Evidence map›Paper›PMID 33484323›Full record

ArticleJournal of neurology2021

Dystonia in Angelman syndrome: a common, unrecognized clinical finding.

Edoardo Ferlazzo, Michele Ascoli, Francesca Abate, Sara Gasparini, Giovanni Mastroianni, Vittoria Cianci, Giulia Ferrigno, Chiara Sueri, Tiziana D'Agostino, Umberto Aguglia

Abstract read
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In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Dystonia: Insights into Mechanisms and Novel Therapeutics.Current neurology and neuroscience reports · 2026
    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 1 institution in 2 countries.

Edoardo FerlazzoDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy.
Michele AscoliDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy.
Francesca AbateDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy.
Sara GaspariniDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy.
Giovanni MastroianniRegional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Vittoria CianciRegional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Giulia FerrignoDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy.
Chiara SueriRegional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Tiziana D'AgostinoRegional Epilepsy Centre, Great Metropolitan Hospital Bianchi-Melacrino-Morelli, Reggio Calabria, Italy.
Umberto AgugliaDepartment of Medical and Surgical Sciences, Magna Graecia University, Germaneto, Catanzaro, Italy. u.aguglia@unicz.it.ORCID http://orcid.org/0000-0002-4574-2951
Magna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAngelman syndrome (AS) is a neurodevelopmental disorder characterized by cognitive disability, speech impairment, hyperactivity and seizures. Movement disorders have been reported in almost all AS subjects and they are described as "tremulous movements of limbs, unsteadiness, clumsiness or quick, jerky motions". The presence of dystonia has barely been mentioned in subjects with AS and has never been studied in detail. The purpose of this study is to evaluate the prevalence, clinical features and severity of dystonia in a series of adolescents and adults with AS.

methodsWhole body video recordings of patients with genetically confirmed AS were evaluated. Dystonia was evaluated by mean of the movement subscale of Burke-Fahn-Marsden Dystonia Rating Scale (BFM).

resultsForty-four subjects with AS were evaluated. Fourteen recordings were excluded due to poor cooperation. We finally analyzed data of 30 subjects (15 F) with a median age of 28 years (range 15-51). Dystonia was present in 28/30 (93.3%) subjects. Among these, dystonia involved the upper limbs in 28/28 (100%), lower limbs in 8/28 (28.5%), mouth in 7/28 (25%), neck in 3/28 (10.7%), trunk in 1/28 (3.6%). Severity of dystonia ranged from slight to moderate. There was a linear correlation between severity of dystonia and increasing age. There was no difference in terms of severity of dystonia among genetic subgroups.

conclusionsDystonia is a common and previously underrecognized clinical feature of adults and adolescents with AS.

Indexed as

Angelman SyndromeDeep Brain StimulationDystoniaDystonic DisordersAdolescentAdultGlobus PallidusHumansMiddle AgedTreatment OutcomeYoung AdultBurke–Fahn–Marsden Dystonia Rating ScaleGeneticsMovement disordersMyoclonusSyndrome

Identifiers

PMID33484323
OpenAlexW3121861399

What OpenQuestion holds

Textmetadata
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.