Evidence map›Paper›PMID 31076878›Full record

ArticleJournal of neurology2019

Amyotrophy, cerebellar impairment and psychiatric disease are the main symptoms in a cohort of 14 Czech patients with the late-onset form of Tay-Sachs disease.

Helena Jahnová, Helena Poupětová, Jitka Jirečková, Hana Vlášková, Eva Košťálová, Radim Mazanec, Alena Zumrová, Petr Mečíř, Zuzana Mušová, Martin Magner

Abstract read
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Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

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  12. [Progressive psychomotor regression for 2.5 years in a boy aged 5 years].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Article
  13. Pontocerebellar atrophy is the hallmark neuroradiological finding in late-onset Tay-Sachs disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  14. Review
  15. Autosomal recessive adult onset ataxia.Journal of neurology · 2022
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  16. Functionality of a bicistronic construction containingNeural regeneration research · 2022
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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

10 authors at 1 institution in 1 country.

Helena JahnováDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic.ORCID http://orcid.org/0000-0002-6019-7648
Helena PoupětováDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic.
Jitka JirečkováDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic.
Hana VláškováDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic.
Eva KošťálováDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic.
Radim MazanecDepartment of Neurology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Alena ZumrováDepartment of Paediatric Neurology, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Petr MečířDepartment of Neurology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Zuzana MušováDepartment of Biology and Medical Genetics, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Martin MagnerDepartment of Paediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Ke Karlovu 2, 120 00, Prague 2, Czech Republic. martin.magner@vfn.cz.ORCID http://orcid.org/0000-0002-5883-9509
Charles University · CZ

Funding

Ministerstvo Zdravotnictví Ceské Republiky (CZ) RVO-VFN 64165/2012Univerzita Karlova v Praze PROGRES Q26/LF1Univerzita Karlova v Praze UNCE 204064
6 · The paper itself

Abstract

backgroundTay-Sachs disease (TSD) is an inherited neurodegenerative disorder caused by a lysosomal β-hexosaminidase A deficiency due to mutations in the HEXA gene. The late-onset form of disease (LOTS) is considered rare, and only a limited number of cases have been reported. The clinical course of LOTS differs substantially from classic infantile TSD.

methodsComprehensive data from 14 Czech patients with LOTS were collated, including results of enzyme assays and genetic analyses.

results14 patients (9 females, 5 males) with LOTS were diagnosed between 2002 and 2018 in the Czech Republic (a calculated birth prevalence of 1 per 325,175 live births). The median age of first symptoms was 21 years (range 10-33 years), and the median diagnostic delay was 10.5 years (range 0-29 years). The main clinical symptoms at the time of manifestation were stammering or slurred speech, proximal weakness of the lower extremities due to anterior horn cell neuronopathy, signs of neo- and paleocerebellar dysfunction and/or psychiatric disorders. Cerebellar atrophy detected through brain MRI was a common finding. Residual enzyme activity was 1.8-4.1% of controls. All patients carried the typical LOTS-associated c.805G>A (p.Gly269Ser) mutation on at least one allele, while a novel point mutation, c.754C>T (p.Arg252Cys) was found in two siblings.

conclusionLOTS seems to be an underdiagnosed cause of progressive distal motor neuron disease, with variably expressed cerebellar impairment and psychiatric symptomatology in our group of adolescent and adult patients. The enzyme assay of β-hexosaminidase A in serum/plasma is a rapid and reliable tool to verify clinical suspicions.

Indexed as

AdolescentAdultAge of OnsetCerebellumCohort StudiesCzech RepublicFemaleHumansMaleMental DisordersMiddle AgedMuscular AtrophyTay-Sachs DiseaseYoung AdultAtaxiaCerebellumGM2 gangliosidosisLate-onset Tay–Sachs diseaseProximal weakness of lower extremitiesβ-Hexosaminidase A

Identifiers

PMID31076878
OpenAlexW2944741076

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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.