Evidence map›Paper›PMID 24468193›Full record

ArticleActa neuropathologica communications2014

Mechanism of metabolic stroke and spontaneous cerebral hemorrhage in glutaric aciduria type I.

William J Zinnanti, Jelena Lazovic, Cathy Housman, David A Antonetti, David M Koeller, James R Connor, Lawrence Steinman

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Neurological manifestations of organic acidurias.Nature reviews. Neurology · 2019
    Review
  13. HAEC in the treatment of brain hemorrhage: a preliminary observation in rabbits.International journal of clinical and experimental pathology · 2015
    Article
  14. Article
  15. Article
  16. 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

7 authors.

William J ZinnantiDepartment of Neurology and Neurological Science, Stanford University, Stanford, CA 94305, USA. wzinnanti@gmail.com.
Jelena Lazovic
Cathy Housman
David A Antonetti
David M Koeller
James R Connor
Lawrence Steinman

Funding

NINDS NIH HHS F32 NS581642
6 · The paper itself

Abstract

backgroundMetabolic stroke is the rapid onset of lasting central neurological deficit associated with decompensation of an underlying metabolic disorder. Glutaric aciduria type I (GA1) is an inherited disorder of lysine and tryptophan metabolism presenting with metabolic stroke in infancy. The clinical presentation includes bilateral striatal necrosis and spontaneous subdural and retinal hemorrhages, which has been frequently misdiagnosed as non-accidental head trauma. The mechanisms underlying metabolic stroke and spontaneous hemorrhage are poorly understood.

resultsUsing a mouse model of GA1, we show that metabolic stroke progresses in the opposite sequence of ischemic stroke, with initial neuronal swelling and vacuole formation leading to cerebral capillary occlusion. Focal regions of cortical followed by striatal capillaries are occluded with shunting to larger non-exchange vessels leading to early filling and dilation of deep cerebral veins. Blood-brain barrier breakdown was associated with displacement of tight-junction protein Occludin.

conclusionTogether the current findings illuminate the pathophysiology of metabolic stroke and vascular compromise in GA1, which may translate to other neurometabolic disorders presenting with stroke.

Indexed as

Amino Acid Metabolism, Inborn ErrorsAnimalsBrainBrain Diseases, MetabolicCapillariesCerebral HemorrhageDisease Models, AnimalGlial Fibrillary Acidic ProteinGlutaryl-CoA DehydrogenaseMagnetic Resonance AngiographyMiceMice, Inbred C57BLMice, TransgenicMicroscopy, ElectronOccludinStatistics, NonparametricGlial Fibrillary Acidic ProteinGlutaryl-CoA DehydrogenaseOccludin

Identifiers

PMID24468193
PMCPMC3940023

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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.