Evidence map›Paper›PMID 40867195›Full record

ArticleBrain sciences2025

Histopathological Changes of the Corticospinal Tract Following Hemorrhagic and Ischemic Stroke.

Sarolta Kollai, Dániel Bereczki, Balázs Dobi, Tibor Glasz, Tibor Kovács

Abstract read
In one paragraph

Article in Brain sciences, 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. Review
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

5 authors.

Sarolta KollaiDepartment of Neurology, Semmelweis University, Balassa u. 6, 1083 Budapest, Hungary.
Dániel BereczkiDepartment of Neurology, Semmelweis University, Balassa u. 6, 1083 Budapest, Hungary.ORCID 0000-0002-8374-0500
Balázs DobiHUN-RENSU Neuroepidemiological Research Group, 1083 Budapest, Hungary.ORCID 0000-0002-1187-4104
Tibor GlaszDepartment of Pathology, Forensic and Insurance Medicine, Semmelweis University, 1091 Budapest, Hungary.
Tibor KovácsDepartment of Neurology, Semmelweis University, Balassa u. 6, 1083 Budapest, Hungary.ORCID 0000-0002-8603-8848

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous data on the time course of corticospinal tract (CST) degeneration after stroke are scarce, especially in the early phase. Using post-mortem histomorphological and immunohistochemical methods, CST degeneration (its temporal dynamics and its association with stroke type) was investigated in the medulla oblongata pyramids in twenty-two cases: nine patients with ischemic stroke and eleven with hemorrhagic stroke and two patients with very long survival after multiple strokes. CD68 and neurofilament immunohistochemistry and Klüver-Barrera staining were applied to assess microglial activation and axonal and myelin degeneration, respectively, and statistical methods were used to investigate the relationship between microglial density, stroke type, and survival time. Strong microglial activation starts on day 3 after stroke and increases over time, with the first signs of axon degeneration and myelin degradation observed from day 7 after stroke. Histological changes and their temporal dynamics do not differ between hemorrhagic and ischemic stroke. Our results show that myelin degeneration starts earlier than previously suggested and is observed almost simultaneously with axon degeneration, whereas microglial activation increases steadily from day 3 onwards in both ischemic and hemorrhagic stroke.

Indexed as

cerebral hemorrhagecerebral infarcthistologymedulla oblongataWallerian degeneration

Identifiers

PMID40867195
PMCPMC12384176

What Socratic holds

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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 Socratic graph.