Evidence map›Paper›PMID 40536189›Full record

ArticleHuman brain mapping2025

Structural White Matter Correlates of the Crowding Effect: Insights From a Tractography Study of the Arcuate Fasciculus Post-Hemispherotomy.

Justus Bisten, Johannes Grün, Christian Hoppe, Tobias Bauer, Nina R Held, Renata Rose, Anita Althausen, Juri-Alexander Witt, Valeri Borger, Matthias Schneider and 6 more

Abstract read
In one paragraph

Article in Human brain mapping, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Justus BistenDepartment of Neuroradiology, University Hospital Bonn, Bonn, Germany.
Johannes GrünInstitute for Computer Science, University of Bonn, Bonn, Germany.
Christian HoppeDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Tobias BauerDepartment of Neuroradiology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-0555-6214
Nina R HeldDepartment of Neuroradiology, University Hospital Bonn, Bonn, Germany.
Renata RoseDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Anita AlthausenDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Juri-Alexander WittDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Valeri BorgerDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Matthias SchneiderDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Hartmut VatterDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Christoph HelmstaedterDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Alexander RadbruchDepartment of Neuroradiology, University Hospital Bonn, Bonn, Germany.
Rainer SurgesDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Thomas SchultzInstitute for Computer Science, University of Bonn, Bonn, Germany.
Theodor RüberDepartment of Neuroradiology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-6180-7671

Funding

Bundesministerium für Bildung und Forschung EPI-Center-AINeuro-aCSis Bonn Neuroscience Clinician Scientist ProgramTRA Life and Health (University of Bonn)
6 · The paper itself

Abstract

The neuropsychological crowding effect denotes the reallocation of cognitive functions within the contralesional hemisphere following unilateral brain damage, prioritizing language at the expense of nonverbal abilities. This study investigates structural white matter correlates of crowding in the arcuate fasciculus (AF), a key language tract, using hemispherotomy as a unique setting to explore structural reorganization supporting language preservation. We explore two main hypotheses. First, the contralesional right AF undergoes white matter reorganization correlated with preserved language function at the expense of nonverbal abilities following left-hemispheric damage. Second, this reorganization varies with epilepsy etiology, influencing different stages of developmental language lateralization. This retrospective study included individuals post-hemispherotomy and healthy controls. Inclusion criteria were; (1) being a native German speaker, (2) having no MRI contraindication, (3) the ability to undergo approximately 2 h of MRI scans, and (4) the ability to participate in neuropsychological assessments over two consecutive days. Neuroimaging included T1-, T2-, and diffusion-weighted imaging, alongside postoperative neuropsychological assessments, where it was taken as evidence for crowding if verbal IQ exceeded performance IQ by at least 10 points. The AF was reconstructed using advanced tractography, and CoBundleMAP was used to compare morphologically corresponding AF subsections. Statistical significance was set at

Indexed as

HemispherectomyWhite MatterAdolescentAdultDiffusion Tensor ImagingFemaleFunctional LateralityHumansLanguageMaleMiddle AgedNeural PathwaysRetrospective StudiesYoung Adult

Identifiers

PMID40536189
PMCPMC12177811

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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.