Evidence map›Paper›PMID 30894142›Full record

ArticleBMC neurology2019

Pyramidal system involvement in progressive supranuclear palsy - a clinicopathological correlation.

Zuzana Stejskalova, Zdenek Rohan, Robert Rusina, Adam Tesar, Jaromir Kukal, Gabor G Kovacs, Ales Bartos, Radoslav Matej

Abstract read
In one paragraph

Article in BMC neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Tongue strength in progressive supranuclear palsy.Parkinsonism & related disorders · 2025
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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.

Zuzana StejskalovaDepartment of Pathology and Molecular Medicine Third Faculty of Medicine, Charles University and Thomayer Hospital, Videnska 800, 14059, Prague 4 - Krc, Czech Republic.
Zdenek RohanDepartment of Pathology and Molecular Medicine Third Faculty of Medicine, Charles University and Thomayer Hospital, Videnska 800, 14059, Prague 4 - Krc, Czech Republic. zdenek.rohan@hotmail.com.ORCID http://orcid.org/0000-0003-3501-6179
Robert RusinaDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Adam TesarDepartment of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Jaromir KukalFaculty of Nuclear Sciences and Physical Engineering, Czech Technical University, Prague, Czech Republic.
Gabor G KovacsInstitute of Neurology, General Hospital and Medical University of Vienna, Vienna, Austria.
Ales BartosNational Institute of Mental Health, Klecany, Czech Republic.
Radoslav MatejDepartment of Pathology and Molecular Medicine Third Faculty of Medicine, Charles University and Thomayer Hospital, Videnska 800, 14059, Prague 4 - Krc, Czech Republic.

Funding

Czech Alzheimer Foundation and AVAST! AVASTipendiumMinisterstvo Školství, Mládeže a Tělovýchovy NPU I LO1611Ministerstvo Zdravotnictví Ceské Republiky VFN64165Thomayer hospital TN64190Univerzita Karlova v Praze GAUK 113115Univerzita Karlova v Praze Q27/LF1Univerzita Karlova v Praze Q28/LF1Univerzita Karlova v Praze Q35/LF3
6 · The paper itself

Abstract

backgroundWe aimed to produce a detailed neuropathological analysis of pyramidal motor system pathology and provide its clinical pathological correlation in cases with definite progressive supranuclear palsy (PSP).

methodsPyramidal motor system pathologies were analyzed in 18 cases with neuropathologically confirmed PSP. Based on a retrospective clinical analysis, cases were subtyped according to Movement Disorder Society criteria for clinical diagnosis of PSP as probable, possible or suggestive of PSP with Richardson's syndrome (n = 10), PSP with predominant corticobasal syndrome (n = 3), PSP with predominant parkinsonism (n = 3), PSP with predominant speech/language disorder (n = 1), and PSP with progressive gait freezing (n = 1). Clinical manifestations of motor neuron involvement (pseudobulbar or bulbar signs and spasticity) were retrospectively assessed semiquantitatively. Neuropathologically, hyperphosphorylated tau-related pyramidal motor system neuronal, neuritic, and glial pathology using anti-tau AT8 clone immunohistochemistry, was also evaluated.

resultsClinical manifestations of pyramidal motor system involvement were found in patients with different PSP subtypes. A statistically significant higher load of tau pathology was found in the pyramidal system in PSP-Richardson's syndrome compared to other PSP subtypes (p = 0.016); however, there was no significant correlation between pyramidal system tau pathology and related motor clinical symptoms.

conclusionsTau pathology in the spinal cord and pyramidal motor system structures is very common in progressive supranuclear palsy and may neuropathologically supplement the distinction between classic Richardson's syndrome from other progressive supranuclear palsy subtypes.

Indexed as

AgedAged, 80 and overCerebral CortexFemaleHumansImmunohistochemistryMaleMiddle AgedMovement DisordersParkinsonian DisordersPyramidal TractsRetrospective StudiesSupranuclear Palsy, Progressivetau ProteinsMAPT protein, humantau ProteinsAtypical parkinsonismProgressive supranuclear palsySpinal cordTauopathies

Identifiers

PMID30894142
PMCPMC6425568

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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.