Evidence map›Paper›PMID 25659636›Full record

ArticleMayo Clinic proceedings2015

Whole-exome sequencing as a diagnostic tool in a family with episodic ataxia type 1.

Pawel Tacik, Kimberly J Guthrie, Audrey J Strongosky, Daniel F Broderick, Douglas L Riegert-Johnson, Sha Tang, Dima El-Khechen, Alexander S Parker, Owen A Ross, Zbigniew K Wszolek

Abstract readCase Reports
In one paragraph

Article in Mayo Clinic proceedings, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Episodic Ataxias: Primary and Secondary Etiologies, Treatment, and Classification Approaches.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Pooled it
  2. Pooled it
  3. Review
  4. Episodic Ataxias: Faux or Real?International journal of molecular sciences · 2020
    Review
  5. Clinical Spectrum ofInternational journal of molecular sciences · 2020
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. 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

10 authors.

Pawel TacikDepartment of Neurology, Mayo Clinic, Jacksonville, FL.
Kimberly J GuthrieCenter for Individualized Medicine, Mayo Clinic, Jacksonville, FL.
Audrey J StrongoskyDepartment of Neurology, Mayo Clinic, Jacksonville, FL.
Daniel F BroderickDepartment of Radiology, Mayo Clinic, Jacksonville, FL.
Douglas L Riegert-JohnsonDepartment of Medical Genetics, Mayo Clinic, Jacksonville, FL.
Sha TangAmbry Genetics Corp, Aliso Viejo, CA.
Dima El-KhechenAmbry Genetics Corp, Aliso Viejo, CA.
Alexander S ParkerCenter for Individualized Medicine, Mayo Clinic, Jacksonville, FL.
Owen A RossDepartment of Neuroscience, Mayo Clinic, Jacksonville, FL.
Zbigniew K WszolekDepartment of Neurology, Mayo Clinic, Jacksonville, FL. Electronic address: Wszolek.Zbigniew@mayo.edu.

Funding

Neuropathology CoreP50NS072187 · NINDS · MAYO CLINIC JACKSONVILLE · PI DICKSON, DENNIS WILLIAM · 2010 to 2017
$8.7M
Understanding the role of MAPT in Parkinsonian disordersR01NS078086 · NINDS · MAYO CLINIC JACKSONVILLE · PI ROSS, OWEN A · 2012 to 2016
$1.7M
NINDS NIH HHS P50 NS072187NINDS NIH HHS R01 NS078086
6 · The paper itself

Abstract

Complex neurologic phenotypes are inherently difficult to diagnose. Whole-exome sequencing (WES) is a new tool in the neurologist's diagnostic armamentarium. Whole-exome sequencing can be applied to investigate the "diagnostic odyssey" cases. These cases involve patients with rare diseases that likely have a genetic etiology but have failed to be diagnosed by clinical evaluation and targeted gene testing. We describe such a case, a 22-year-old man who had mild intellectual developmental disability and episodes of jerking ataxic movements that affected his whole body. He underwent numerous multidisciplinary and multicentric evaluations throughout his life that failed to establish a clear diagnosis. Following his visit to Mayo Clinic in Jacksonville, Florida, WES was applied for genetic determination of the unknown disorder in the proband and his biological parents and sister. Additional clinical evaluation, magnetic resonance neuroimaging, electromyography, and electroencephalography of the proband were performed to verify the phenotype after the WES results were available. To our knowledge, this is the first report of the application of WES to facilitate the diagnosis of episodic ataxia type 1. This case illustrates that WES supported by clinical data is a useful and time-saving tool in the evaluation of patients with rare and complex hereditary disorders.

Indexed as

ExomeHigh-Throughput Nucleotide SequencingAcetazolamideAnticonvulsantsAtaxiaBase SequenceElectroencephalographyElectromyographyGenetic Predisposition to DiseaseHumansMagnetic Resonance ImagingMaleMutation, MissenseMyokymiaPedigreePhenotypeAcetazolamideAnticonvulsants

Identifiers

PMID25659636
PMCPMC4354704

What OpenQuestion holds

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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.