Evidence map›Paper›PMID 39298378›Full record

SynthesisRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2024

The amygdala as a therapeutic target for aggressive and disruptive behaviors: a systematic review.

Juan Camilo Salcedo-Moreno, Fernando Peralta-Pizza, Paola Vélez-Jimenez, David Arteaga-Ortiz, Lina María Villegas-Trujillo, Oscar Andrés Escobar-Vidarte

Abstract readSystematic Review
In one paragraph

Synthesis in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

6 authors.

Juan Camilo Salcedo-MorenoSección de Neurocirugía, Universidad del Valle, Cali, Colombia.
Fernando Peralta-PizzaSección de Neurocirugía, Universidad del Valle, Cali, Colombia.
Paola Vélez-JimenezSección de Neurocirugía, Universidad Javeriana, Cali, Colombia.
David Arteaga-OrtizEscuela de Medicina, Universidad del Valle, Cali, Colombia.
Lina María Villegas-TrujilloSección de Neurocirugía, Universidad del Valle, Cali, Colombia.
Oscar Andrés Escobar-VidarteSección de Neurocirugía, Universidad del Valle, Cali, Colombia. Sección de Neurocirugía, Hospital Universitario del Valle, Cali, Colombia. Departamento de Neurocirugía, Fundación Valle del Lili, Cali, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the effects of amygdala neuromodulation on disruptive behavior and quality of life changes in patients and its relationship with epilepsy.

methodsThe MEDLINE, OVID, WoS, Central Cochrane, and Scopus databases were systematically searched up to March 2023 for studies with at least six months of follow-up on extremely aggressive patients who underwent ablative surgeries or deep brain stimulation of the amygdala as the unique therapeutic target.

resultsThe search yielded 1,352 studies after excluding duplicates. However, only 11 case series and three case reports met the inclusion criteria. The studies were published between 1963 and 2023 and included 1,033 patients, mostly male, aged between 5 and 61 years. All of the studies performed amygdalotomy except one, which performed deep brain stimulation. Behavior improved in > 70% of the patients, and seizures occurred in approximately 30%, of whom 40% presented improvement. Two studies reported worsening behavior.

conclusionsAlthough we found that amygdalotomy has a positive effect on patient behavior and seizure control, new studies with greater power are needed. Future studies should investigate deep brain stimulation and the role of connectomics regarding this brain structure.

Indexed as

AggressionAmygdalaDeep Brain StimulationEpilepsyProblem BehaviorAdultChildFemaleHumansMaleQuality of LifeTreatment OutcomeAggressive behavioramygdalaneuromodulationstereotactic surgery

Identifiers

PMID39298378
PMCPMC11773330

What OpenQuestion holds

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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.