Evidence map›Paper›PMID 25447930›Full record

ReviewPediatric neurology2015

The expanding spectrum of neurological phenotypes in children with ATP1A3 mutations, Alternating Hemiplegia of Childhood, Rapid-onset Dystonia-Parkinsonism, CAPOS and beyond.

Matthew T Sweney, Tara M Newcomb, Kathryn J Swoboda

Open access · greenAbstract readReview
In one paragraph

Review in Pediatric neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

62 citing papers in PubMed, 148 citations in OpenAlex.

  1. Article
  2. Structural Alterations in the Gray Matter Volume in Rapid-Onset Dystonia-Parkinsonism.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Neuronal autosis is NaCell death & disease · 2024
    Article
  8. Article
  9. Article
  10. Genetic Links to Episodic Movement Disorders: Current Insights.The application of clinical genetics · 2023
    Review
  11. Review
  12. Article
  13. A Practical Approach to Early-Onset Parkinsonism.Journal of Parkinson's disease · 2022
    Review
  14. Article
  15. Journal of the American Heart Association · 2021
    Article
  16. Review
  17. Article
  18. An interaction between PRRT2 and NaCell death & disease · 2021
    Article
  19. Paroxysmal Movement Disorders.Frontiers in neurology · 2021
    Review
  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

3 authors at 1 institution in 1 country.

Matthew T SweneyDivision of Pediatric Neurology, Departments of Pediatrics and Neurology, University of Utah School of Medicine, Salt Lake City, Utah; Department of Neurology, Pediatric Motor Disorders Research Program, University of Utah School of Medicine, Salt Lake City, Utah.
Tara M NewcombDepartment of Neurology, Pediatric Motor Disorders Research Program, University of Utah School of Medicine, Salt Lake City, Utah.
Kathryn J SwobodaDepartment of Neurology, Pediatric Motor Disorders Research Program, University of Utah School of Medicine, Salt Lake City, Utah. Electronic address: swoboda@genetics.utah.edu.
University of Utah · US

Funding

UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
NCRR NIH HHS UL1 RR025764
6 · The paper itself

Abstract

backgroundATP1A3 mutations have now been recognized in infants and children presenting with a diverse group of neurological phenotypes, including Rapid-onset Dystonia-Parkinsonism (RDP), Alternating Hemiplegia of Childhood (AHC), and most recently, Cerebellar ataxia, Areflexia, Pes cavus, Optic atrophy, and Sensorineural hearing loss (CAPOS) syndrome.

methodsExisting literature on ATP1A3-related disorders in the pediatric population were reviewed, with attention to clinical features and associated genotypes among those with RDP, AHC, or CAPOS syndrome phenotypes.

resultsWhile classically defined phenotypes associated with AHC, RDP, and CAPOS syndromes are distinct, common elements among ATP1A3-related neurological disorders include characteristic episodic neurological symptoms and signs that vary in severity, duration, and frequency of occurrence. Affected children typically present in the context of an acute onset of paroxysmal, episodic neurological symptoms ranging from oculomotor abnormalities, hypotonia, paralysis, dystonia, ataxia, seizure-like episodes, or encephalopathy. Neurodevelopmental delays or persistence of dystonia, chorea, or ataxia after resolution of an initial episode are common, providing important clues for diagnosis.

conclusionsThe phenotypic spectrum of ATP1A3-related neurological disorders continues to expand beyond the distinct yet overlapping phenotypes in patients with AHC, RDP, and CAPOS syndromes. ATP1A3 mutation analysis is appropriate to consider in the diagnostic algorithm for any child presenting with episodic or fluctuating ataxia, weakness or dystonia whether they manifest persistence of neurological symptoms between episodes. Additional work is needed to better identify and classify affected patients and develop targeted treatment approaches.

Indexed as

MutationPhenotypeAnimalsCerebellar AtaxiaChildDiagnosis, DifferentialDystonic DisordersFoot Deformities, CongenitalHearing Loss, SensorineuralHemiplegiaHumansOptic AtrophyReflex, AbnormalSodium-Potassium-Exchanging ATPaseATP1A3 protein, humanSodium-Potassium-Exchanging ATPasealternating hemiplegia of childhoodataxiaATP1A3CAPOS syndromedystoniahemiplegiarapid-onset dystonia-Parkinsonismsodium potassium ATPases

Identifiers

PMID25447930
PMCPMC4352574
OpenAlexW2059676269

What OpenQuestion holds

Textmetadata
LicenceTDM
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.