Evidence map›Paper›PMID 30845252›Full record

Observational studyPloS one2019

Tracking the brain in myotonic dystrophies: A 5-year longitudinal follow-up study.

Carla Gliem, Martina Minnerop, Sandra Roeske, Hanna Gärtner, Jan-Christoph Schoene-Bake, Sandra Adler, Juri-Alexander Witt, Felix Hoffstaedter, Christiane Schneider-Gold, Regina C Betz and 6 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Review
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  13. Observational
  14. Article
  15. Article
  16. Subjective-objective sleepiness discrepancy in adult-onset myotonic dystrophy type 1.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  17. Observational
  18. Article
  19. Article
  20. Encoding of facial expressions in individuals with adult-onset myotonic dystrophy type 1.Journal of clinical and experimental neuropsychology · 2020
    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

16 authors at 5 institutions in 1 country.

Carla GliemDepartment of Neurology, University Hospital Bonn, Bonn, Germany.
Martina MinneropInstitute of Neuroscience and Medicine (INM-1), Research Center Juelich, Juelich, Germany.ORCID 0000-0003-1365-5236
Sandra RoeskeDepartment of Neurology, University Hospital Bonn, Bonn, Germany.
Hanna GärtnerInstitute of Neuroscience and Medicine (INM-1), Research Center Juelich, Juelich, Germany.
Jan-Christoph Schoene-BakeLife and Brain Center, Department of NeuroCognition-Imaging, Bonn, and Department of Epileptology, University Hospital Bonn, Bonn, Germany.
Sandra AdlerDepartment of Neurology, University Hospital Bonn, Bonn, Germany.
Juri-Alexander WittDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Felix HoffstaedterInstitute of Neuroscience and Medicine (INM-1), Research Center Juelich, Juelich, Germany.
Christiane Schneider-GoldDepartment of Neurology, Ruhr-University Bochum, St. Josef Hospital, Bochum, Germany.
Regina C BetzInstitute of Human Genetics, University Bonn, Bonn, Germany.
Christoph HelmstaedterDepartment of Epileptology, University Hospital Bonn, Bonn, Germany.
Marc TittgemeyerMax-Planck-Institute for Neurological Research, Cologne, Germany.
Katrin AmuntsInstitute of Neuroscience and Medicine (INM-1), Research Center Juelich, Juelich, Germany.
Thomas KlockgetherDepartment of Neurology, University Hospital Bonn, Bonn, Germany.
Bernd WeberLife and Brain Center, Department of NeuroCognition-Imaging, Bonn, and Department of Epileptology, University Hospital Bonn, Bonn, Germany.
Cornelia KornblumDepartment of Neurology, University Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DEForschungszentrum Jülich · DEMax Planck Institute for Metabolism Research · DESt. Josef-Hospital · DEUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to examine the natural history of brain involvement in adult-onset myotonic dystrophies type 1 and 2 (DM1, DM2).

methodsWe conducted a longitudinal observational study to examine functional and structural cerebral changes in myotonic dystrophies. We enrolled 16 adult-onset DM1 patients, 16 DM2 patients, and 17 controls. At baseline and after 5.5 ± 0.4 years participants underwent neurological, neuropsychological, and 3T-brain MRI examinations using identical study protocols that included voxel-based morphometry and diffusion tensor imaging. Data were analyzed by (i) group comparisons between patients and controls at baseline and follow-up, and (ii) group comparisons using difference maps (baseline-follow-up in each participant) to focus on disease-related effects over time.

resultsWe found minor neuropsychological deficits with mild progression in DM1 more than DM2. Daytime sleepiness was restricted to DM1, whereas fatigue was present in both disease entities and stable over time. Comparing results of cross-sectional neuroimaging analyses at baseline and follow-up revealed an unchanged pattern of pronounced white matter alterations in DM1. There was mild additional gray matter reduction in DM1 at follow-up. In DM2, white matter reduction was of lesser extent, but there were some additional alterations at follow-up. Gray matter seemed unaffected in DM2. Intriguingly, longitudinal analyses using difference maps and comparing them between patients and controls did not reveal any significant differences of cerebral changes over time between patients and controls.

conclusionThe lack of significant disease-related progression of gray and white matter involvement over a period of five years in our cohort of DM1 and DM2 patients suggests either a rather slowly progressive process or even a stable course of cerebral changes in middle-aged adult-onset patients. Being the first longitudinal neuroimaging trial in DM1 and DM2, this study provides useful additional information regarding the natural history of brain involvement.

Indexed as

AdultCohort StudiesCross-Sectional StudiesDiffusion Tensor ImagingFemaleFollow-Up StudiesGray MatterHumansLongitudinal StudiesMaleMiddle AgedMyotonic DystrophyNeuropsychological TestsWhite Matter

Identifiers

PMID30845252
PMCPMC6405094
OpenAlexW2921788028

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.