Evidence map›Paper›PMID 31897943›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

The frequency of central nervous system complications in the Cypriot cohort of ATTRV30M neuropathy transplanted patients.

Efthimios Dardiotis, Savanna Andreou, Athina-Maria Aloizou, Elena Panayiotou, Vasileios Siokas, Mihaela Nedea Ioannou, Emmelia Vounou, Kyproula Christodoulou, George A Tanteles, Demos Michaelides and 1 more

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Efthimios DardiotisNeuropathology Department/Neurology Clinic A, The Cyprus Institute of Neurology & Genetics, PO Box 23462, 1683, Nicosia, Cyprus.
Savanna AndreouNeuropathology Department/Neurology Clinic A, The Cyprus Institute of Neurology & Genetics, PO Box 23462, 1683, Nicosia, Cyprus.
Athina-Maria AloizouDepartment of Neurology, Laboratory of Neurogenetics, University of Thessaly, University Hospital of Larissa, Larissa, Greece.
Elena PanayiotouNeuropathology Department/Neurology Clinic A, The Cyprus Institute of Neurology & Genetics, PO Box 23462, 1683, Nicosia, Cyprus.
Vasileios SiokasDepartment of Neurology, Laboratory of Neurogenetics, University of Thessaly, University Hospital of Larissa, Larissa, Greece.
Mihaela Nedea IoannouLimassol General Hospital, Limassol, Cyprus.
Emmelia VounouLimassol General Hospital, Limassol, Cyprus.
Kyproula ChristodoulouNeurogenetics Department and Cyprus School of Molecular Medicine, The Cyprus Institute of Neurology & Genetics, Nicosia, Cyprus.
George A TantelesClinical Genetics Clinic, The Cyprus Institute of Neurology & Genetics, Nicosia, Cyprus.
Demos MichaelidesAlpha Evresis Diagnostic Center, Nicosia, Cyprus.
Theodoros KyriakidesNeuropathology Department/Neurology Clinic A, The Cyprus Institute of Neurology & Genetics, PO Box 23462, 1683, Nicosia, Cyprus. kyriakides.t@unic.ac.cy.
Cyprus Institute of Neurology and Genetics · CYLimassol General Hospital · CYUniversity Hospital of Larissa · GRUniversity of Nicosia · CYUniversity of Thessaly · GR

Funding

This work was supported by Muscular Dystrophy Association Cyprus/Telethon Cyprus and Pfizer's GLOBAL Aspire Grants. This work was supported by Muscular Dystrophy Association Cyprus/Telethon Cyprus and Pfizer's GLOBAL Aspire Grants.
6 · The paper itself

Abstract

backgroundHereditary transthyretin amyloidosis (ATTR) is a hereditary, sensorimotor and autonomic neuropathy caused by deposits of mutated transthyretin (TTR). The commonest TTR mutation is V30M (ATTRV30M) with patients usually living for about 10 years after disease onset. Liver transplantation (LT) until recently was considered the standard treatment. OBJECTIVE AND

methodsThis study aims to assess the frequency of CNS complications in post-LT patients from the Cypriot cohort. Epidemiological data were collected for all genetically confirmed ATTRV30M neuropathy patients diagnosed at CING since 1992, and CNS-associated symptoms were assessed and evaluated by two neurology specialists.

resultsOut of the 48 transplanted patients, 10 (20.8%) presented with a CNS complication. All patients had ocular involvement, mainly glaucoma (7/10). Eight presented with transient focal neurological episodes (TFNEs), with expressive dysphasia being reported by four of them. The mean time of TFNE-emergence was 16.6 years after the LT. Three died from cerebral hemorrhage.

conclusionsCNS complications in post-LT ATTRV30M patients are not rare and usually manifest themselves at a time that surpasses the mean time the patients would have survived without a LT. CNS involvement is associated with increased mortality, due to cerebral hemorrhage.

Indexed as

AdultAmyloid Neuropathies, FamilialBrainCentral Nervous System DiseasesCohort StudiesFemaleHumansLiver TransplantationMaleMiddle AgedPrealbuminYoung AdultPrealbuminTTR protein, humanATTRCNSCyprusFamilial amyloidotic polyneuropathyLiver transplant

Identifiers

PMID31897943
OpenAlexW2998016162

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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.