Evidence map›Paper›PMID 18806917›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2009

Substantia nigra hyperechogenicity in depressive subjects relates to motor asymmetry and impaired word fluency.

Jacqueline Hoeppner, Lara Prudente-Morrissey, Sabine Christiane Herpertz, Reiner Benecke, Uwe Walter

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Article in European archives of psychiatry and clinical neuroscience, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Trial
  2. Article
  3. Impact of subthalamic nucleus deep brain stimulation on voice and speech in Parkinson's disease.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Observational
  4. Review
  5. Article
  6. Combined cognitive, psychomotor and electrophysiological biomarkers in major depressive disorder.European archives of psychiatry and clinical neuroscience · 2019
    Article
  7. Article
  8. Prediction of Parkinson's disease subsequent to severe depression: a ten-year follow-up study.Journal of neural transmission (Vienna, Austria : 1996) · 2015
    Observational
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Achievement and maintenance of the new impact factor 2010.European archives of psychiatry and clinical neuroscience · 2011
    Article
  16. Substantia nigra hyperechogenicity is a risk marker of Parkinson's disease: no.Journal of neural transmission (Vienna, Austria : 1996) · 2011
    Article
  17. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Jacqueline HoeppnerDept. of Psychiatry and Psychotherapy, University of Rostock, Rostock, Germany.
Lara Prudente-Morrissey
Sabine Christiane Herpertz
Reiner Benecke
Uwe Walter

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubstantia nigra hyperechogenicity (SNH) is a characteristic transcranial sonography (TCS) finding in Parkinson's disease (PD). SNH, found also in about 10% of healthy adults, was related to a subclinical malfunction of the nigrostriatal dopaminergic system on positron emission tomography studies. Both, liability for developing PD and frequency of SNH were found to be increased in depressed subjects. Here, we investigated whether SNH in depression is related to motor or cognitive abnormalities resembling early PD.

methodsFourty-one patients with major depressive disorder and 15 with adjustment disorder with depressed mood were studied clinically and with TCS.

resultsFrequency of SNH was similar in both groups (39, 33%; Chi-square test, P = 0.70). Larger SN echogenic size correlated with larger right-to-left asymmetry of finger tapping (Spearman test, r = 0.37, P = 0.009) and lower verbal fluency (r = -0.35, P = 0.038). These correlations were stronger in patients at ages >/= 50 years (r = 0.52, P = 0.007; r = -0.50, P = 0.020), and, independently from age, in patients with reduced echogenicity of brainstem raphe suggested to reflect alteration of the serotonergic system (r = 0.40, P = 0.045; r = -0.51, P = 0.044). Whereas bilateral sum score of finger tapping was negatively correlated with severity of depression on the beck depression inventory (r = -0.50, P = 0.001) and the Hamilton depression rating scale (r = -0.34, P = 0.019), no correlation was found between depression severity and tapping asymmetry, or between depression severity and verbal fluency.

conclusionData suggest that TCS detects a subgroup of patients with depression characterized by symptoms of early parkinsonism who are possibly at an elevated risk of later developing definite PD.

Indexed as

Motor SkillsUltrasonography, Doppler, TranscranialAdjustment DisordersAdultAgedAge FactorsCognitionFemaleHumansMajor Depressive DisorderMaleMiddle AgedParkinson DiseaseRisk FactorsSpeech DisordersSubstantia Nigra

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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.