Evidence map›Paper›PMID 25683764›Full record

ArticleJournal of neurology2015

Small-fibre neuropathy related to bulbar and spinal-onset in patients with ALS.

A Truini, A Biasiotta, E Onesti, G Di Stefano, M Ceccanti, S La Cesa, A Pepe, C Giordano, G Cruccu, M Inghilleri

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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.

NCT05747937 narecruitingnot on this mapstarted 2021, after this paper: background citation

Longitudinal Assessment of Autonomic and Sensory Nervous System in ALS

TypeinterventionalSponsorIstituti Clinici Scientifici Maugeri SpARan2021 to 2026Enrolled100ConditionsAmyotrophic Lateral SclerosisArmsSkin biopsy, Cardiovascular Reflexes testing, Administration of clinical scales evaluating autonomic symptoms, pain small fiber neuropathy symptoms, Dinamic Sweat Test
NCT05748015 narecruitingnot on this mapstarted 2021, after this paper: background citation

Definition of Autonomic Nervous System Involvement in Patients With Relapsing-remitting and Primary Progressive Multiple Sclerosis

TypeinterventionalSponsorIstituti Clinici Scientifici Maugeri SpARan2021 to 2027Enrolled60ConditionsMultiple SclerosisArmsquantification of sensory and autonomic small nerve fibers by punch skin biopsy, Cardiovascular Reflexes testing, Administration of clinical scales evaluating autonomic symptoms, pain small fiber neuropathy symptoms
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Facial onset sensory-motor neuronopathy: diagnostic challenges and insights from a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  5. Review
  6. Observational
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Review
  13. Advances in diagnosis and management of distal sensory polyneuropathies.Journal of neurology, neurosurgery, and psychiatry · 2023
    Review
  14. Review
  15. Article
  16. Sensory Involvement in Amyotrophic Lateral Sclerosis.International journal of molecular sciences · 2022
    Review
  17. Pain in amyotrophic lateral sclerosis: a narrative review.Journal of Yeungnam medical science · 2022
    Article
  18. Article
  19. Article
  20. 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 at 1 institution in 1 country.

A TruiniDepartment of Neurology and Psychiatry, Sapienza University, Viale Università 30, 00185, Rome, Italy, andrea.truini@uniroma1.it.
A Biasiotta
E Onesti
G Di Stefano
M Ceccanti
S La Cesa
A Pepe
C Giordano
G Cruccu
M Inghilleri
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed at seeking more precise diagnostic information on the sensory nervous system involvement described in patients with amyotrophic lateral sclerosis (ALS). We investigated large myelinated nerve fibres with nerve conduction study and small-nerve fibres with Quantitative Sensory Testing (QST) (assessing thermal-pain perceptive thresholds) and skin biopsy (assessing intraepidermal nerve fibre density) in 24 consecutive patients with ALS, 11 with bulbar-onset and 13 with spinal-onset. In 23 of the 24 patients, regardless of ALS onset, nerve conduction study invariably showed large myelinated fibre sparing. In patients with bulbar-onset ALS, QST found normal thermal-pain perceptive thresholds and skin biopsy disclosed normal intraepidermal nerve fibre density. Conversely, in patients with spinal-onset, thermal-pain thresholds were abnormal and distal intraepidermal nerve fibre density was reduced. Sensory nervous system involvement in ALS differs according to disease onset. Patients with spinal-onset but not those with bulbar-onset ALS have concomitant distal small-fibre neuropathy. Neurologists should therefore seek this ALS-related non-motor feature to improve its diagnosis and treatment.

Indexed as

AgedAmyotrophic Lateral SclerosisBiopsyErythromelalgiaFemaleHumansMaleMiddle AgedNeural ConductionNormal DistributionPain ThresholdSkin

Identifiers

PMID25683764
OpenAlexW2072177245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.