Evidence map›Paper›PMID 26841329›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2016

Cerebellar ataxia in progressive supranuclear palsy: An autopsy study of PSP-C.

Shunsuke Koga, Keith A Josephs, Kotaro Ogaki, Catherine Labbé, Ryan J Uitti, Neill Graff-Radford, Jay A van Gerpen, William P Cheshire, Naoya Aoki, Rosa Rademakers and 3 more

Open access · greenAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. The underlying causes of eye movement disorders and ataxia.Neurodegenerative disease management · 2026
    Article
  3. Comorbid pathologies and their impact on progressive supranuclear palsy: current view.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Review
  4. Review
  5. Developing a novel reference region for [European journal of nuclear medicine and molecular imaging · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. A novelFrontiers in neurology · 2024
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Clinical Spectrum of Tauopathies.Frontiers in neurology · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Progressive Supranuclear Palsy and Corticobasal Degeneration.Advances in experimental medicine and biology · 2021
    Article
  19. Review
  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

13 authors at 3 institutions in 1 country.

Shunsuke KogaDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Keith A JosephsDepartment of Neurology (Behavioural Neurology & Movement Disorders), Mayo Clinic, Rochester, Minnesota, USA.
Kotaro OgakiDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Catherine LabbéDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Ryan J UittiDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Neill Graff-RadfordDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Jay A van GerpenDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
William P CheshireDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Naoya AokiDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Rosa RademakersDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Zbigniew K WszolekDepartment of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Owen A RossDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Dennis W DicksonDepartment of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.
Mayo Clinic in Florida · USJacksonville College · USMayo Clinic · US

Funding

Vascular Structure and Function in Cognitive AgingP01AG003949 · NIA · YESHIVA UNIVERSITY · PI CAROL A. DERBY · 1985 to 2026
$73.9M
THE PGRN/TDP-43 AXIS IN ALZHEIMER?S DISEASE AND NEURODEGENERATIONP50AG016574 · NIA · MAYO CLINIC ROCHESTER · PI VEMURI, PRASHANTHI · 1999 to 2018
$36.9M
Neuropathology CoreP50NS072187 · NINDS · MAYO CLINIC JACKSONVILLE · PI DICKSON, DENNIS WILLIAM · 2010 to 2017
$8.7M
Longitudinal multi-modality imaging in progressive apraxia of speech (Diversity Supplement)R01DC012519 · NIDCD · MAYO CLINIC ROCHESTER · PI Jennifer Louise Whitwell · 2013 to 2026
$7.2M
Understanding the role of TDP-43 in Alzheimers disease and FTLDR01AG037491 · NIA · MAYO CLINIC ROCHESTER · PI JOSEPHS, KEITH A · 2010 to 2024
$6.5M
Biomarkers for Preclinical Parkinson's diseaseR01NS057567 · NINDS · UNIVERSITY OF WASHINGTON · PI ZHANG, JING · 2008 to 2012
$3.1M
PIB PET Scanning in Speech and Language Based DementiasR01DC010367 · NIDCD · MAYO CLINIC ROCHESTER · PI JOSEPHS, KEITH A · 2010 to 2014
$1.7M
Understanding the role of MAPT in Parkinsonian disordersR01NS078086 · NINDS · MAYO CLINIC JACKSONVILLE · PI ROSS, OWEN A · 2012 to 2016
$1.7M
GGGGCC hexanucleotide repeat expansions in neurodegenerative diseaseR01NS080882 · NINDS · MAYO CLINIC JACKSONVILLE · PI RADEMAKERS, ROSA · 2012 to 2016
$1.6M
Molecular genetic studies of progranulin regulators in FTLD and ALSR01NS076471 · NINDS · MAYO CLINIC JACKSONVILLE · PI RADEMAKERS, ROSA · 2013 to 2016
$1.4M
NIA NIH HHS P01 AG003949NIA NIH HHS P50 AG016574NIA NIH HHS R01 AG037491NIDCD NIH HHS R01 DC010367NIDCD NIH HHS R01 DC012519NINDS NIH HHS P50 NS072187NINDS NIH HHS R01 NS057567NINDS NIH HHS R01 NS076471NINDS NIH HHS R01 NS078086NINDS NIH HHS R01 NS080882
6 · The paper itself

Abstract

backgroundCerebellar ataxia is an exclusion criterion for the clinical diagnosis of progressive supranuclear palsy, but a variant with predominant cerebellar ataxia has been reported. The aims of this study were to estimate the frequency of progressive supranuclear palsy with predominant cerebellar ataxia in an autopsy series from the United States and to compare clinical, pathologic, and genetic differences between progressive supranuclear palsy with and without predominant cerebellar ataxia.

methodWe selected 100 consecutive patients with pathologically confirmed progressive supranuclear palsy who had been evaluated at the Mayo Clinic (referred to as the Mayo Clinic patient series) from our brain bank database (N = 1085). We next enriched in cases likely to have cerebellar ataxia by searching the remaining 985 cases for (1) an antemortem diagnosis of multiple system atrophy or (2) neuropathologic evidence of prominent degeneration of the cerebellum or cerebellar afferent nuclei. Subsequently, clinical, pathologic, and genetic features were compared between the two groups.

resultsOne patient in the Mayo Clinic patient series (1%) met criteria for progressive supranuclear palsy with predominant cerebellar ataxia and had both cerebellar and mild midbrain atrophy on MRI. Four patients were identified with the targeted search. Four of the five patients were clinically misdiagnosed as multiple system atrophy. The severity of tau-related pathology and cerebellar degeneration were not different between the two groups. No differences were detected in tau genotypes.

conclusionAlthough our data cannot provide definitive information about how to make an accurate clinical diagnosis, they should serve to raise awareness of progressive supranuclear palsy with predominant cerebellar ataxia in the differential diagnosis of multiple system atrophy. © 2016 Movement Disorder Society.

Indexed as

Tissue BanksAgedAged, 80 and overAutopsyBrainCerebellar AtaxiaComorbidityFemaleHumansMaleSupranuclear Palsy, ProgressiveUnited StatesCerebellar ataxiaclinicopathologic studyMAPT genotypemultiple system atrophyprogressive supranuclear palsy

Identifiers

PMID26841329
PMCPMC4861661
OpenAlexW2272994097

What OpenQuestion holds

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Read underepoch 390

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.