Evidence map›Paper›PMID 24810368›Full record

ArticleJournal of inherited metabolic disease2014

Unravelling the complex MRI pattern in glutaric aciduria type I using statistical models-a cohort study in 180 patients.

Sven F Garbade, Cheryl R Greenberg, Mübeccel Demirkol, Gülden Gökçay, Antonia Ribes, Jaume Campistol, Alberto B Burlina, Peter Burgard, Stefan Kölker

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Article in Journal of inherited metabolic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. Review
  7. Article
  8. Review
  9. Diagnostic approach in adult-onset neurometabolic diseases.Journal of neurology, neurosurgery, and psychiatry · 2022
    Review
  10. Article
  11. Neurological manifestations of organic acidurias.Nature reviews. Neurology · 2019
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
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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

9 authors at 6 institutions in 5 countries.

Sven F GarbadeSFG: Faculty of Applied Psychology, SRH University of Applied Sciences, Heidelberg, Germany.
Cheryl R Greenberg
Mübeccel Demirkol
Gülden Gökçay
Antonia Ribes
Jaume Campistol
Alberto B Burlina
Peter Burgard
Stefan Kölker
Heidelberg University · DEIstanbul University · TRCentre for Biomedical Network Research on Rare Diseases · ESHospital Sant Joan de Déu Barcelona · ESUniversity of Manitoba · CAUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlutaric aciduria type I (GA-I) is a cerebral organic aciduria caused by inherited deficiency of glutaryl-CoA dehydrogenase and is characterized biochemically by an accumulation of putatively neurotoxic dicarboxylic metabolites. The majority of untreated patients develops a complex movement disorder with predominant dystonia during age 3-36 months. Magnetic resonance imaging (MRI) studies have demonstrated striatal and extrastriatal abnormalities. AIMS/

methodsThe major aim of this study was to elucidate the complex neuroradiological pattern of patients with GA-I and to associate the MRI findings with the severity of predominant neurological symptoms. In 180 patients, detailed information about the neurological presentation and brain region-specific MRI abnormalities were obtained via a standardized questionnaire.

resultsPatients with a movement disorder had more often MRI abnormalities in putamen, caudate, cortex, ventricles and external CSF spaces than patients without or with minor neurological symptoms. Putaminal MRI changes and strongly dilated ventricles were identified as the most reliable predictors of a movement disorder. In contrast, abnormalities in globus pallidus were not clearly associated with a movement disorder. Caudate and putamen as well as cortex, ventricles and external CSF spaces clearly collocalized on a two-dimensional map demonstrating statistical similarity and suggesting the same underlying pathomechanism.

conclusionsThis study demonstrates that complex statistical methods are useful to decipher the age-dependent and region-specific MRI patterns of rare neurometabolic diseases and that these methods are helpful to elucidate the clinical relevance of specific MRI findings.

Indexed as

AdolescentAdultAgedAmino Acid Metabolism, Inborn ErrorsBrain Diseases, MetabolicChildChild, PreschoolCohort StudiesFemaleGlutaryl-CoA DehydrogenaseHealth Care SurveysHumansInfantMagnetic Resonance ImagingMaleMiddle AgedGlutaryl-CoA Dehydrogenase

Identifiers

PMID24810368
OpenAlexW2077653147

What OpenQuestion holds

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Read underepoch 390

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.