Evidence map›Paper›PMID 32754552›Full record

ArticleJournal of family medicine and primary care2020

"Dancing belly" in an old diabetic lady.

Souvik Dubey, Subhankar Chatterjee, Debaleena Mukherjee, Ritwik Ghosh, Samya Sengupta, Durjoy Lahiri, Alak Pandit

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of family medicine and primary care, 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
0.9field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Myoclonus as the first presenting manifestation of type 3c diabetes.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  2. Article
  3. Article
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  6. Faciobrachial Myoclonus as the Presenting Manifestation of Diabetic Keto-Acidosis.Tremor and other hyperkinetic movements (New York, N.Y.) · 2021
    Article
  7. 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

7 authors at 4 institutions in 1 country.

Souvik DubeyDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, West Bengal, India.
Subhankar ChatterjeeDepartment of General Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Debaleena MukherjeeDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, West Bengal, India.
Ritwik GhoshDepartment of General Medicine, Burdwan Medical College and Hospital, Burdwan, West Bengal, India.
Samya SenguptaDepartment of General Medicine, Apollo Gleneagles Hospitals Kolkata, West Bengal, India.
Durjoy LahiriDepartment of Neuromedicine, R.G. Kar Medical College and Hospital, Kolkata, West Bengal, India.
Alak PanditDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, West Bengal, India.
Bangur Institute of Neurosciences · INApollo Gleneagles Hospitals · INBurdwan Medical College & Hospital · INR. G. Kar Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Movement disorder, although rare, is increasingly being recognized as the initial presenting sign of the hyperglycemic state. Although chorea-ballism has frequently been reported among diabetics, monoballism is a very rare phenomenon. While myoclonus is common, diaphragmatic myoclonus is extremely rare. Moreover, diaphragmatic myoclonus as the initial presenting manifestation has never been reported before. Herein, we report an index case of a 62-year-old previously undiagnosed diabetic lady presented with acute onset constellation of multiple abnormal movements viz. monoballism, focal myoclonus, action myoclonus, and diaphragmatic myoclonus. All of them disappeared with achieving normoglycemia. This case underscores the importance of rapid capillary blood glucose testing in any patient presenting with acute onset abnormal movements. This approach can especially be rewarding as it helps in the rapid diagnosis of a reversible catastrophe and avoiding unnecessary costly investigations.

Indexed as

Diabetes mellitusdiaphragmatic myoclonushyperglycemiamonoballismmovement disordersmyoclonus

Identifiers

PMID32754552
PMCPMC7380802
OpenAlexW3033069078

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.