Evidence map›Paper›PMID 29346380›Full record

ArticlePloS one2018

Rapidly progressive dementia: An eight year (2008-2016) retrospective study.

Patil Anuja, Vishnu Venugopalan, Naheed Darakhshan, Pandit Awadh, Vinny Wilson, Goyal Manoj, Modi Manish, Lal Vivek

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. [Rapidly progressive dementia by late neurosyphilis (general paresis). Case report].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Neuropsychological Features in Patients with General Paresis of the Insane at an Early Stage.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Rapidly progressive dementia: Extending the spectrum of GFAP-astrocytopathies?Annals of clinical and translational neurology · 2022
    Article
  15. Article
  16. Autoimmune Encephalitis Resembling Dementia Syndromes.Neurology(R) neuroimmunology & neuroinflammation · 2021
    Observational
  17. Review
  18. Article
  19. 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

8 authors at 2 institutions in 1 country.

Patil AnujaDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.ORCID 0000-0003-2871-6820
Vishnu VenugopalanDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-3654-8137
Naheed DarakhshanDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Pandit AwadhDepartment of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Vinny WilsonDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Goyal ManojDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Modi ManishDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Lal VivekDepartment of Neurology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · INAll India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeRapidly progressive dementia (RPD) is an emergency in cognitive neurology, defined as cognitive impairment affecting the daily living activities developed over less than 1 year. This study investigated the profile of patients with rapidly progressive dementia at first presentation.

methodsRetrospective case analysis was done in 187 patients with rapidly progressive dementia who presented to the Postgraduate Institute of Medical Education and Research, Chandigarh, India from January 2008 to August 2016. Patients were divided into three groups: (1) Reversible (treatable) secondary dementia group, (2) Prion dementia group (sporadic Creutzfeldt-Jakob disease), (3) Non-prion Neurodegenerative and vascular dementias (primary neurodegenerative and vascular dementia). Cases presenting with delirium secondary to metabolic, drug induced or septic causes and those with signs of meningitis were excluded.

resultsSecondary reversible causes formed the most common cause for RPD with immune mediated encephalitides, neoplastic and infectious disorders as the leading causes. The patients in this series had an younger onset of RPD. Infections presenting with RPD accounted for the most common cause in our series (39%) with SSPE (41%) as the leading cause followed by neurosyphilis (17.9%) and progressive multifocal leukoencephalopathy (15.3%). Immune mediated dementias formed the second most common (18.1%) etiologic cause for RPD. The neurodegenerative dementias were third common cause for RPD in our series. Neoplastic disorders and immune mediated presented early (< 6 months) while neurodegenerative disorders presented later (> 6 months).

conclusionsRapidly progressive dementia is an emergency in cognitive neurology with potentially treatable or reversible causes that should be sought for diligently.

Indexed as

DementiaDisease ProgressionElectroencephalographyFemaleHumansMaleRetrospective Studies

Identifiers

PMID29346380
PMCPMC5773088
OpenAlexW2784379333

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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.