Evidence map›Paper›PMID 10525996›Full record

ReviewJournal of neurology1999

Clinical features differentiating patients with postmortem confirmed progressive supranuclear palsy and corticobasal degeneration.

I Litvan, D A Grimes, A E Lang, J Jankovic, A McKee, M Verny, K Jellinger, K R Chaudhuri, R K Pearce

Open access · bronzeAbstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.4field-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

28 citing papers in PubMed, 132 citations in OpenAlex.

  1. Prognostic factors of survival in corticobasal syndrome and corticobasal degeneration: A scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  2. Review
  3. Article
  4. Clinical Spectrum of Tauopathies.Frontiers in neurology · 2022
    Review
  5. Review
  6. Four-Repeat Tauopathies: Current Management and Future Treatments.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  7. Article
  8. Article
  9. Article
  10. Myoclonic Disorders.Brain sciences · 2017
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Spatial patterns of the tau pathology in progressive supranuclear palsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2013
    Article
  17. Visual hallucinations in the differential diagnosis of parkinsonism.Journal of neurology, neurosurgery, and psychiatry · 2012
    Review
  18. Article
  19. Article
  20. 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

9 authors at 8 institutions in 5 countries.

I LitvanNeuropharmacology Unit Defense & Veteran Head Injury Program, Henry M. Jackson Foundation, Federal Building, Room 714, Bethesda, Maryland 20892-9130, USA, email: litvanI@helix.nih.gov.
D A Grimes
A E Lang
J Jankovic
A McKee
M Verny
K Jellinger
K R Chaudhuri
R K Pearce
Centre for Movement Disorders · CAAlzheimer's Society · GBBaylor College of Medicine · USHarvard University · USHenry M. Jackson Foundation · USInserm · FRLudwig Boltzmann Institute for Digital Health and Prevention · ATPsychiatry Research Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive supranuclear palsy (PSP) and cortocobasal degeneration (CBD) are often clinically confused with each other because they share a rapid disease progression, parkinsonism that responds poorly or transiently to levodopa therapy, and associated signs (e.g., ocular abnormalities, pyramidal signs and cognitive involvement). To improve the accuracy in diagnosing these disorders, this study examined the clinical features of 51 patients pathologically diagnosed with PSP and CBD. Logistic regression analysis identified two sets of predictors (models) for CBD patients, one consisting of asymmetric parkinsonism, cognitive disturbances at onset and instability and falls at first clinic visit, and the other one of asymmetric parkinsonism, cognitive disturbances at symptom onset and speech disturbances. While PSP patients often had severe postural instability at onset, symmetric parkinsonism, vertical supranuclear gaze palsy, speech and frontal lobe-type features, CBD patients presented with lateralized motor (e.g., parkinsonism, dystonia or myoclonus) and cognitive signs (e.g., ideomotor apraxia, aphasia or alien limb). On the other hand, CBD patients presenting with an alternate phenotype characterized by early severe frontal dementia and bilateral parkinsonism were generally misdiagnosed. PSP patients without vertical supranuclear gaze palsy were misdiagnosed. Recognizing the features which differentiate these disorders and the less obvious disease presentations as well as developing an increased index of suspicion will improve the diagnostic accuracy of these disorders.

Indexed as

AgedBrainCognition DisordersFemaleHumansMaleParkinsonian DisordersSupranuclear Palsy, Progressive

Identifiers

PMID10525996
OpenAlexW2029662616

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.