Evidence map›Paper›PMID 26559944›Full record

ArticlePloS one2015

Eye Movement Deficits Are Consistent with a Staging Model of pTDP-43 Pathology in Amyotrophic Lateral Sclerosis.

Martin Gorges, Hans-Peter Müller, Dorothée Lulé, Kelly Del Tredici, Johannes Brettschneider, Jürgen Keller, Katharina Pfandl, Albert C Ludolph, Jan Kassubek, Elmar H Pinkhardt

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Atypical features including acquired oculomotor apraxia inJournal of neuromuscular diseases · 2026
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  19. Saccadic intrusions in amyotrophic lateral sclerosis (ALS).Journal of eye movement research · 2019
    Article
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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

10 authors at 2 institutions in 2 countries.

Martin GorgesDepartment of Neurology, University of Ulm, Ulm, Germany.
Hans-Peter MüllerDepartment of Neurology, University of Ulm, Ulm, Germany.
Dorothée LuléDepartment of Neurology, University of Ulm, Ulm, Germany.
Kelly Del TrediciSection Clinical Neuroanatomy, Department of Neurology, University of Ulm, Ulm, Germany.
Johannes BrettschneiderCenter for Neurodegenerative Disease Research (CNDR), University of Pennsylvania School of Medicine, Philadelphia, PA, United States of America.
Jürgen KellerDepartment of Neurology, University of Ulm, Ulm, Germany.
Katharina PfandlDepartment of Neurology, University of Ulm, Ulm, Germany.
Albert C LudolphDepartment of Neurology, University of Ulm, Ulm, Germany.
Jan KassubekDepartment of Neurology, University of Ulm, Ulm, Germany.
Elmar H PinkhardtDepartment of Neurology, University of Ulm, Ulm, Germany.
Universität Ulm · DEUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neuropathological process underlying amyotrophic lateral sclerosis (ALS) can be traced as a four-stage progression scheme of sequential corticofugal axonal spread. The examination of eye movement control gains deep insights into brain network pathology and provides the opportunity to detect both disturbance of the brainstem oculomotor circuitry as well as executive deficits of oculomotor function associated with higher brain networks.

objectiveTo study systematically oculomotor characteristics in ALS and its underlying network pathology in order to determine whether eye movement deterioration can be categorized within a staging system of oculomotor decline that corresponds to the neuropathological model.

methodsSixty-eight ALS patients and 31 controls underwent video-oculographic, clinical and neuropsychological assessments.

resultsOculomotor examinations revealed increased anti- and delayed saccades' errors, gaze-palsy and a cerebellary type of smooth pursuit disturbance. The oculomotor disturbances occurred in a sequential manner: Stage 1, only executive control of eye movements was affected. Stage 2 indicates disturbed executive control plus 'genuine' oculomotor dysfunctions such as gaze-paly. We found high correlations (p<0.001) between the oculomotor stages and both, the clinical presentation as assessed by the ALS Functional Rating Scale (ALSFRS) score, and cognitive scores from the Edinburgh Cognitive and Behavioral ALS Screen (ECAS).

conclusionsDysfunction of eye movement control in ALS can be characterized by a two-staged sequential pattern comprising executive deficits in Stage 1 and additional impaired infratentorial oculomotor control pathways in Stage 2. This pattern parallels the neuropathological staging of ALS and may serve as a technical marker of the neuropathological spreading.

Indexed as

AdultAgedAged, 80 and overAmyotrophic Lateral SclerosisBrainDisease ProgressionDNA-Binding ProteinsEye MovementsFemaleHumansMaleMiddle AgedNeuropsychological TestsDNA-Binding Proteins

Identifiers

PMID26559944
PMCPMC4641606
OpenAlexW2147320314

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.