Evidence map›Paper›PMID 41170391›Full record

ArticleClinical neurophysiology practice2025

Increased central serotonergic activity in patients after an acute ischemic stroke. An EEG study.

Vera Flasbeck, Andreas Ebert, Bettina Klostermann, Daniel Richter, Ralf Gold, Christos Krogias, Georg Juckel

Abstract read
In one paragraph

Article in Clinical neurophysiology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Vera FlasbeckDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany.
Andreas EbertDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany.
Bettina KlostermannDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany.
Daniel RichterDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Ralf GoldDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Christos KrogiasDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Georg JuckelDepartment of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr-University Bochum, Bochum, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Acute ischemic stroke (AIS) is often accompanied by functional impairments and post-stroke depression (PSD), affecting ∼30 % of patients. Since central serotonergic dysfunction may contribute to PSD, similar to major depressive disorder, we examined depressive symptoms and serotonergic neurotransmission after AIS using the loudness dependence of auditory evoked potentials (LDAEP), a non-invasive EEG marker. Methods: 19 patients with AIS and 18 age-matched healthy participants completed depression questionnaires (BDI, HAMD). LDAEP was assessed within 14 days after AIS and after three months, analyzed with mixed-models ANOVA. Results: Shortly after AIS, patients showed lower LDAEP compared to controls for all electrodes (AIS Conclusions: AIS appears to be associated with altered serotonergic neurotransmission, with attenuated LDAEP differences at three months possibly reflecting remission. As depression scores were not clinically relevant, serotonergic changes likely reflect a general AIS effect rather than being specific to PSD. Significance: Early LDAEP measurement may serve as a non-invasive biomarker to identify patients with altered serotonergic functioning and guide interventions, such as SSRI therapy, to reduce PSD risk and improve recovery.

Indexed as

Acute ischemic strokeCerebrovascular eventLoudness dependence of auditory evoked potentialsPost-stroke depressionSerotonergic neurotransmission

Identifiers

PMID41170391
PMCPMC12569835

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