Evidence map›Paper›PMID 30467211›Full record

ReviewJournal of neurology, neurosurgery, and psychiatry2019

Practical approach to the diagnosis of adult-onset leukodystrophies: an updated guide in the genomic era.

David S Lynch, Charles Wade, Anderson Rodrigues Brandão de Paiva, Nevin John, Justin A Kinsella, Áine Merwick, Rebekah M Ahmed, Jason D Warren, Catherine J Mummery, Jonathan M Schott and 6 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, neurosurgery, and psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
7.5field-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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Diagnosing Alexander disease in adults.Practical neurology · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Chorea in Hereditary Leukodystrophies - Overview of Two Cases.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  14. Neuroglial Pathophysiology of Leukodystrophies.Advances in neurobiology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Pearls & Oy-sters:Neurology · 2024
    Article

8 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

16 authors at 8 institutions in 5 countries.

David S LynchDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK david.lynch.13@ucl.ac.uk.ORCID 0000-0003-0615-7159
Charles WadeDepartment of Neurology, Royal Free Hospital, London, UK.
Anderson Rodrigues Brandão de PaivaNeurogenetics Unit, Neurology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Nevin JohnDepartment of Neuroinflammation, UCL Institute of Neurology, London, UK.
Justin A KinsellaDepartment of Neurology, St Vincent's University Hospital University College Dublin, Dublin, Ireland.
Áine MerwickDepartment of Neurology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin, Ireland.
Rebekah M AhmedMemory and Cognition Clinic, Department of Clinical Neurosciences, Royal Prince Alfred Hospital and the Brain and Mind Centre, University of Sydney, Camperdown, New South Wales, Australia.
Jason D WarrenDementia Research Centre, UCL Institute of Neurology, London, UK.
Catherine J MummeryDementia Research Centre, UCL Institute of Neurology, London, UK.
Jonathan M SchottDementia Research Centre, UCL Institute of Neurology, London, UK.
Nick C FoxDementia Research Centre, UCL Institute of Neurology, London, UK.
Henry HouldenDepartment of Molecular Neuroscience, UCL Institute of Neurology, London, UK.
Matthew E AdamsLysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK.
Indran DavagnanamLysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK.
Elaine MurphyCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery Queen Square, London, UK.
Jeremy ChatawayDepartment of Neuroinflammation, UCL Institute of Neurology, London, UK.
UK Dementia Research Institute · GBNational Hospital for Neurology and Neurosurgery · GBUniversity College London · GBThe Royal Free Hospital · GBHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRRoyal College of Surgeons in Ireland · IEThe University of Sydney · AUUniversity College Dublin · IE

Funding

Medical Research Council MR/M009106/1Medical Research Council MR/S01165X/1Wellcome Trust
6 · The paper itself

Abstract

Adult-onset leukodystrophies and genetic leukoencephalopathies comprise a diverse group of neurodegenerative disorders of white matter with a wide age of onset and phenotypic spectrum. Patients with white matter abnormalities detected on MRI often present a diagnostic challenge to both general and specialist neurologists. Patients typically present with a progressive syndrome including various combinations of cognitive impairment, movement disorders, ataxia and upper motor neuron signs. There are a number of important and treatable acquired causes for this imaging and clinical presentation. There are also a very large number of genetic causes which due to their relative rarity and sometimes variable and overlapping presentations can be difficult to diagnose. In this review, we provide a structured approach to the diagnosis of inherited disorders of white matter in adults. We describe clinical and radiological clues to aid diagnosis, and we present an overview of both common and rare genetic white matter disorders. We provide advice on testing for acquired causes, on excluding small vessel disease mimics, and detailed advice on metabolic and genetic testing available to the practising neurologist. Common genetic leukoencephalopathies discussed in detail include

Indexed as

AdultAge of OnsetHumansLeukoencephalopathiesadrenoleukodystrophydementiamovement disordersneurogeneticsneuroradiology

Identifiers

PMID30467211
PMCPMC6581077
OpenAlexW2901502496

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.