Evidence map›Paper›PMID 37292458›Full record

ArticleBrain communications2023

Structural integrity of the insula and emotional facial recognition performance following stroke.

Kai Klepzig, Martin Domin, Julia Wendt, Bettina von Sarnowski, Alexander Lischke, Alfons O Hamm, Martin Lotze

Abstract read
In one paragraph

Article in Brain communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Social cognitive function in stroke survivors: A scoping review.Cerebral circulation - cognition and behavior · 2025
    Review
  6. Article
  7. Article
  8. Article
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.

Kai KlepzigFunctional Imaging Unit, Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Walther-Rathenau-Str.46, 17475 Greifswald, Germany.
Martin DominFunctional Imaging Unit, Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Walther-Rathenau-Str.46, 17475 Greifswald, Germany.
Julia WendtDepartment of Psychology, University of Potsdam, Karl-Liebknecht-Straße 24-25, 14476 Potsdam, Germany.
Bettina von SarnowskiDepartment of Neurology, University Medicine Greifswald, Sauerbruchstrasse, 17475 Greifswald, Germany.
Alexander LischkeDepartment of Psychology, Medical School Hamburg, Am Kaiserkai 1, 20457 Hamburg, Germany.
Alfons O HammBiological and Clinical Psychology, University of Greifswald, Franz-Mehring-Straße 47, 17475 Greifswald, Germany.
Martin LotzeFunctional Imaging Unit, Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Walther-Rathenau-Str.46, 17475 Greifswald, Germany.ORCID https://orcid.org/0000-0003-4519-4956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of the human insula in facial emotion recognition is controversially discussed, especially in relation to lesion-location-dependent impairment following stroke. In addition, structural connectivity quantification of important white-matter tracts that link the insula to impairments in facial emotion recognition has not been investigated. In a case-control study, we investigated a group of 29 stroke patients in the chronic stage and 14 healthy age- and gender-matched controls. Lesion location of stroke patients was analysed with voxel-based lesion-symptom mapping. In addition, structural white-matter integrity for tracts between insula regions and their primarily known interconnected brain structures was quantified by tractography-based fractional anisotropy. Our behavioural analyses showed that stroke patients were impaired in the recognition of fearful, angry and happy but not disgusted expressions. Voxel-based lesion mapping revealed that especially lesions centred around the left anterior insula were associated with impaired recognition of emotional facial expressions. The structural integrity of insular white-matter connectivity was decreased for the left hemisphere and impaired recognition accuracy for angry and fearful expressions was associated with specific left-sided insular tracts. Taken together, these findings suggest that a multimodal investigation of structural alterations has the potential to deepen our understanding of emotion recognition impairments after stroke.

Indexed as

brain lesion mappingfacial emotional recognitioninsulastrokewhite-matter integrity

Identifiers

PMID37292458
PMCPMC10244053

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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.