Evidence map›Paper›PMID 33547116›Full record

ArticleBMJ case reports2021

Paroxysmal kinesigenic dyskinesia: a diagnostic challenge.

Kavinda Dayasiri, Nilushika Weerapperuma, Juliana Wright, Geetha Anand

Open access · greenAbstract readCase ReportsVideo-Audio Media
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 55% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 1 country.

Kavinda DayasiriDepartment of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Nilushika WeerapperumaDepartment of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Juliana WrightDepartment of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Geetha AnandDepartment of Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK geetha.anand@ouh.nhs.uk.
Oxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 10-year-old girl presented with a month long history of episodic limb movements. She had a normal neurological examination and after thorough investigation, she was thought to have possible tics. Anxiety was reported as being a trigger. Unusually, these 'tics' were not directly witnessed during hospital visits. Eighteen months after the initial presentation, the clinician observed dystonic posturing after the child stood up from having been seated during a consultation. Paroxysmal kinesigenic dyskinesia (PKD) was then suspected and confirmed on genetic testing. She was successfully treated with carbamazepine. In hindsight, it became apparent that her anxiety was related to a fear of uncontrolled movements, rather than it being a trigger. The abnormal involuntary movements in PKD are precipitated by sudden voluntary movement. Lack of recognition of this typical feature, normal examination and/or features such as coexisting anxiety can lead to misdiagnosis or delayed diagnosis of this easily treatable condition.

Indexed as

AnticonvulsantsCarbamazepineChildDiagnosis, DifferentialDystoniaFemaleHumansAnticonvulsantsCarbamazepinemovement disorders (other than Parkinsons)paediatrics

Identifiers

PMID33547116
PMCPMC7871216
OpenAlexW3126200940

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.