Evidence map›Paper›PMID 39152643›Full record

ArticleAnnals of clinical and translational neurology2024

Altered structural network in temporal lobe epilepsy with focal to bilateral tonic-clonic seizures.

Yi Ge, Cong Chen, Hong Li, Ruyi Wang, Yuyu Yang, Lingqi Ye, Chenmin He, Ruotong Chen, Zijian Wang, Xiaotong Shao and 7 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

17 authors.

Yi Ge *Department of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Cong Chen *Department of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Hong LiDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Ruyi WangDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yuyu YangDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Lingqi YeDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Chenmin HeDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Ruotong ChenDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Zijian WangDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Xiaotong ShaoDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yuting GongDepartment of Radiology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Linglin YangDepartment of Psychiatry, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Shan WangDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID 0000-0002-0380-3912
Jiping ZhouDepartment of Neurology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Xunyi WuDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, China.
Shuang WangDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID 0000-0001-5211-9036
Yao DingDepartment of Neurology, Epilepsy Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID 0000-0002-0599-8872

Funding

Department of Science and Technology of Zhejiang Province LY24H090004National Key Research and Development Program of China 2022YFC2503803National Natural Science Foundation of China (NSFC) 81971208National Natural Science Foundation of China (NSFC) 82001365National Natural Science Foundation of China (NSFC) 82171437National Natural Science Foundation of China (NSFC) 82171889National Natural Science Foundation of China (NSFC) 82301636
6 · The paper itself

Abstract

objectivesThis study aims to investigate whether alterations in white matter topological networks are associated with focal to bilateral tonic-clonic seizures (FBTCS) in temporal lobe epilepsy (TLE). Additionally, we investigated the variables contributing to memory impairment in TLE.

methodsThis cross-sectional study included 88 unilateral people with TLE (45 left/43 right), and 42 healthy controls. Graph theory analysis was employed to compare the FBTCS (+) group (n = 51) with the FBTCS (-) group (n = 37). The FBTCS (+) group was subcategorized into current-FBTCS (n = 31) and remote-FBTCS (n = 20), based on the history of FBTCS within 1 year or longer than 1 year before scanning, respectively. We evaluated the discriminatory power of topological network properties by receiver operating characteristic (ROC) analysis. Generalized linear models (GLMs) were employed to investigate variables associated with memory impairment in TLE.

resultsGlobal efficiency (Eg) was significantly reduced in the FBTCS (+) group, especially in the current-FBTCS subgroup. Greater disruption of regional properties in the ipsilateral occipital and temporal association cortices was observed in the FBTCS (+) group. ROC analysis revealed that Eg, normalized characteristic shortest path length, and nodal efficiency of the ipsilateral middle temporal gyrus could distinguish between FBTCS (+) and FBTCS (-) groups. Additionally, GLMs linked the occurrence of current FBTCS with poorer verbal memory outcomes in TLE.

interpretationOur study suggests that abnormal networks could be the structural basis of seizure propagation in FBTCS. Strategies aimed at reducing the occurrence of FBTCS could potentially improve the memory outcomes in people with TLE.

Indexed as

Epilepsy, Temporal LobeSeizuresWhite MatterAdultCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMemory DisordersMiddle AgedNerve NetYoung Adult

Identifiers

PMID39152643
PMCPMC11537139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.