Evidence map›Paper›PMID 39854170›Full record

ReviewBrain : a journal of neurology2025

The impact of resective epilepsy surgery on the brain network: evidence from post-surgical imaging.

Lucas E Sainburg, Dario J Englot, Victoria L Morgan

Abstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. [Adeno-associated virus-mediated gene therapy for genetic epilepsy: prospects and challenges].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The intraoperative SEEG andActa neurochirurgica · 2025
    Article
  13. Article
  14. 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

3 authors.

Lucas E SainburgDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37240, USA.ORCID 0000-0003-1508-5871
Dario J EnglotDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37240, USA.
Victoria L MorganDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37240, USA.ORCID 0000-0001-8263-2324

Funding

The Role of Network Connectivity in Post-Surgical Seizure Recurrence in Temporal Lobe EpilepsyR01NS110130 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, VICTORIA L · 2018 to 2023
$2.5M
MRI Connectivity Biomarkers of Treatment Response in Focal EpilepsyR01NS108445 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MORGAN, VICTORIA L · 2019 to 2024
$2.5M
Seizure onset zone localization with functional MRI correlates of interictal physiology in temporal lobe epilepsyF31NS135908 · NINDS · VANDERBILT UNIVERSITY · PI SAINBURG, LUCAS · 2024 to 2025
$87k
National Institute of Neurological DisordersNIH HHS NIH F31NS135908NIH HHS NIH R01NS110130NIH HHS R01NS108445NINDS NIH HHS F31 NS135908NINDS NIH HHS R01 NS108445NINDS NIH HHS R01 NS110130
6 · The paper itself

Abstract

Resective epilepsy surgery can be an effective treatment for patients with medication-resistant focal epilepsy. Epilepsy resection consists of the surgical removal of an epileptic focus to stop seizure generation and disrupt the epileptic network. However, even focal surgical resections for epilepsy lead to widespread brain network changes. Understanding the impact of epilepsy surgery on the brain is crucial to improve surgical outcomes for patients. Here we provide a summary of studies imaging the postsurgical effects of epilepsy resection on the brain. We focus on MRI and PET studies of temporal lobe and paediatric epilepsy, reflecting the current literature. We discuss three potential mechanisms for surgery-induced brain changes: damage and degeneration, recovery, and reorganization. We additionally review the postsurgical brain correlates of surgical outcomes as well as the potential to predict the impact of surgery on an individual patient's brain. A comprehensive characterization of the impact of surgery on the brain and precise methods to predict these brain network changes could lead to more personalized surgeries that improve seizure outcomes and reduce neuropsychological deficits after surgery.

Indexed as

BrainDrug Resistant EpilepsyEpilepsyNerve NetNeurosurgical ProceduresHumansMagnetic Resonance ImagingPositron-Emission TomographyconnectivityMRIneurodegenerationneuroplasticityPETreorganization

Identifiers

PMID39854170
PMCPMC12129734

What OpenQuestion holds

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LicenceCC BY-NC
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.