Evidence map›Paper›PMID 32931652›Full record

ArticleAnnals of clinical and translational neurology2020

Re-defining the clinicopathological spectrum of neuronal intranuclear inclusion disease.

Hao Chen, Likui Lu, Bin Wang, Guiyun Cui, Xingqi Wang, Yujing Wang, Hafiz Khuram Raza, Yan Min, Keke Li, Yingying Cui and 4 more

Open access · goldAbstract read
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 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Neuronal intranuclear inclusion disease with stroke-mimicking onset: a case report and systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  13. CGG Repeat Expansion inJournal of clinical neurology (Seoul, Korea) · 2024
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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

14 authors at 3 institutions in 2 countries.

Hao ChenDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou City, 215004, China.ORCID 0000-0003-0393-723X
Likui LuInstitute for Fetology, the First Affiliated Hospital of Soochow University, Suzhou City, 215006, China.
Bin WangInstitute of Neuroscience, Soochow University, Suzhou City, 215123, China.
Guiyun CuiDepartment of Neurology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou City, 221600, China.
Xingqi WangSchool of Life Science, Jiangsu Normal University, Xuzhou City, 221600, China.
Yujing WangDepartment of Neurology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou City, 221600, China.
Hafiz Khuram RazaDepartment of Neurology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou City, 221600, China.
Yan MinDepartment of Pathology, Tongshan County Hospital of Traditional Chinese Medicine, Xuzhou City, 221600, China.
Keke LiDepartment of Imaging, the Affiliated Hospital of Xuzhou Medical University, Xuzhou City, 221600, China.
Yingying CuiDepartment of Pathology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou City, 221600, China.
Zhigang MiaoInstitute of Neuroscience, Soochow University, Suzhou City, 215123, China.
Bo WanInstitute of Neuroscience, Soochow University, Suzhou City, 215123, China.
Miao SunInstitute for Fetology, the First Affiliated Hospital of Soochow University, Suzhou City, 215006, China.
Xingshun XuDepartment of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou City, 215004, China.ORCID 0000-0003-0205-6342
Soochow University · CNXuzhou Medical College · CNJiangsu Normal University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapidly increasing case reports revealed that neuronal intranuclear inclusion disease (NIID) had concomitant other system symptoms besides nervous system symptoms. In this study, we systematically evaluated the symptoms, signs, auxiliary examination, and pathological changes in different systems in NIID patients.

methodsNIID patients were confirmed by examining GGC repeats in the NOTCH2NLC gene. Clinical data of NIID patients including symptoms, signs, and auxiliary examinations were collected for analysis. Ubiquitin and p62 were detected in different tissues from previous surgical samples.

resultsFifty-one NIID patients from 17 families were included in this study. Except neurological symptoms, clinical manifestations from other systems were very notable and diverse. The proportions of different system symptoms were 88.2% in nervous system, 78.4% in respiratory system, 72.5% in circulatory system, 72.5% in locomotor system, 66.7% in urinary system, 64.7% in digestive system, 61.5% in reproductive system, and 50.0% in endocrine system. In addition, other common symptoms included sexual dysfunction (43.1%), pupil constriction (56.9%), blurred vision (51.0%), and hearing loss (23.5%). Ubiquitin and p62-positive cells were found in different tissues and systems in 24 NIID patients with previous surgery. Initial symptoms of NIID and median onset age in different systems also revealed system heterogeneity of NIID.

interpretationFor the first time, we systematically demonstrated that NIID is a heterogeneous and systemic neurodegenerative disease by providing clinical and pathological evidence. In addition to the nervous system, the clinical symptomatic and pathological spectrum of NIID has been extended to almost all systems.

Indexed as

AdultAge of OnsetBiopsyDiffusion Magnetic Resonance ImagingFemaleHumansIntranuclear Inclusion BodiesMaleMiddle AgedNeurodegenerative DiseasesPedigreeUbiquitinUbiquitin

Identifiers

PMID32931652
PMCPMC7545592
OpenAlexW3087450488

What OpenQuestion holds

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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.