Evidence map›Paper›PMID 40432232›Full record

ArticleEuropean journal of neurology2025

Clinical Findings in Temporal Lobe Epilepsy Associated With Isolated Amygdala Enlargement.

Annika Kirscht, Johann Philipp Zöllner, Nadine Conradi, Elisabeth Neuhaus, Elke Hattingen, Marcus Belke, Susanne Knake, Laurent Willems, Jennifer Wichert, Andreas Jansen and 2 more

Abstract read
In one paragraph

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Annika KirschtDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.ORCID 0009-0004-3372-1151
Johann Philipp ZöllnerDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0002-7245-2562
Nadine ConradiDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.
Elisabeth NeuhausDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.
Elke HattingenGoethe-University Frankfurt, Center for Personalized Translational Epilepsy Research, Frankfurt am Main, Germany.
Marcus BelkePhilipps-University Marburg, Department of Neurology, Epilepsy Center Hessen, Marburg, Germany.
Susanne KnakeGoethe-University Frankfurt, Center for Personalized Translational Epilepsy Research, Frankfurt am Main, Germany.
Laurent WillemsDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.
Jennifer WichertDepartment of Nuclear Medicine, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.
Andreas JansenPhilipps-University Marburg, Department of Psychiatry and Psychotherapy, Marburg, Germany.
Felix RosenowDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.
Adam StrzelczykDepartment of Neurology and Epilepsy Center Frankfurt Rhine-Main, Goethe-University Frankfurt, University Hospital Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0001-6288-9915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMesial temporal lobe epilepsy (mTLE) infrequently presents with isolated amygdala enlargement (AE), but its relevance remains ambiguous. We therefore investigated clinical, imaging, and histopathological findings in mTLE-AE compared to non-lesional mTLE (mTLE-NL) patients, and additionally strategies for identifying AE.

methodsWe detected AE by automated volumetry of otherwise unremarkable magnetic resonance images of mTLE patients, compared with a healthy comparator. Autoimmune inflammation as an AE cause was excluded using the Graus criteria. We compared clinical and neuropsychological variables between mTLE-AE and mTLE-NL. Secondary assessment of AE was by neuroradiologist visual detection.

resultsOf 63 mTLE patients, 15 had mTLE-AE. In these, normalized mean volume was 1857.58 mm

conclusionsmTLE-AE has no specific clinical profile compared to non-lesional mTLE and features diverse underlying pathologies. Volumetric detection appears more conservative than conventional qualitative visual analysis, but may miss cases of subtle AE. Combining automated volumetry with visual assessment may improve AE detection.

Indexed as

AmygdalaEpilepsy, Temporal LobeAdolescentAdultFemaleHumansHypertrophyMagnetic Resonance ImagingMaleMiddle AgedYoung Adulthistopathologyneuroimagingneuropsychologyseizurestemporal lobe

Identifiers

PMID40432232
PMCPMC12116932

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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.