Evidence map›Paper›PMID 21138658›Full record

ArticleJournal of psychiatry & neuroscience : JPN2011

Depression in patients with Huntington disease correlates with alterations of the brain stem raphe depicted by transcranial sonography.

Christos Krogias, Katrin Strassburger, Jens Eyding, Ralf Gold, Christine Norra, Georg Juckel, Carsten Saft, Dietmar Ninphius

Open access · bronzeAbstract read
In one paragraph

Article in Journal of psychiatry & neuroscience : JPN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.4field-weighted citation impact, top 22% 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

24 citing papers in PubMed, 59 citations in OpenAlex.

  1. The pathobiology of depression in Huntington's disease: an unresolved puzzle.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
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  11. An image-based model of brain volume biomarker changes in Huntington's disease.Annals of clinical and translational neurology · 2018
    Article
  12. Raphe nuclei echogenicity changes in obsessive-compulsive disorder.Medical journal of the Islamic Republic of Iran · 2018
    Article
  13. Article
  14. The Depressed Frail Phenotype: The Clinical Manifestation of Increased Biological Aging.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016
    Review
  15. Alteration of brainstem raphe measured by transcranial sonography in depression patients with or without Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Article
  16. Echogenicity of basal ganglia structures in different Huntington's disease phenotypes.Journal of neural transmission (Vienna, Austria : 1996) · 2015
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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

8 authors at 3 institutions in 1 country.

Christos KrogiasDepartment of Neurology, St. Josef-Hospital, Ruhr University, Bochum, Germany. christos.krogias@rub.de
Katrin Strassburger
Jens Eyding
Ralf Gold
Christine Norra
Georg Juckel
Carsten Saft
Dietmar Ninphius
LWL-Universitätsklinikum Bochum · DESt. Josef-Hospital · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscranial sonography (TCS) has become a new diagnostic tool in the evaluation of extrapyramidal disorders. Studies of TCS report alterations of the mesencephalic raphe in patients with depression. The aim of this study was to evaluate TCS findings in patients with Huntington disease in correlation with their neurologic and psychiatric status.

methodsWe recruited patients with genetically confirmed Huntington disease. The neurological and psychiatric status of participants was assessed by independent physicians. Echogenicities were investigated according to examination protocol for extrapyramidal disorders using a Siemens Sonoline Elegra system. The sonography examiner was blinded for clinical data.

resultsWe included 39 patients in our study; 21 patients (53.8%) showed symptoms of depression at the time of evaluation and, of those, 15 (71.4%) had hypoechogenic raphe structures. Thirty patients (76.9%) had a history of depressive episodes, 19 (63.3%) of them with hypoechogenic raphe structures. All 9 patients without a history of depressive episodes showed normal echogenicity of raphe structures (sensitivity 63.3%, specificity 100%). Twelve (70.6%) of the 17 patients with Huntington disease who showed psychiatric disturbances prior to the occurrence of motor symptoms exhibited pathological raphe echogenicity (sensitivity 70.6%, specificity 68.2%). LIMITATIONS: Most of the patients were taking antichoreatic medication, which particularly influences neurologic status. Thus, a meaningful interpretation of the correlation between TCS findings and neurologic features was limited.

conclusionAs a novel finding, a relation between mesencephalic raphe echogenicity and depressive state could be identified in patients with Huntington disease. An alteration of the serotonergic brain stem raphe might be involved in the pathogenesis of depression in these patients.

Indexed as

AdultDepressive DisorderFemaleHumansHuntington DiseaseMaleMiddle AgedRaphe NucleiSeverity of Illness IndexStatistics, NonparametricUltrasonography, Doppler, Transcranial

Identifiers

PMID21138658
PMCPMC3080514
OpenAlexW2077792802

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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 OpenQuestion graph.