Evidence map›Paper›PMID 26553594›Full record

SynthesisNature reviews. Neurology2015

A novel diagnostic approach to patients with myoclonus.

Rodi Zutt, Martje E van Egmond, Jan Willem Elting, Peter Jan van Laar, Oebele F Brouwer, Deborah A Sival, Hubertus P Kremer, Tom J de Koning, Marina A Tijssen

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Nature reviews. Neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 10% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Diagnostic approach and treatment options for myoclonus.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Article
  5. Review
  6. Benign Idiopathic Myoclonus: A New Clinical Entity?Movement disorders clinical practice · 2025
    Article
  7. Adult-Onset Myoclonus in a Large Urban Inpatient Setting: A Retrospective Cohort Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  8. Adult-Onset Myoclonus: Comparisons and Contrasts in the Inpatient and Outpatient Settings.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  9. Substantiating the Short Burst Duration in Cortical Myoclonus.Movement disorders : official journal of the Movement Disorder Society · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Myoclonus in older Cavalier King Charles Spaniels.Journal of veterinary internal medicine · 2022
    Article
  17. Article
  18. Myoclonus and other jerky movement disorders.Clinical neurophysiology practice · 2022
    Review
  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

9 authors at 1 institution in 1 country.

Rodi ZuttDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Martje E van EgmondOmmelander Ziekenhuisgroep, Department of Neurology, PO Box 30.000, 9670 RA Delfzijl and Winschoten, Netherlands.
Jan Willem EltingDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Peter Jan van LaarDepartment of Radiology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Oebele F BrouwerDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Deborah A SivalDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Hubertus P KremerDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Tom J de KoningDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
Marina A TijssenDepartment of Neurology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, Netherlands.
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myoclonus is a hyperkinetic movement disorder characterized by brief, involuntary muscular jerks. Recognition of myoclonus and determination of the underlying aetiology remains challenging given that both acquired and genetically determined disorders have varied manifestations. The diagnostic work-up in myoclonus is often time-consuming and costly, and a definitive diagnosis is reached in only a minority of patients. On the basis of a systematic literature review up to June 2015, we propose a novel diagnostic eight-step algorithm to help clinicians accurately, efficiently and cost-effectively diagnose myoclonus. The large number of genes implicated in myoclonus and the wide clinical variation of these genetic disorders emphasize the need for novel diagnostic techniques. Therefore, and for the first time, we incorporate next-generation sequencing (NGS) in a diagnostic algorithm for myoclonus. The initial step of the algorithm is to confirm whether the movement disorder phenotype is consistent with, myoclonus, and to define its anatomical subtype. The next steps are aimed at identification of both treatable acquired causes and those genetic causes of myoclonus that require a diagnostic approach other than NGS. Finally, other genetic diseases that could cause myoclonus can be investigated simultaneously by NGS techniques. To facilitate NGS diagnostics, we provide a comprehensive list of genes associated with myoclonus.

Indexed as

AlgorithmsDiagnosis, DifferentialHigh-Throughput Nucleotide SequencingElectrophysiologyHumansMyoclonusNervous SystemNeuroimaging

Identifiers

PMID26553594
OpenAlexW2148186111

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.