Evidence map›Paper›PMID 23516313›Full record

ArticleNeurology2013

Prevalence study of genetically defined skeletal muscle channelopathies in England.

Alejandro Horga, Dipa L Raja Rayan, Emma Matthews, Richa Sud, Doreen Fialho, Siobhan C M Durran, James A Burge, Simona Portaro, Mary B Davis, Andrea Haworth and 1 more

Abstract read
In one paragraph

Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
–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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Drug treatment for myotonia.The Cochrane database of systematic reviews · 2025
    Pooled it
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  6. Article
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  13. Article
  14. Periodic paralysis.Handbook of clinical neurology · 2024
    Review
  15. Muscle channelopathies: A review.Annals of the Child Neurology Society · 2023
    Review
  16. Catheter ablation of frequent monomorphic ventricular arrhythmias in Andersen-Tawil syndrome: case report and focused literature review.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2023
    Review
  17. Article
  18. Article
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  20. Article

2 more citing papers are in PubMed but not listed here.

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

11 authors.

Alejandro HorgaMedical Research Council Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery and University College London Institute of Neurology, Queen Square, London, UK.
Dipa L Raja Rayan
Emma Matthews
Richa Sud
Doreen Fialho
Siobhan C M Durran
James A Burge
Simona Portaro
Mary B Davis
Andrea Haworth
Michael G Hanna

Funding

Department of HealthMedical Research Council G0601943Medical Research Council G1000347Medical Research Council MR/K000608/1
6 · The paper itself

Abstract

objectivesTo obtain minimum point prevalence rates for the skeletal muscle channelopathies and to evaluate the frequency distribution of mutations associated with these disorders.

methodsAnalysis of demographic, clinical, electrophysiologic, and genetic data of all patients assessed at our national specialist channelopathy service. Only patients living in the United Kingdom with a genetically defined diagnosis of nondystrophic myotonia or periodic paralysis were eligible for the study. Prevalence rates were estimated for England, December 2011.

resultsA total of 665 patients fulfilled the inclusion criteria, of which 593 were living in England, giving a minimum point prevalence of 1.12/100,000 (95% confidence interval [CI] 1.03-1.21). Disease-specific prevalence figures were as follows: myotonia congenita 0.52/100,000 (95% CI 0.46-0.59), paramyotonia congenita 0.17/100,000 (95% CI 0.13-0.20), sodium channel myotonias 0.06/100,000 (95% CI 0.04-0.08), hyperkalemic periodic paralysis 0.17/100,000 (95% CI 0.13-0.20), hypokalemic periodic paralysis 0.13/100,000 (95% CI 0.10-0.17), and Andersen-Tawil syndrome (ATS) 0.08/100,000 (95% CI 0.05-0.10). In the whole sample (665 patients), 15 out of 104 different CLCN1 mutations accounted for 60% of all patients with myotonia congenita, 11 out of 22 SCN4A mutations for 86% of paramyotonia congenita/sodium channel myotonia pedigrees, and 3 out of 17 KCNJ2 mutations for 42% of ATS pedigrees.

conclusionWe describe for the first time the overall prevalence of genetically defined skeletal muscle channelopathies in England. Despite the large variety of mutations observed in patients with nondystrophic myotonia and ATS, a limited number accounted for a large proportion of cases.

Indexed as

AdultChannelopathiesChloride ChannelsDatabases, GeneticData Interpretation, StatisticalEnglandFemaleHumansHypokalemic Periodic ParalysisMaleMiddle AgedMuscle, SkeletalMuscular DiseasesMutationMyotoniaMyotonic DisordersChloride ChannelsCLC-1 channelKCNJ2 protein, humanNAV1.4 Voltage-Gated Sodium ChannelPotassium Channels, Inwardly RectifyingSCN4A protein, humanSodium Channels

Identifiers

PMID23516313
PMCPMC3662361

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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.