Evidence map›Paper›PMID 22345219›Full record

ArticleNeurology2012

Variant ataxia-telangiectasia presenting as primary-appearing dystonia in Canadian Mennonites.

R Saunders-Pullman, D Raymond, A J Stoessl, D Hobson, K Nakamura, T Nakamura, S Pullman, D Lefton, M S Okun, R Uitti and 7 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Monogenic etiologies of persistent human papillomavirus infections: A comprehensive systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Myoclonus-Dystonia Presentation ofMovement disorders clinical practice · 2022
    Article
  15. Autosomal recessive adult onset ataxia.Journal of neurology · 2022
    Article
  16. Review
  17. Dystonia and Cerebellum: From Bench to Bedside.Life (Basel, Switzerland) · 2021
    Review
  18. Contemporary functional neuroanatomy and pathophysiology of dystonia.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  19. Article
  20. Trihexyphenidyl for treatment of dystonia in ataxia telangiectasia: a case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

R Saunders-PullmanDepartment of Neurology, Beth Israel Medical Center, New York, NY, USA. rsaunder@bethisraelny.org
D Raymond
A J Stoessl
D Hobson
K Nakamura
T Nakamura
S Pullman
D Lefton
M S Okun
R Uitti
R Sachdev
K Stanley
M San Luciano
J Hagenah
R Gatti
L J Ozelius
S B Bressman
Albert Einstein College of Medicine · US

Funding

UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Phenotypic Spectrum of LRRK2 MutationsK02NS073836 · NINDS · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI SAUNDERS-PULLMAN, RACHEL · 2011 to 2015
$879k
Gender and Hormonal Differences in Parkinson's DiseaseK23NS047256 · NINDS · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI SAUNDERS-PULLMAN, RACHEL · 2004 to 2008
$869k
NCATS NIH HHS UL1 TR000064NINDS NIH HHS K02 NS073836NINDS NIH HHS K23NS047256NINDS NIH HHS NS26636
6 · The paper itself

Abstract

objectiveTo compare the phenotype of primary-appearing dystonia due to variant ataxia-telangiectasia (A-T) with that of other dystonia ascertained for genetics research.

methodsMovement disorder specialists examined 20 Canadian Mennonite adult probands with primary-appearing dystonia, as well as relatives in 4 families with parent-child transmission of dystonia. We screened for the exon 43 c.6200 C>A (p. A2067D) ATM mutation and mutations in DYT1 and DYT6. Clinical features of the individuals with dystonia who were harboring ATM mutations were compared with those of individuals without mutations.

resultGenetic analysis revealed a homozygous founder mutation in ATM in 13 members from 3 of the families, and no one harbored DYT6 or DYT1 mutations. Dystonia in ATM families mimicked other forms of early-onset primary torsion dystonia, especially DYT6, with prominent cervical, cranial, and brachial involvement. Mean age at onset was markedly younger in the patients with variant A-T (n = 12) than in patients with other dystonia (n = 23), (12 years vs 40 years, p < 0.05). The patients with A-T were remarkable for the absence of notable cerebellar atrophy on MRI, lack of frank ataxia on examination, and absence of ocular telangiectasias at original presentation, as well as the presence of prominent myoclonus-dystonia in 2 patients. Many also developed malignancies.

conclusionAtaxia and telangiectasias may not be prominent features of patients with variant A-T treated for dystonia in adulthood, and variant A-T may mimic primary torsion dystonia and myoclonus-dystonia.

Indexed as

AdolescentAdultAge of OnsetAtaxia TelangiectasiaCanadaChildDystoniaDystonic DisordersFemaleGenetic TestingHumansMaleMiddle AgedMutationPedigreePhenotype

Identifiers

PMID22345219
PMCPMC3286230
OpenAlexW2040981295

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.