Evidence map›Paper›PMID 32820610›Full record

ArticleAnnals of clinical and translational neurology2020

Severe neurological crisis in adult patients with Tyrosinemia type 1.

Charlotte Dawson, Radha Ramachandran, Samreen Safdar, Elaine Murphy, Orlando Swayne, Jonathan Katz, Philip N Newsome, Tarekegn Geberhiwot

Open access · goldAbstract readCase Reports
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Hereditary tyrosinemia type Ⅰ: newborn screening, diagnosis and treatment.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2021
    Article
  8. Article
  9. Article
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

8 authors at 4 institutions in 1 country.

Charlotte DawsonDepartment of Diabetes, Endocrinology and Metabolism, Queen Elizabeth Hospital Birmingham, NHS Foundation Trust, Birmingham, United Kingdom.
Radha RamachandranAdult Inherited Metabolic Disease Unit, Guy's and St Thomas NHS Foundation Trust, London, United Kingdom.
Samreen SafdarDepartment of Diabetes, Endocrinology and Metabolism, Queen Elizabeth Hospital Birmingham, NHS Foundation Trust, Birmingham, United Kingdom.
Elaine MurphyCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, London, United Kingdom.
Orlando SwayneNeurorehabilitation Unit, National Hospital for Neurology and Neurosurgery, London, United Kingdom.
Jonathan KatzDepartment of Endocrinology, Royal Free London NHS Foundation Trust, London, United Kingdom.
Philip N NewsomeNational Institute for Health Research, Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Tarekegn GeberhiwotDepartment of Diabetes, Endocrinology and Metabolism, Queen Elizabeth Hospital Birmingham, NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0002-2179-6912
University Hospitals Birmingham NHS Foundation Trust · GBNational Hospital for Neurology and Neurosurgery · GBGuy's and St Thomas' NHS Foundation Trust · GBRoyal Free London NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report six adult patients with Tyrosinaemia type 1 (HT-1) who presented with recurrent porphyria-like neurological crises after discontinuation/interruption of 2-(2-nitro-4-trifluoro-methylbenzyol)-1,3 cyclohexanedione (NTBC) treatment. The crises were life-threatening for some of the patients, with respiratory muscle paralysis requiring ventilatory support, hemodynamic disturbance due to autonomic changes requiring resuscitation, acute progressive ascending motor neuropathy causing profound impairment, recurrent seizures, and neuropathic pain. Our patients' porphyria-like presentations were variably misdiagnosed, with delay to diagnosis resulting in more severe recurrent attacks. We report the first series of neurological crises in adult patients with HT-1. These crises, which may be fatal, can be prevented and treated effectively with neurologist/physician awareness and patient education.

Indexed as

Acute DiseaseAdultAutonomic Nervous System DiseasesFemaleHumansMaleNeuralgiaPeripheral Nervous System DiseasesRespiratory ParalysisSeizuresTyrosinemiasYoung Adult

Identifiers

PMID32820610
PMCPMC7480904
OpenAlexW3081220519

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.