Evidence map›Paper›PMID 30111349›Full record

ArticleOrphanet journal of rare diseases2018

Encephalopathies with intracranial calcification in children: clinical and genetic characterization.

Davide Tonduti, Celeste Panteghini, Anna Pichiecchio, Alice Decio, Miryam Carecchio, Chiara Reale, Isabella Moroni, Nardo Nardocci, Jaume Campistol, Angela Garcia-Cazorla and 5 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Expanding the phenotypic spectrum ofCurrent journal of neurology · 2025
    Article
  4. Review
  5. Article
  6. NOTCH1-Related Leukoencephalopathy: A Novel Variant and Literature Review.International journal of molecular sciences · 2024
    Review
  7. Brain Calcifications: Genetic, Molecular, and Clinical Aspects.International journal of molecular sciences · 2023
    Review
  8. Article
  9. How to look for intracranial calcification in children with neurological disorders: CT, MRI, or both of them?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  10. Complex dystonias: an update on diagnosis and care.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  11. Case Report: Novel Compound HeterozygousFrontiers in immunology · 2021
    Article
  12. Review
  13. Article
  14. 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

15 authors at 5 institutions in 3 countries.

Davide TondutiChild Neurology Unit, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy. davidetondu@hotmail.com.ORCID 0000-0001-9371-7454
Celeste PanteghiniMolecular Neurogenetics Unit, Movement Disorders Diagnostic Section, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Anna PichiecchioDepartment of Neuroradiology, IRCCS Mondino Foundation, Pavia, Italy.
Alice DecioChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Miryam CarecchioChild Neurology Unit, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Chiara RealeMolecular Neurogenetics Unit, Movement Disorders Diagnostic Section, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Isabella MoroniChild Neurology Unit, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Nardo NardocciChild Neurology Unit, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Jaume CampistolDepartment of Child Neurology, Pediatric Research Institute, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Angela Garcia-CazorlaDepartment of Child Neurology, Pediatric Research Institute, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Belen Perez DuenasDepartment of Child Neurology, Pediatric Research Institute, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Cerebral Calcification International Study Group
Luisa ChiappariniDepartment of Neuroradiology, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Barbara GaravagliaMolecular Neurogenetics Unit, Movement Disorders Diagnostic Section, IRCCS Foundation C. Besta Neurological Institute, Milan, Italy.
Simona OrcesiChild Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.
Fondazione IRCCS Istituto Neurologico Carlo Besta · ITHospital Sant Joan de Déu Barcelona · ESIRCCS Eugenio Medea · ITOspedale dei Bambini Vittore Buzzi · ITUrology Foundation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present a group of patients affected by a paediatric onset genetic encephalopathy with cerebral calcification of unknown aetiology studied with Next Generation Sequencing (NGS) genetic analyses.

methodsWe collected all clinical and radiological data. DNA samples were tested by means of a customized gene panel including fifty-nine genes associated with known genetic diseases with cerebral calcification.

resultsWe collected a series of fifty patients. All patients displayed complex and heterogeneous phenotypes mostly including developmental delay and pyramidal signs and less frequently movement disorder and epilepsy. Signs of cerebellar and peripheral nervous system involvement were occasionally present. The most frequent MRI abnormality, beside calcification, was the presence of white matter alterations; calcification was localized in basal ganglia and cerebral white matter in the majority of cases. Sixteen out of fifty patients tested positive for mutations in one of the fifty-nine genes analyzed. In fourteen cases the analyses led to a definite genetic diagnosis while results were controversial in the remaining two.

conclusionsGenetic encephalopathies with cerebral calcification are usually associated to complex phenotypes. In our series, a molecular diagnosis was achieved in 32% of cases, suggesting that the molecular bases of a large number of disorders are still to be elucidated. Our results confirm that cerebral calcification is a good criterion to collect homogeneous groups of patients to be studied by exome or whole genome sequencing; only a very close collaboration between clinicians, neuroradiologists and geneticists can provide better results from these new generation molecular techniques.

Indexed as

AdolescentAge of OnsetBrain DiseasesCalcinosisChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleNervous System MalformationsSequence Analysis, DNAAicardi-Goutières syndromeCerebral calcificationLeukodystrophyNext generation sequencing

Identifiers

PMID30111349
PMCPMC6094574
OpenAlexW2886177318

What OpenQuestion holds

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LicenceCC BY
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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.