Evidence map›Paper›PMID 33632736›Full record

ArticleAJNR. American journal of neuroradiology2021

Widening the Neuroimaging Features of Adenosine Deaminase 2 Deficiency.

A F Geraldo, R Caorsi, D Tortora, C Gandolfo, R Ammendola, M Alessio, G Conti, A Insalaco, S Pastore, S Martino and 5 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Decoding neurovascular signatures: advanced imaging insights in DADA2-Related Cerebral Microangiopathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

A F GeraldoNeuroradiology Unit (A.F.G., D.T., R.A., A.R., M.S.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0002-9663-4387
R CaorsiCenter for Autoinflammatory Diseases and Immunodeficiencies (R.C., S.S., M.G.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-0131-7846
D TortoraNeuroradiology Unit (A.F.G., D.T., R.A., A.R., M.S.), IRCCS Istituto Giannina Gaslini, Genoa, Italy domenicotortora@gaslini.org.ORCID 0000-0002-5621-4046
C GandolfoInterventional Unit (C.G.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-1703-9107
R AmmendolaNeuroradiology Unit (A.F.G., D.T., R.A., A.R., M.S.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-1018-8206
M AlessioDepartment of Translational Medical Sciences (M.A.), Federico II University of Naples, Naples, Italy.ORCID 0000-0003-4568-3135
G ContiPediatric Nephrology and Rheumatology Unit (G.C.), AOU G Martino, Messina, Italy.ORCID 0000-0002-0617-500X
A InsalacoDivision of Rheumatology (A.I.), IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy.ORCID 0000-0003-1443-1840
S PastoreDepartment of Pediatrics (S.P.), Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.ORCID 0000-0003-4697-0777
S MartinoDivision of Pediatric Immunology and Rheumatology, Department of Public Health and Pediatrics (S.M.), Regina Margherita Children Hospital, University of Turin, Turin, Italy.ORCID 0000-0002-6861-8566
I CeccheriniUOSD Genetics and Genomics of Rare Diseases (I.C.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-8732-1955
S SignaCenter for Autoinflammatory Diseases and Immunodeficiencies (R.C., S.S., M.G.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0002-9083-1726
M GattornoCenter for Autoinflammatory Diseases and Immunodeficiencies (R.C., S.S., M.G.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-0704-1916
A RossiNeuroradiology Unit (A.F.G., D.T., R.A., A.R., M.S.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0001-8575-700X
M SeverinoNeuroradiology Unit (A.F.G., D.T., R.A., A.R., M.S.), IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID 0000-0003-4730-5322

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adenosine deaminase 2 deficiency (OMIM #615688) is an autosomal recessive disorder characterized by a wide clinical spectrum, including small- and medium-sized vessel vasculopathies, but data focusing on the associated neuroimaging features are still scarce in the literature. Here, we describe the clinical neuroimaging features of 12 patients with genetically proven adenosine deaminase 2 deficiency (6 males; median age at disease onset, 1.3 years; median age at genetic diagnosis, 15.5 years). Our findings expand the neuroimaging phenotype of this condition demonstrating, in addition to multiple, recurrent brain lacunar ischemic and/or hemorrhagic strokes, spinal infarcts, and intracranial aneurysms, also cerebral microbleeds and a peculiar, likely inflammatory, perivascular tissue in the basal and peripontine cisterns. Together with early clinical onset, positive family history, inflammatory flares and systemic abnormalities, these findings should raise the suspicion of adenosine deaminase 2 deficiency, thus prompting genetic evaluation and institution of tumor necrosis factor inhibitors, with a potential great impact on neurologic outcome.

Indexed as

Adenosine DeaminaseAdolescentAgammaglobulinemiaBrainFemaleHumansMagnetic Resonance ImagingMaleNeuroimagingSevere Combined ImmunodeficiencySpinal CordAdenosine Deaminase

Identifiers

PMID33632736
PMCPMC8115359

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.