Evidence map›Paper›PMID 28100251›Full record

ReviewOrphanet journal of rare diseases2017

Consensus guideline for the diagnosis and treatment of aromatic l-amino acid decarboxylase (AADC) deficiency.

Tessa Wassenberg, Marta Molero-Luis, Kathrin Jeltsch, Georg F Hoffmann, Birgit Assmann, Nenad Blau, Angeles Garcia-Cazorla, Rafael Artuch, Roser Pons, Toni S Pearson and 10 more

Abstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

100 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Guideline
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  8. Article
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  14. Movement Disorders in Children: Treatment Algorithm and Surgical Options.Advances and technical standards in neurosurgery · 2026
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Trial Readiness: Understanding the Natural History of Rare Diseases.Journal of inherited metabolic disease · 2025
    Review
  20. Article

40 more citing papers are in PubMed but not listed here.

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

20 authors.

Tessa WassenbergDepartment of Neurology and Child Neurology, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Marta Molero-LuisDepartment of Clinical Biochemistry, CIBERER-ISCIII, Hospital Sant Joan de Déu Barcelona, Barcelona, Spain.
Kathrin JeltschDepartment of Child Neurology and Metabolic Disorders, University Children's Hospital, Heidelberg, Germany.
Georg F HoffmannDepartment of Child Neurology and Metabolic Disorders, University Children's Hospital, Heidelberg, Germany.
Birgit AssmannDepartment of Child Neurology and Metabolic Disorders, University Children's Hospital, Heidelberg, Germany.
Nenad BlauDietmar-Hopp Metabolic Center, University Children's Hospital Heidelberg, Heidelberg, Germany.
Angeles Garcia-CazorlaDepartment of Child Neurology, CIBERER-ISCIII, Hospital Sant Joan de Déu Barcelona, Barcelona, Spain.
Rafael ArtuchDepartment of Clinical Biochemistry, CIBERER-ISCIII, Hospital Sant Joan de Déu Barcelona, Barcelona, Spain.
Roser PonsFirst Department of Pediatrics, Pediatric Neurology Unit, Agia Sofia Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Toni S PearsonDepartment of Neurology, Washington University School of Medicine, St. Louis, USA.
Vincenco LeuzziDepartment of Pediatrics and Child Neuropsychiatry, Sapienza Università di Roma, Rome, Italy.
Mario MastrangeloDepartment of Pediatrics and Child Neuropsychiatry, Sapienza Università di Roma, Rome, Italy.
Phillip L PearlDepartment of Epilepsy and Clinical Neurophysiology, Boston Children's Hospital, Harvard Medical School, Boston, USA.
Wang Tso LeeDepartment of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
Manju A KurianDevelopmental Neurosciences, UCL- Institute of Child Health and Department of Neurology, Great Ormond Street Hospital for Children NHS Foundations Trust, London, UK.
Simon HealesLaboratory Medicine, Great Ormond Street Hospital and Neurometabolic Unit, National Hospital, London, UK.
Lisa FlintAADC research trust, London, UK.
Marcel VerbeekDepartment of Neurology and Child Neurology, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Michèl WillemsenDepartment of Neurology and Child Neurology, Radboud university medical center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
Thomas OpladenDepartment of Child Neurology and Metabolic Disorders, University Children's Hospital, Heidelberg, Germany. Thomas.Opladen@med.uni-heidelberg.de.

Funding

Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SAHIN, MUSTAFA · 2016 to 2020
$5.2M
NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

Aromatic L-amino acid decarboxylase deficiency (AADCD) is a rare, autosomal recessive neurometabolic disorder that leads to a severe combined deficiency of serotonin, dopamine, norepinephrine and epinephrine. Onset is early in life, and key clinical symptoms are hypotonia, movement disorders (oculogyric crisis, dystonia, and hypokinesia), developmental delay, and autonomic symptoms.In this consensus guideline, representatives of the International Working Group on Neurotransmitter Related Disorders (iNTD) and patient representatives evaluated all available evidence for diagnosis and treatment of AADCD and made recommendations using SIGN and GRADE methodology. In the face of limited definitive evidence, we constructed practical recommendations on clinical diagnosis, laboratory diagnosis, imaging and electroencephalograpy, medical treatments and non-medical treatments. Furthermore, we identified topics for further research. We believe this guideline will improve the care for AADCD patients around the world whilst promoting general awareness of this rare disease.

Indexed as

Age of OnsetAmino Acid Metabolism, Inborn ErrorsAromatic-L-Amino-Acid DecarboxylasesCholinergic AntagonistsDopamine AgonistsGuidelines as TopicHumansMonoamine Oxidase InhibitorsProlactinPyridoxal PhosphateAromatic-L-Amino-Acid DecarboxylasesCholinergic AntagonistsDopamine AgonistsMonoamine Oxidase InhibitorsProlactinPyridoxal PhosphateAADC deficiencyAromatic l-amino acid decarboxylase deficiencyDopamineGRADEGuidelineInfantile dystonia-parkinsonismNeurotransmitterSerotoninSIGN

Identifiers

PMID28100251
PMCPMC5241937

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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.