Evidence map›Paper›PMID 36053955›Full record

ArticleAnnals of neurology2023

Association of Cortical Superficial Siderosis with Post-Stroke Epilepsy.

Tomotaka Tanaka, Kazuki Fukuma, Soichiro Abe, Soichiro Matsubara, Shuhei Ikeda, Naruhiko Kamogawa, Hiroyuki Ishiyama, Satoshi Hosoki, Katsuya Kobayashi, Akihiro Shimotake and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2023. 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
2.9field-weighted citation impact, top 8% of its field
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, 28 citations in OpenAlex.

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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

19 authors at 4 institutions in 1 country.

Tomotaka TanakaDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0002-6023-236X
Kazuki FukumaDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0001-8117-8916
Soichiro AbeDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0001-9528-8702
Soichiro MatsubaraDepartment of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Shuhei IkedaDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Naruhiko KamogawaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hiroyuki IshiyamaDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Satoshi HosokiDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Katsuya KobayashiDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Akihiro ShimotakeDepartment of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yuriko NakaokuDepartments of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Soshiro OgataDepartments of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Kunihiro NishimuraDepartments of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Masatoshi KogaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0002-6758-4026
Kazunori ToyodaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0002-8346-9845
Riki MatsumotoDivision of Neurology, Kobe University Graduate School of Medicine, Kobe, Japan.
Ryosuke TakahashiDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Akio IkedaDepartment of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine, Kyoto, Japan.ORCID 0000-0002-0790-2598
Masafumi IharaDepartment of Neurology, National Cerebral and Cardiovascular Center, Osaka, Japan.ORCID 0000-0002-7102-4048
National Cerebral and Cardiovascular Center · JPKyoto University · JPKobe University · JPKumamoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether post-stroke epilepsy (PSE) is associated with neuroimaging findings of hemosiderin in a case-control study, and whether the addition of hemosiderin markers improves the risk stratification models of PSE.

methodsWe performed a post-hoc analysis of the PROgnosis of POST-Stroke Epilepsy study enrolling PSE patients at National Cerebral and Cardiovascular Center, Osaka, Japan, from November 2014 to September 2019. PSE was diagnosed when one unprovoked seizure was experienced >7 days after the index stroke, as proposed by the International League Against Epilepsy. As controls, consecutive acute stroke patients with no history or absence of any late seizure or continuing antiseizure medications at least 3 months after stroke were retrospectively enrolled during the same study period. We examined cortical microbleeds and cortical superficial siderosis (cSS) using gradient-echo T2*-weighted images. A logistic regression model with ridge penalties was tuned using 10-fold cross-validation. We added the item of cSS to the existing models (SeLECT and CAVE) for predicting PSE and evaluated performance of new models.

resultsThe study included 180 patients with PSE (67 women; median age 74 years) and 1,183 controls (440 women; median age 74 years). The cSS frequency was higher in PSE than control groups (48.9% vs 5.7%, p < 0.0001). Compared with the existing models, the new models with cSS (SeLECT-S and CAVE-S) demonstrated significantly better predictive performance of PSE (net reclassification improvement 0.63 [p = 0.004] for SeLECT-S and 0.88 [p = 0.001] for CAVE-S at the testing data).

interpretationCortical superficial siderosis was associated with PSE, stratifying stroke survivors at high risk of PSE. ANN NEUROL 2023;93:357-370.

Indexed as

EpilepsySiderosisStrokeAgedCase-Control StudiesFemaleHemosiderinHumansMaleRetrospective StudiesSeizuresHemosiderin

Identifiers

PMID36053955
PMCPMC10087209
OpenAlexW4294162798

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.