Evidence map›Paper›PMID 32758201›Full record

ArticleBMC psychiatry2020

OCD symptoms in succinic semialdehyde dehydrogenase (SSADH) deficiency: a case report.

Sachin Phakey, Thomas Rego, Frank Gaillard, Julie Panetta, Andrew Evans, Gerard De Jong, Mark Walterfang

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 49% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Sachin PhakeyNeuropsychiatry Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia.
Thomas RegoNeuropsychiatry Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia.
Frank GaillardFaculty of Medicine, Dentistry and Health Sciences at The University of Melbourne, Grattan St, Parkville, VIC, 3010, Australia.
Julie PanettaMetabolic Diseases Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia.
Andrew EvansDepartment of Neurology, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia.
Gerard De JongMetabolic Diseases Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia.
Mark WalterfangNeuropsychiatry Unit, Royal Melbourne Hospital, Grattan St, Parkville, VIC, 3050, Australia. mark.walterfang@mh.org.au.ORCID 0000-0002-1389-3691
The Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuccinic semialdehyde dehydrogenase (SSADH) deficiency is a rare neurometabolic disorder resulting in a heterogeneous clinical phenotype. Adolescent and adult patients with SSADH deficiency may present with OCD symptoms. There is minimal literature regarding the pathological basis of OCD symptoms and their management amongst SSADH deficiency patients. CASE PRESENTATION: A 26-year-old woman with SSADH deficiency experienced obsessional slowness and hesitancy in her activities of daily living, with motor rituals and stereotypies of her hands and face. Neuroimaging revealed T2 hyperintensities of the globi pallidi bilaterally. Commencement of the serotonergic escitalopram moderately improved her OCD symptoms. The addition of the dopaminergic pramipexole hydrochloride yielded further improvement, following unsuccessful trial of other adjuncts: risperidone, methylphenidate and mirtazapine.

conclusionsPallidal pathology may explain the manifestation of OCD symptoms amongst individuals with SSADH deficiency. Serotonergic and concomitant dopaminergic therapy may be a viable treatment regimen for SSADH deficiency patients presenting with OCD symptoms.

Indexed as

Amino Acid Metabolism, Inborn ErrorsObsessive-Compulsive DisorderActivities of Daily LivingAdolescentAdultChildDevelopmental DisabilitiesFemaleHumansSuccinate-Semialdehyde DehydrogenaseSuccinate-Semialdehyde DehydrogenaseCase reportMetabolic disordersNeuropsychiatryObsessive-compulsiveSSADH deficiency

Identifiers

PMID32758201
PMCPMC7409703
OpenAlexW3047330873

What OpenQuestion holds

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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.