Evidence map›Paper›PMID 32314013›Full record

ArticleJournal of neurology2020

Contributions to the study of spinocerebellar ataxia type 38 (SCA38).

José Gazulla, Elvira Orduna-Hospital, Isabel Benavente, Ana Rodríguez-Valle, Pedro Osorio-Caicedo, Sara Alvarez-de Andrés, Elena García-González, Jesús Fraile-Rodrigo, Francisco Javier Fernández-Tirado, José Berciano

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Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
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  8. Update on Nystagmus and Other Ocular Oscillations.Journal of clinical neurology (Seoul, Korea) · 2021
    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

10 authors at 2 institutions in 1 country.

José GazullaDepartment of Neurology, Hospital Universitario Miguel Servet, Isabel la Católica 1-3, 50009, Zaragoza, Spain. josegazulla@gmail.com.ORCID https://orcid.org/0000-0003-3061-6538
Elvira Orduna-HospitalDepartment of Ophthalmology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Isabel BenaventeDepartment of Clinical Neurophysiology, Hospital San Jorge, Huesca, Spain.
Ana Rodríguez-ValleSection of Genetics, Department of Clinical Biochemistry, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Pedro Osorio-CaicedoDepartment of Clinical Neurophysiology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Sara Alvarez-de AndrésNIMGenetics, Madrid, Spain.
Elena García-GonzálezDepartment of Clinical Biochemistry, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Jesús Fraile-RodrigoDepartment of Otolaryngology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Francisco Javier Fernández-TiradoDepartment of Ophthalmology, Hospital Universitario Miguel Servet, Zaragoza, Spain.
José BercianoDepartment of Neurology, CIBERNED, Hospital Universitario Marqués de Valdecilla (IDIVAL), University of Cantabria, Santander, Spain.
Hospital Universitario Miguel Servet · ESUniversidad de Cantabria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report clinical and ancillary findings in a kindred with spinocerebellar ataxia 38 (SCA38). PATIENTS AND

methodsFive family members spanning two generations developed gait ataxia and intermittent diplopia. On examination, a cerebellar syndrome accompanied by downbeat nystagmus and a saccadic head impulse test (HIT) were found.

resultsWhole-exome sequencing demonstrated a heterozygous variant in ELOVL5, c.779A > G (p.Tyr260Cys), in four tested patients. Intermittent concomitant esotropia and hypertropia caused transient diplopia in one individual each. Saccadic HIT responses were found in four subjects. Sensorineural hypoacusis was present in every case. Electrophysiological studies demonstrated a sensory neuronopathy in patients from the first generation, with prolonged disease duration. Baseline serum docosahexaenoic acid (DHA) percent was diminished in four individuals. Oral 26-week dietary DHA supplementation, 650 mg/day, raised serum DHA percent and induced a statistically significant reduction in Scale for the Assessment and Rating of Ataxia (SARA) total scores, and in stance and heel-shin slide item scores.

conclusionThe mentioned ELOVL5 variant segregated with disease in this kindred. Downbeat nystagmus, intermittent heterotropia causing transient diplopia, vestibular impairment demonstrated by abnormal HIT, and sensory neuronopathy were part of the clinical picture in this series. DHA supplementation raised serum DHA percent in cases with diminished levels, and induced a clinical amelioration and a statistically significant reduction in SARA scores in the study group. Further studies are needed to investigate the role of these findings in SCA38, and to determine the response to prolonged DHA supplementation.

Indexed as

Nystagmus, PathologicSpinocerebellar AtaxiasHumansSaccadesDiplopiaDocosahexaenoic acidDownbeat nystagmusELOVL5Sensory neuronopathyVestibular hypofunction

Identifiers

PMID32314013
OpenAlexW3017168173

What OpenQuestion holds

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Registered trials

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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.