Evidence map›Paper›PMID 36826513›Full record

ArticleBrain structure & function2023

Amygdala lesions are associated with improved mood after epilepsy surgery.

Fatimah M Albazron, Nicholas T Trapp, Daniel Tranel, Matthew A Howard, Aaron D Boes

Open access · greenAbstract read
In one paragraph

Article in Brain structure & function, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 7 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

5 authors at 1 institution in 1 country.

Fatimah M AlbazronDepartment of Pediatrics, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0003-2053-3528
Nicholas T TrappDepartment of Psychiatry, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0003-0287-2964
Daniel TranelDepartment of Neurology, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0002-1338-1389
Matthew A HowardDepartment of Neurosurgery, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0003-3935-8889
Aaron D BoesDepartment of Pediatrics, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA. aaron-boes@uiowa.edu.ORCID http://orcid.org/0000-0002-7865-9257
University of Iowa · US

Funding

HUMAN AUDITORY CORTEX PHYSIOLOGYR01DC004290 · NIDCD · UNIVERSITY OF IOWA · PI HOWARD, MATTHEW A. · 2000 to 2025
$13.7M
Predicting Cognitive Outcomes from Stroke Based on Lesion LocationR01NS114405 · NINDS · UNIVERSITY OF IOWA · PI BOES, AARON D · 2020 to 2024
$2.1M
University of Iowa - Research 3T MRI Connectome UpgradeS10OD025025 · OD · UNIVERSITY OF IOWA · PI MAGNOTTA, VINCENT A · 2018 to 2018
$1.9M
Investigating Network Plasticity Effects of Repetitive Brain Stimulation Following Invasive and Noninvasive Methods in HumansK23MH125145 · NIMH · UNIVERSITY OF IOWA · PI TRAPP, NICHOLAS THOMAS · 2021 to 2025
$934k
NIDCD NIH HHS R01 DC004290NIH HHS S10 OD025025NIMH NIH HHS K23 MH125145NIMH NIH HHS L30 MH131226NINDS NIH HHS R01 NS114405
6 · The paper itself

Abstract

Neuroimaging studies in healthy and clinical populations strongly associate the amygdala with emotion, especially negative emotions. The consequences of surgical resection of the amygdala on mood are not well characterized. We tested the hypothesis that amygdala resection would result in mood improvement. In this study, we evaluated a cohort of 52 individuals with medial temporal lobectomy for intractable epilepsy who had resections variably involving the amygdala. All individuals achieved good post-surgical seizure control and had pre- and post-surgery mood assessment with the Beck Depression Inventory (BDI) ratings. We manually segmented the surgical resection cavities and performed multivariate lesion-symptom mapping of change in BDI. Our results showed a significant improvement in average mood ratings from pre- to post-surgery across all patients. In partial support of our hypothesis, resection of the right amygdala was significantly associated with mood improvement (r = 0.5, p = 0.008). The lesion-symptom map also showed that resection of the right hippocampus and para-hippocampal gyrus was associated with worsened post-surgical mood. Future studies could evaluate this finding prospectively in larger samples while including other neuropsychological outcome measures.

Indexed as

EpilepsyEpilepsy, Temporal LobeAmygdalaHippocampusHumansMagnetic Resonance ImagingTemporal LobeTreatment OutcomeAmygdalaLesion symptom mappingMood changesTemporal lobe epilepsy

Identifiers

PMID36826513
PMCPMC10637769
OpenAlexW4321748950

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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.