Evidence map›Paper›PMID 26710961›Full record

Trial reportBMC research notes2015

Catatonia in Ugandan children with nodding syndrome and effects of treatment with lorazepam: a pilot study.

Angelina Kakooza-Mwesige, Dirk M Dhossche, Richard Idro, Dickens Akena, Joyce Nalugya, Benard T Opar

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02462109 (Catatonia in Ugandan Children With Nodding Syndrome and Effects of Treatment With Lorazepam), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT02462109 phase1completednot on this map

Catatonia in Ugandan Children With Nodding Syndrome and Effects of Treatment With Lorazepam: A Pilot Study

TypeinterventionalSponsorMakerere UniversityRan2013 to 2013Enrolled16ConditionsCatatonia, Nodding SyndromeArmsLorazepam
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Nodding Syndrome: A Scoping Review.Tropical medicine and infectious disease · 2021
    Article
  5. Review
  6. Article
  7. Article
  8. Nodding syndrome: a concise review.Brain communications · 2020
    Review
  9. Article
  10. Review
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

6 authors at 3 institutions in 2 countries.

Angelina Kakooza-MwesigeDepartment of Pediatrics and Child Health, Makerere University College of Health Sciences, P O Box 7072, Kampala, Uganda. akakooza246@gmail.com.
Dirk M DhosscheUniversity of Mississippi Medical Center, 2500 North State Street, Jackson, MS, 39216, USA. dirkdhossche@gmail.com.
Richard IdroDepartment of Pediatrics and Child Health, Makerere University College of Health Sciences, P O Box 7072, Kampala, Uganda. ridro1@gmail.com.
Dickens AkenaDepartment of Psychiatry, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda. akenadickens@yahoo.co.uk.
Joyce NalugyaDepartment of Psychiatry, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda. joycenalugya@yahoo.com.
Benard T OparMinistry of Health Headquarters, Kampala, Uganda. bopato@gmail.com.
Makerere University · UGJackson Memorial Hospital · USMinistry of Health · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNodding syndrome (NS) is a severe neuropsychiatric syndrome of an unknown etiology affecting children and adolescents mostly in Eastern Africa. Symptoms of NS and catatonia seem to overlap. We investigated the presence and types of catatonic symptoms in NS and their response to one or two doses of lorazepam, the first-line treatment for catatonia.

methodsA cross-sectional descriptive study with systematic assessment of catatonia in 33 patients with NS using a modified version of the Bush Francis Catatonia Rating Scale. Sixteen patients met criteria for catatonia and were observed in an open and uncontrolled study to examine the effects of one or two doses of lorazepam in them.

resultsSixteen of 33 patients with NS had an average of 5 catatonia symptoms and met criteria for catatonia. The highest scores were found for mutism, staring, poor eating/drinking, stupor, and grimacing. Excitement, rigidity, negativism and impulsivity had lower scores. None of the children had echolalia or echopraxia. In 6 children, there was a reduction of more than 50% in catatonia ratings, representing a positive response to lorazepam. Three out of six children whose catatonia ratings did not change after the first dose, responded after administration of a second double dose. There were no unusual or critical side-effects.

conclusionsAbout half of a selected sample of children with NS met criteria for catatonia. Catatonia scores decreased in most patients after one or two doses of lorazepam. Larger, longer, and controlled studies are warranted to assess the prevalence of catatonia in NS and to assess the use of lorazepam in NS through its effects on catatonia.

trial registrationClinicalTrials.gov NCT02462109 Date of formal registration: June 2, 2015.

Indexed as

AdolescentAdultAnticonvulsantsCatatoniaChildFemaleHumansLorazepamMaleNodding SyndromePilot ProjectsTreatment OutcomeUgandaYoung AdultAnticonvulsantsLorazepam

Identifiers

PMID26710961
PMCPMC4693437
OpenAlexW2304189676

What OpenQuestion holds

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LicenceCC BY
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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.