Evidence map›Paper›PMID 26489495›Full record

ArticleBMC psychiatry2015

Case report: an unexpected link between partial deletion of the SHANK3 gene and Heller's dementia infantilis, a rare subtype of autism spectrum disorder.

Anne Philippe, Yann Craus, Marlène Rio, Nadia Bahi-Buisson, Nathalie Boddaert, Valérie Malan, Jean-Paul Bonnefont, Laurence Robel

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 1 country.

Anne PhilippeParis Descartes University, Sorbonne Paris Cité, Institut Imagine, UMR1163, Paris, France. anne.philippe@inserm.fr.
Yann CrausDepartment of Child and Adolescent Psychiatry, APHP Hôpital Necker Enfants Malades, Paris, France. y.craus@free.fr.
Marlène RioParis Descartes University, Sorbonne Paris Cité, Institut Imagine, UMR1163, Paris, France. marlene.rio@aphp.fr.
Nadia Bahi-BuissonPediatric Neurology, APHP Hôpital Necker Enfants Malades, Paris Descartes University, Sorbonne Paris Cité, Institut Imagine, Paris, France. nadia.bahi-buisson@aphp.fr.
Nathalie BoddaertDepartment of Imagery, APHP Hôpital Necker Enfants Malades, Paris, France. nathalie.boddaert@aphp.fr.
Valérie MalanDepartment of Cytogenetic, APHP Hôpital Necker Enfants Malades, Paris, France. valerie.malan@aphp.fr.
Jean-Paul BonnefontMolecular Genetics Unit, APHP Hôpital Necker Enfants Malades, Paris, France. jean-paul.bonnefont@aphp.fr.
Laurence RobelCESP, INSERM U1178, Univ., Paris-Descartes, USPC, Paris, 75014, France. laurence.robel@free.fr.
Hôpital Necker-Enfants Malades · FRAssistance Publique – Hôpitaux de Paris · FRSorbonne Paris Cité · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeletions and mutations involving the SHANK3 gene lead to a nonspecific clinical presentation with moderate to profound intellectual disability, severely delayed or absent speech, and autism spectrum disorders (ASD). Better knowledge of the clinical spectrum of SHANK3 haploinsufficiency is useful to facilitate clinical care monitoring and to guide molecular diagnosis, essential for genetic counselling. CASE PRESENTATION: Here, we report a detailed clinical description of a 10-year-old girl carrying a pathogenic interstitial 22q13.3 deletion encompassing only the first 17 exons of SHANK3. The clinical features displayed by the girl strongly suggested the diagnosis of dementia infantilis, described by Heller in 1908, also known as childhood disintegrative disorder.

conclusionOur present case confirms several observations according to which regression may be part of the clinical phenotype of SHANK3 haploinsufficiency. Therefore, we think it is crucial to look for mutations in the gene SHANK3 in patients diagnosed for childhood disintegrative disorder or any developmental disorder with a regressive pattern involving social and communicative skills as well as cognitive and instinctual functions, with onset around 3 years.

Indexed as

Gene DeletionAutism Spectrum DisorderChildChromosomes, Human, Pair 22DementiaFemaleHumansIntellectual DisabilityNerve Tissue ProteinsPhenotypeRegression, PsychologyNerve Tissue ProteinsSHANK3 protein, human

Identifiers

PMID26489495
PMCPMC4618364
OpenAlexW1857961495

What OpenQuestion holds

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LicenceCC BY
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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.