Evidence map›Paper›PMID 38018655›Full record

ArticleCNS neuroscience & therapeutics2024

Distinct alterations of retinal structure between thalamic and extra-thalamic subcortical infarction patients: A cross-sectional and longitudinal study.

Ruosu Pan, Chen Ye, Zhimeng Zhang, William Robert Kwapong, Ruilin Wang, Kun Lu, Lanhua Liao, Yuying Yan, Tang Yang, Le Cao and 5 more

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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  4. Imbalance and gait impairment in Parkinson's disease: discussing postural instability and ataxia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 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

15 authors at 1 institution in 1 country.

Ruosu PanDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0009-0007-1857-2604
Chen YeDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0003-2969-5486
Zhimeng ZhangWest China School of Medicine, Sichuan University, Chengdu, China.
William Robert KwapongDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-9633-4694
Ruilin WangDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China.
Kun LuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Lanhua LiaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Yuying YanDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Tang YangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Le CaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-0414-9932
Shuai JiangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Xuening ZhangDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Junfeng LiuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Wendan TaoDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.
Bo WuDepartment of Neurology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0003-2067-9965
Sichuan University · CN

Funding

1.3.5 Project for Clinical Research Incubation Project 2020HXFH012Fundamental Research Funds for the Central Universities ZYGX2022YGRH017Medical-Engineering Integration Interdisciplinary Talent Training Fund Project of West China Hospital, Sichuan University and University of Electronic Science and Technology of China HXDZ22011National Natural Science Foundation of China 82071320Sichuan Science and Technology Program 2019YJ0037
6 · The paper itself

Abstract

aimsCerebrovascular lesions in the primary visual cortex, the lateral geniculate nucleus, and the optic tract have been associated with retinal neurodegeneration via the retrograde degeneration (RD) mechanism. We aimed to use optical coherence tomography (OCT) to assess the effects of the strategic single subcortical infarction (SSI) location on retinal neurodegeneration and its longitudinal impacts.

methodsPatients with SSI were enrolled and stratified by lesion location on cerebral MRI into the thalamic infarction group and extra-thalamic infarction group. Healthy controls from the native communities were also recruited. Retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GCIPL) were quantified using OCT. Generalized estimating equation (GEE) models were used for cross-sectional analyses and linear mixed models for longitudinal analyses. P < 0.05 was considered statistically significant.

resultsWe included a total of 283 eyes from 149 SSI patients. Of these, 115 eyes of 60 patients with follow-up were included in the longitudinal analyses. Cross-sectionally, thalamic-infarction patients had reduced retinal thickness compared with extra-thalamic infarction patients after adjustment for age, gender, disease duration, and vascular risk factors (p = 0.026 for RNFL, and p = 0.026 for GCIPL). Longitudinally, SSI patients showed greater retinal thinning compared with healthy controls over time (p = 0.040 for RNFL, and p < 0.001 for GCIPL), and thalamic infarction patients exhibited faster rates of GCIPL thinning in comparison with extra-thalamic infarction patients (p < 0.001).

conclusionOur study demonstrates a distinct effect of subcortical infarction lesion site on the retina both at the early stage of disease and at the 1-year follow-up time. These results present evidence of significant associations between strategic infarction locations and retinal neurodegeneration. It may provide novel insights for further research on RD in stroke patients and ultimately facilitate individualized recovery therapeutic strategy.

Indexed as

Nerve FibersRetinal Ganglion CellsCerebral InfarctionCross-Sectional StudiesHumansLongitudinal StudiesRetinaTomography, Optical CoherenceVisual Acuityoptical coherence tomographyretinaretrograde degenerationsingle subcortical infarctionstrategic infarction lesion location

Identifiers

PMID38018655
PMCPMC11017429
OpenAlexW4389141644

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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.