Evidence map›Paper›PMID 26861132›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2016

Central nervous system and cervical spine abnormalities in Apert syndrome.

Omar Breik, Antony Mahindu, Mark H Moore, Cindy J Molloy, Stephen Santoreneos, David J David

Abstract read
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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.6field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Embryodysgenesis of the Lids and Orbit.Eye (London, England) · 2026
    Review
  3. Lumbar hemivertebra associated with coronal craniosynostosis due to TCF12 mutation: an expansion of the axial skeletal phenotype.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. An early prenatal diagnosis of type III Pfeiffer syndrome: a case description.Quantitative imaging in medicine and surgery · 2024
    Article
  8. Apert syndrome: neurosurgical outcomes and complications following posterior vault distraction osteogenesis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  9. Article
  10. Article
  11. Apert syndrome: magnetic resonance imaging (MRI) of associated intracranial anomalies.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018
    Review
  12. Analysis of theBiology open · 2017
    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

6 authors at 1 institution in 1 country.

Omar BreikAustralian Craniofacial Unit, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia. omar.breik@gmail.com.
Antony MahinduDepartment of Neurosurgery, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia.
Mark H MooreAustralian Craniofacial Unit, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia.
Cindy J MolloyDepartment of Neurosurgery, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia.
Stephen SantoreneosDepartment of Neurosurgery, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia.
David J DavidAustralian Craniofacial Unit, Women's and Children's Hospital, 72 King William Rd, North Adelaide, South Australia, 5006, Australia.
Women's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeApert syndrome characterized by acrocephalosyndactyly is a rare autosomal dominant congenital malformation with a prevalence of 1/65,000 births. With an extensive range of phenotypic and developmental manifestations, its management requires a multidisciplinary approach. A variety of craniofacial, central nervous system (CNS), and cervical spine abnormalities have been reported in these patients. This study aimed to determine the incidence of these CNS abnormalities in our case series.

methodsRetrospective review of Australian Craniofacial Unit (ACFU) database for Apert patients was performed. Data collected that included demographics, place of origin, age at presentation, imaging performed, and images were reviewed and recorded. Where available, developmental data was also recorded.

resultsNinety-four patients seen and managed at the ACFU had their CNS and cervical spine abnormalities documented. The main CNS abnormalities were prominent convolutional markings (67 %), ventriculomegaly (48 %), crowded foramen magnum (36 %), deficient septum pellucidum (13 %), and corpus callosum agenesis in 11 %. Major C-spine findings were present in 50.8 % of patients and included fusion of posterior elements of C5/C6 (50 %) and C3/4 (27 %). Multilevel fusion was seen in 20 %. Other abnormalities were C1 spina bifida occulta (7 %) and atlanto-axial subluxation (7 %).

conclusionMultiple CNS and cervical spine (c-spine) abnormalities are common in Apert syndrome. The significance of these abnormalities remains largely unknown. Further research is needed to better understand the impact of these findings on growth, development, and treatment outcomes.

Indexed as

AcrocephalosyndactyliaBrainCervical VertebraeFemaleHumansIncidenceInfantMagnetic Resonance ImagingMaleNervous System MalformationsTomography, X-Ray ComputedAbnormalitiesApert syndromeCervical spineCNSCraniosynostosis

Identifiers

PMID26861132
OpenAlexW2262486113

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.