Evidence map›Paper›PMID 30993645›Full record

ArticleJournal of molecular neuroscience : MN2019

CADASIL with Atypical Clinical Symptoms, Magnetic Resonance Imaging, and Novel Mutations: Two Case Reports and a Review of the Literature.

U Serpil Sari, Aysin Kisabay, Melike Batum, Serdar Tarhan, Nihal Dogan, Aysun Coskunoglu, Sirri Cam, Hikmet Yilmaz, Deniz Selcuki

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Journal of molecular neuroscience : MN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. The Spectrum ofGenes · 2025
    Article
  3. Article
  4. Chorea Associated with Genetic-Confirmed CADASIL.Movement disorders clinical practice · 2023
    Article
  5. Review
  6. Mutations inFrontiers in molecular biosciences · 2021
    Article
  7. Review
  8. Prevalence and Atypical Clinical Characteristics ofFrontiers in aging neuroscience · 2020
    Article
  9. Review
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

9 authors at 2 institutions in 1 country.

U Serpil SariDepartment of Neurology, Balıkesir University, 10300, Balıkesir, Turkey.
Aysin KisabayDepartment of Neurology, Celal Bayar University, 45000, Manisa, Turkey.
Melike BatumDepartment of Neurology, Celal Bayar University, 45000, Manisa, Turkey. drmelikeyaman@hotmail.com.ORCID http://orcid.org/0000-0002-0627-8914
Serdar TarhanDepartment of Radiology, Celal Bayar University, 45000, Manisa, Turkey.
Nihal DoganDepartment of Neurology, Celal Bayar University, 45000, Manisa, Turkey.
Aysun CoskunogluDepartment of Genetic Medicine, Celal Bayar University, 45000, Manisa, Turkey.
Sirri CamDepartment of Genetic Medicine, Celal Bayar University, 45000, Manisa, Turkey.
Hikmet YilmazDepartment of Neurology, Celal Bayar University, 45000, Manisa, Turkey.
Deniz SelcukiDepartment of Neurology, Celal Bayar University, 45000, Manisa, Turkey.
Manisa Celal Bayar University · TRBalıkesir University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary microangiopathy with adult onset caused by a missense mutation in the NOTCH3 gene in chromosome 19p13. It presents with autosomal dominant arteriopathy, subcortical infarctions, and leukoencephalopathy. Its common clinical presentations are seen as recurrent strokes, migraine or migraine-like headaches, progressive dementia, pseudobulbar paralysis, and psychiatric conditions. Two patients with CADASIL syndrome, whose diagnosis was made based on clinical course, age of onset, imaging findings, and genetic assays in the patients and family members, are presented here because of new familial polymorphisms. The first patient, with cerebellar and psychotic findings, had widespread non-confluent hyperintense lesions as well as moderate cerebellar atrophy in cranial magnetic resonance scanning. The other patient, with headache, dizziness, and forgetfulness, had gliotic lesions in both cerebral hemispheres. CADASIL gene studies revealed a new polymorphism in exon 33 in the first patient. In the other patient, the NOTCH3 gene was identified as a new variant of p.H243P (c.728A > C heterozygous). By reporting a family presenting with various clinical symptoms in the presence of new polymorphisms, we emphasize that CADASIL syndrome may present with various clinical courses and should be considered in differential diagnoses.

Indexed as

MutationPhenotypeAdultCADASILFemaleHumansMagnetic Resonance ImagingReceptor, Notch3NOTCH3 protein, humanReceptor, Notch3CADASILGenetic testingHeadacheMRINOTCH3Small vessel disease

Identifiers

PMID30993645
OpenAlexW2938378098

What OpenQuestion holds

Textmetadata
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.