Evidence map›Paper›PMID 36480557›Full record

ArticleAnnals of clinical and translational neurology2023

Development of the corpus callosum and cognition after neonatal encephalopathy.

Hollie Byrne, Arthur P C Spencer, Georgia Geary, Sally Jary, Marianne Thoresen, Frances M Cowan, Jonathan C W Brooks, Elavazhagan Chakkarapani

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 13 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

8 authors at 6 institutions in 3 countries.

Hollie ByrneClinical Research and Imaging Centre, University of Bristol, Bristol, UK.ORCID 0000-0003-3583-2176
Arthur P C SpencerClinical Research and Imaging Centre, University of Bristol, Bristol, UK.ORCID 0000-0001-7869-6261
Georgia GearyRoyal Glamorgan Hospital, Cwm Taf University Health Board, Abercynon, UK.
Sally JaryTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0003-1335-1726
Marianne ThoresenTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-9615-9109
Frances M CowanTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jonathan C W BrooksClinical Research and Imaging Centre, University of Bristol, Bristol, UK.ORCID 0000-0003-3335-6209
Elavazhagan ChakkarapaniTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0003-3380-047X
University of Bristol · GBRoyal Glamorgan Hospital · GBThe University of Melbourne · AUUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of East Anglia · GBUniversity of Oslo · NO

Funding

Medical Research Council MR/N026969/1Wellcome Trust WT220070/Z/20/Z
6 · The paper itself

Abstract

objectiveNeonatal imaging studies report corpus callosum abnormalities after neonatal hypoxic-ischaemic encephalopathy (HIE), but corpus callosum development and relation to cognition in childhood are unknown. Using magnetic resonance imaging (MRI), we examined the relationship between corpus callosum size, microstructure and cognitive and motor outcomes at early school-age children cooled for HIE (cases) without cerebral palsy compared to healthy, matched controls. A secondary aim was to examine the impact of HIE-related neonatal brain injury on corpus callosum size, microstructure and growth.

methodsParticipants aged 6-8 years underwent MRI, the Movement Assessment Battery for Children Second Edition and Wechsler Intelligence Scale for Children Fourth Edition. Cross-sectional area, volume, fractional anisotropy and radial diffusivity of the corpus callosum and five subdivisions were measured. Multivariable regression was used to assess associations between total motor score, full-scale IQ (FSIQ) and imaging metrics.

resultsAdjusting for age, sex and intracranial volume, cases (N = 40) compared to controls (N = 39) demonstrated reduced whole corpus callosum area (β = -26.9, 95% confidence interval [CI] = -53.17, -0.58), volume (β = -138.5, 95% CI = -267.54, -9.56), fractional anisotropy and increased radial diffusivity (P < 0.05) within segments II-V. In cases, segment V area (β = 0.18, 95% CI = 0.004, 0.35), volume (β = 0.04, 95% CI = 0.001, 0.079), whole corpus callosum fractional anisotropy (β = 13.8 95% CI = 0.6, 27.1) and radial diffusivity (β = -11.3, 95% CI = -22.22, -0.42) were associated with FSIQ. Growth of the corpus callosum was restricted in cases with a FSIQ ≤85, and volume was reduced in cases with mild neonatal multifocal injury compared to white matter injury alone.

interpretationFollowing neonatal HIE, morphological and microstructural changes in the corpus callosum are associated with reduced cognitive function at early school age.

Indexed as

Brain InjuriesCognitionCorpus CallosumCase-Control StudiesChildDiffusion Magnetic Resonance ImagingHumansInfant, NewbornMagnetic Resonance Imaging

Identifiers

PMID36480557
PMCPMC9852393
OpenAlexW4310957600

What OpenQuestion holds

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LicenceCC BY
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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.