Evidence map›Paper›PMID 26446148›Full record

ArticleNeuroradiology2016

Expanding the spectrum of congenital anomalies of the diencephalic-mesencephalic junction.

Mariasavina Severino, Domenico Tortora, Angela Pistorio, Luca Antonio Ramenghi, Flavia Napoli, Maria Margherita Mancardi, Pasquale Striano, Valeria Capra, Andrea Rossi

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.0field-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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. L1CAM variants cause two distinct imaging phenotypes on fetal MRI.Annals of clinical and translational neurology · 2021
    Article
  7. Diagnostic Approach to Cerebellar Hypoplasia.Cerebellum (London, England) · 2021
    Review
  8. Review
  9. Review
  10. Type B diencephalic-mesencephalic junction dysplasia, a congenital brainstem malformation that may be silent until adulthood: a case report.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  11. Article
  12. Article
  13. Interhypothalamic adhesions in endoscopic third ventriculostomy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
  14. Article
  15. 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

9 authors at 1 institution in 1 country.

Mariasavina SeverinoNeuroradiology Unit, Istituto Giannina Gaslini, via Gaslini 5, 16147, Genova, Italy. mariasavinaseverino@ospedale-gaslini.ge.it.
Domenico TortoraNeuroradiology Unit, Istituto Giannina Gaslini, via Gaslini 5, 16147, Genova, Italy.
Angela PistorioEpidemiology and Biostatistics Unit, Istituto Giannina Gaslini, Genoa, Italy.
Luca Antonio RamenghiNeonatal Intensive Care Unit, Istituto Giannina Gaslini, Genoa, Italy.
Flavia NapoliEndocrinology Unit, Istituto Giannina Gaslini, Genoa, Italy.
Maria Margherita MancardiNeuropsychiatry Unit, Istituto Giannina Gaslini, Genoa, Italy.
Pasquale StrianoPaediatric Neurology and Muscular Diseases Unit, Istituto Giannina Gaslini, Genoa, Italy.
Valeria CapraGenetic Unit, Istituto Giannina Gaslini, Genoa, Italy.
Andrea RossiNeuroradiology Unit, Istituto Giannina Gaslini, via Gaslini 5, 16147, Genova, Italy.
Istituto Giannina Gaslini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to describe the clinico-radiological findings of patients with disorders of diencephalic-mesencephalic junction (DMJ) formation and midbrain anteroposterior patterning.

methodsWe reviewed the DMJ anatomy of 445 patients with brain malformations. Associated supra/infratentorial abnormalities and clinical findings were noted. Craniocaudal and anteroposterior diameters of midbrain, pons, medulla, vermis, and transverse cerebellar diameter were compared with age-matched controls. Post hoc tests were corrected according to Bonferroni (p(B)).

resultsTwo patterns of DMJ anomaly were identified in 12 patients (7 females, mean age 41 months). Type A was characterized by hypothalamic-mesencephalic fusion on axial plane, with possible midbrain ventral cleft (7 patients). Anteroposterior (p(B) = .006) and craniocaudal (p(B) = .027) diameters of the pons, craniocaudal diameter of the vermis (p(B) = .015), and transverse cerebellar diameter (p(B) = .011) were smaller than the controls. Corticospinal tract, basal ganglia, and commissural anomalies were also associated. Clinical findings included spastic-dystonic tetraparesis, hypothalamic dysfunction, epilepsy, and severe developmental delay. Type B was characterized by incomplete thalamic-mesencephalic cleavage on sagittal plane, with parenchymal bands connecting the interthalamic adhesion with the midbrain (five patients). Anteroposterior diameters of midbrain (p(B) = .002), pons (p(B) = .0004), and medulla (p(B) = .002) as well as the vermian anteroposterior (p(B) = .040) and craniocaudal diameters (p(B) = .014) were smaller than the controls. These patients were less neurologically impaired, most presenting mild developmental delay.

conclusionsThe spectrum of DMJ patterning defects is wide and may be associated with several brain malformations. Infratentorial brain structures should be carefully evaluated to better define the type of associated midbrain-hindbrain anomalies.

Indexed as

Abnormalities, MultipleAdolescentCase-Control StudiesChildChild, PreschoolDiencephalonFemaleHumansInfantInfant, NewbornMaleMesencephalonRetrospective StudiesBrainstem morphometryDiencephalic–mesencephalic junctionDTIHindbrain–midbrain malformationMRI

Identifiers

PMID26446148
OpenAlexW1823957431

What OpenQuestion holds

Textmetadata
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.