Evidence map›Paper›PMID 31048364›Full record

ReviewPractical neurology2019

Diagnosis and management of progressive ataxia in adults.

Rajith Nilantha de Silva, Julie Vallortigara, Julie Greenfield, Barry Hunt, Paola Giunti, Marios Hadjivassiliou

Open access · hybridAbstract readReview
In one paragraph

Review in Practical neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Ataxia patient care pathway and associated healthcare costs in Italy: a cross-sectional survey.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Article
  6. Contrastive Learning Model for Wearable-Based Ataxia Assessment.IEEE transactions on bio-medical engineering · 2026
    Article
  7. Article
  8. Article
  9. Friedreich's ataxia patient pathway in Europe.Frontiers in health services · 2026
    Article
  10. Article
  11. Practice Recommendations for Genetic Testing of Ataxias.Annals of clinical and translational neurology · 2025
    Review
  12. Review
  13. Article
  14. Hereditary Ataxias in Argentina.Cerebellum (London, England) · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

6 authors at 4 institutions in 1 country.

Rajith Nilantha de SilvaDepartment of Neurology, Essex Centre for Neurological Sciences, Queen's Hospital, Romford, UK desilva63@aol.com.
Julie VallortigaraAtaxia UK, London, UK.
Julie GreenfieldAtaxia UK, London, UK.
Barry HuntAtaxia UK, London, UK.
Paola GiuntiDepartment of Clinical and Movement Neurosciences, Ataxia Centre, UCL Institute of Neurology, London, UK.
Marios HadjivassiliouAcademic Department of Neurosciences, Sheffield Teaching Hospitals NHS Trust and University of Sheffield, Sheffield, UK.
Ataxia UK · GBQueen's Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progressive ataxia in adults can be difficult to diagnose, owing to its heterogeneity and the rarity of individual causes. Many patients remain undiagnosed ('idiopathic' ataxia). This paper provides suggested diagnostic pathways for the general neurologist, based on Ataxia UK's guidelines for professionals. MR brain scanning can provide diagnostic clues, as well as identify 'structural' causes such as tumours and multiple sclerosis. Advances in molecular genetics, including the wider and cheaper availability of 'next-generation sequencing', have enabled clinicians to identify many more cases with a genetic cause. Finally, autoimmunity is probably an under-recognised cause of progressive ataxia: as well as patients with antigliadin antibodies there are smaller numbers with various antibodies, including some associated with cancer. There are a few treatable ataxias, but also symptomatic treatments to help people with the spectrum of complications that might accompany progressive ataxias. Multidisciplinary team involvement and allied health professionals' input are critical to excellent patient care, including in the palliative phase. We can no longer justify a nihilistic approach to the management of ataxia.

Indexed as

AdultAtaxiaBrainGenetic TestingHumansMutationSpinocerebellar DegenerationsTremorcerebellar diseasediagnosis and managementimmunitymolecular geneticsprogressive ataxia

Identifiers

PMID31048364
PMCPMC6585307
OpenAlexW2942616735

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.