Evidence map›Paper›PMID 42185273›Full record

ArticleNature communications2026

Thalamo-cortical synchrony shapes seizure expression in human temporal lobe epilepsy.

Thandar Aung, Jian Li, Tipakorn Tumnark, Chandana Belly, John Thomas, Kassem Jaber, Prachi Parikh, Muhammad Zafar, Derek Southwell, Patrick Chauvel and 2 more

Abstract read
In one paragraph

Article in Nature communications, 2026. 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.

Thandar AungDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. aung.thandar@outlook.com.ORCID http://orcid.org/0000-0002-6770-9642
Jian LiAthinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Massachusetts, Charlestown, MA, USA.ORCID http://orcid.org/0000-0002-1691-8727
Tipakorn TumnarkDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0009-0007-8393-7585
Chandana BellyDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
John ThomasDepartment of Electrical and Computer Engineering Technology, Rochester Institute of Technology, Rochester, NY, USA.ORCID http://orcid.org/0000-0003-0144-3746
Kassem JaberDepartment of Neurology, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0009-0007-4119-8470
Prachi ParikhDepartment of Neurology, Duke University School of Medicine, Durham, NC, USA.
Muhammad ZafarDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.
Derek SouthwellDepartment of Neurosurgery, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-6465-3869
Patrick ChauvelDepartment of Epilepsy, Cleveland Clinic Foundation, Cleveland, OH, USA.
Birgit FrauscherDepartment of Neurology, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0001-6064-1529
Jorge Gonzalez-MartinezDepartment of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-9936-7034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In drug-resistant temporal lobe epilepsy (DR-TLE), some seizures are clinically symptomatic while others remain electrographic despite arising from the same seizure-onset zone (SOZ), suggesting that clinical expression reflects network dynamics beyond seizure origin. We examined whether thalamo-cortical network engagement differs between clinical (CS) and non-clinical seizures (NCS). We analyzed 286 seizures from 62 DR-TLE patients recorded using stereoelectroencephalography with pulvinar and/or anterior thalamic group coverage. Thalamo-cortical synchrony during the first 20 seconds of seizure onset was quantified as correlation between SEEG-derived time-frequency patterns in thalamic nuclei and the cortical SOZ. Synchrony was significantly stronger during CS than NCS (p < 0.0001, Cliff's δ > 0.6), including within-subject analyses, and was independent of other clinical variables, including postsurgical outcome. Linear mixed-effects modeling identified seizure type as the sole independent predictor of synchrony (p = 0.0069). These findings identify thalamo-cortical synchrony as a network-level feature associated with clinical seizure expression in DR-TLE.

Indexed as

Cerebral CortexDrug Resistant EpilepsyEpilepsy, Temporal LobeSeizuresThalamusAdolescentAdultElectroencephalographyFemaleHumansMaleMiddle AgedYoung Adult

Identifiers

PMID42185273
PMCPMC13424572

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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.