizure freedom in selected pediatric candidates, but reliable postsurgical predictors of seizure freedom are missing. High frequency oscillations (HFO) in scalp EEG are a new and promising biomarker of treatment response. However, it is unclear if the skull defect resulting from craniotomy interferes with HFO detection in postsurgical recordings. We considered 14 children with focal lesional epilepsy who underwent presurgical evaluation, epilepsy surgery, and postsurgical follow-up of ≥ 1 year. We identified the nearest EEG electrodes to the skull defect in the postsurgical MRI. We applied a previously validated automated HFO detector to determine HFO rates in presurgical and postsurgical EEG. Overall, HFO rates showed a positive correlation with seizure frequency (p < 0.001). HFO rates in channels over the HFO area decreased following successful epilepsy surgery, irrespective of their proximity to the skull defect (p = 0.005). HFO rates in channels outside the HFO area but near the skull defect showed no increase following surgery (p = 0.091) and did not differ from their contralateral channels (p = 0.726). Our observations show that the skull defect does not interfere with postsurgical HFO detection. This supports the notion that scalp HFO can predict postsurgical seizure freedom and thus guide therapy management in focal lesional epilepsy.

Indexed as

AdolescentBiomarkersBrain WavesChildChild, PreschoolCraniotomyElectrodesEpilepsies, PartialFemaleFollow-Up StudiesHumansInfantMagnetic Resonance ImagingMaleProspective StudiesScalpBiomarkers

Identifiers

PMID35079091
PMCPMC8789862
OpenAlexW4210400123

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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.