Evidence map›Paper›PMID 39797565›Full record

ArticleEuropean journal of neurology2025

Decreased Structural Connectivity Between Thalamic Nuclei and Hippocampus in Temporal Lobe Epilepsy-A Diffusion Tensor Imaging-Based Study.

Mehmet S Yildirim, Radheshyam Stepponat, Florian Ph S Fischmeister, Matthias Tomschik, Victor Schmidbauer, Farjad Khalaveh, Johannes Koren, Christoph Baumgartner, Ekaterina Pataraia, Silvia Bonelli and 3 more

Abstract read
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Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

13 authors.

Mehmet S YildirimDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4190-7277
Radheshyam StepponatDevelopmental and Interventional Neuroimaging Lab (DINLAB), Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Florian Ph S FischmeisterDevelopmental and Interventional Neuroimaging Lab (DINLAB), Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-4573-7666
Matthias TomschikDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-6243-1178
Victor SchmidbauerDivision of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Vienna, Austria.
Farjad KhalavehDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-6607-7770
Johannes KorenDepartment of Neurology, Clinic Hietzing, Vienna, Austria.
Christoph BaumgartnerDepartment of Neurology, Clinic Hietzing, Vienna, Austria.
Ekaterina PataraiaDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Silvia BonelliDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Karl RösslerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Gregor KasprianDevelopmental and Interventional Neuroimaging Lab (DINLAB), Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Christian DorferDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporal lobe epilepsy (TLE) can lead to structural brain abnormalities, with thalamus atrophy being the most common extratemporal alteration. This study used probabilistic tractography to investigate the structural connectivity between individual thalamic nuclei and the hippocampus in TLE.

methodsThirty-six TLE patients who underwent pre-surgical 3 Tesla magnetic resonance imaging (MRI) and 18 healthy controls were enrolled in this study. Patients were subdivided into TLE with HS (TLE-HS) and MRI-negative TLE (TLE-MRneg). Tractography and whole brain segmentation, including thalamus parcellation, were performed to determine the number of streamlines per mm

resultsThe volume of the entire thalamus ipsilateral to seizure onset was significantly decreased in TLE-HS compared to controls (Mann-Whitney-U test: p

conclusionsANT showed atrophy and decreased connectivity in TLE-HS, which correlated with epilepsy duration and seizure frequency. Understanding the dynamics of epileptogenic networks has the potential to shed light on surgery-resistant epilepsy and refine the selection process for ideal neurosurgical candidates, consequently enhancing post-surgical outcomes.

Indexed as

Epilepsy, Temporal LobeHippocampusThalamic NucleiAdultDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysYoung Adultanterior thalamic nucleidiffusion tensor imaginghippocampal sclerosisstructural brain networktemporal lobe epilepsy

Identifiers

PMID39797565
PMCPMC11724195

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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.