Evidence map›Paper›PMID 30929312›Full record

ArticleBrain and behavior2019

Epilepsy and genetic in Rett syndrome: A review.

Francesca Felicia Operto, Roberta Mazza, Grazia Maria Giovanna Pastorino, Alberto Verrotti, Giangennaro Coppola

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
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

47 citing papers in PubMed, 89 citations in OpenAlex.

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  9. Women With Genetic Epilepsies.Neurology. Genetics · 2025
    Review
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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

5 authors at 3 institutions in 1 country.

Francesca Felicia OpertoChild Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari "Aldo Moro", Bari, Italy.ORCID 0000-0002-2444-8761
Roberta MazzaChild Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari "Aldo Moro", Bari, Italy.
Grazia Maria Giovanna PastorinoChild and Adolescent Neuropsychiatry, Medical School, University of Salerno, Fisciano, Italy.ORCID 0000-0003-0404-5495
Alberto VerrottiDepartment of Pediatrics, University of L'Aquila, Coppito, Italy.
Giangennaro CoppolaChild and Adolescent Neuropsychiatry, Medical School, University of Salerno, Fisciano, Italy.
University of Bari Aldo Moro · ITUniversity of Salerno · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRett syndrome (RTT) is a severe X-linked neurodevelopmental disorder that primarily affects girls, with an incidence of 1:10,000-20,000. The diagnosis is based on clinical features: an initial period of apparently normal development (ages 6-12 months) followed by a rapid decline with regression of acquired motor skills, loss of spoken language and purposeful hand use, onset of hand stereotypes, abnormal gait, and growth failure. The course of the disease, in its classical form, is characterized by four stages. Three different atypical variants of the disease have been defined. Epilepsy has been reported in 60%-80% of patients with RTT; it differs among the various phenotypes and genotypes and its severity is an important contributor to the clinical severity of the disease.

methodsIn this manuscript we reviewed literature on RTT, focusing on the different genetic entities, the correlation genotype-phenotype, and the peculiar epileptic phenotype associated to each of them.

resultsMutations in MECP2 gene, located on Xq28, account for 95% of typical RTT cases and 73.2% of atypical RTT. CDKL5 and FOXG1 are other genes identified as causative genes in atypical forms of RTT. In the last few years, a lot of new genes have been identified as causative genes for RTT phenotype.

conclusionsRecognizing clinical and EEG patterns in different RTT variants may be useful in diagnosis and management of these patients.

Indexed as

Rett SyndromeEpilepsyForkhead Transcription FactorsGenetic Association StudiesGenetic Predisposition to DiseaseHumansMethyl-CpG-Binding Protein 2MutationNerve Tissue ProteinsProtein Serine-Threonine KinasesSeverity of Illness IndexCDKL5 protein, humanForkhead Transcription FactorsFOXG1 protein, humanMECP2 protein, humanMethyl-CpG-Binding Protein 2Nerve Tissue ProteinsProtein Serine-Threonine KinasesepilepsygeneticRett syndrome

Identifiers

PMID30929312
PMCPMC6520293
OpenAlexW2926987093

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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.