Evidence map›Paper›PMID 34028805›Full record

ArticleDevelopmental medicine and child neurology2021

Cerebral visual impairment in CDKL5 deficiency disorder: vision as an outcome measure.

Heather E Olson, Julia G Costantini, Lindsay C Swanson, Walter E Kaufmann, Timothy A Benke, Anne B Fulton, Ronald Hansen, Annapurna Poduri, Gena Heidary

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05558371 (Multi-Site Validation of Biomarkers and Core Clinical Outcome Measures for Clinical Trials Readiness in CDKL5 Deficiency Disorder), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT05558371 recruitingnot on this map

Multi-Site Validation of Biomarkers and Core Clinical Outcome Measures for Clinical Trials Readiness in CDKL5 Deficiency Disorder

TypeobservationalSponsorUniversity of Colorado, DenverRan2021 to 2027Enrolled1,000ConditionsCDKL5, CDKL5 Deficiency Disorder, CDDArmsNo intervention.
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  5. Review
  6. CDKL5 deficiency disorder and other infantile-onset genetic epilepsies.Developmental medicine and child neurology · 2024
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  11. 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

9 authors at 3 institutions in 1 country.

Heather E OlsonDivision of Epilepsy and Clinical Neurophysiology and Epilepsy Genetics Program, Department of Neurology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-5385-0119
Julia G CostantiniDepartment of Neurology, CDKL5 Center of Excellence, Boston Children's Hospital, Boston, MA, USA.
Lindsay C SwansonDepartment of Neurology, CDKL5 Center of Excellence, Boston Children's Hospital, Boston, MA, USA.
Walter E KaufmannDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-8561-8453
Timothy A BenkeNeurology, Pharmacology and Otolaryngology, School of Medicine Departments of Pediatrics, Children's Hospital Colorado, University of Colorado, Aurora, CO, USA.
Anne B FultonDepartment of Ophthalmology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Ronald HansenDepartment of Ophthalmology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Annapurna PoduriDivision of Epilepsy and Clinical Neurophysiology and Epilepsy Genetics Program, Department of Neurology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Gena HeidaryDepartment of Neurology, CDKL5 Center of Excellence, Boston Children's Hospital, Boston, MA, USA.
Boston Children's Hospital · USChildren's Hospital Colorado · USEmory University · US

Funding

Training and Career Development ComponentU54HD061222 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PERCY, ALAN KENNETH · 2009 to 2019
$12.4M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SAHIN, MUSTAFA · 2016 to 2020
$5.2M
Multi-Site Validation of Biomarkers and Core Clinical Outcome Measures for Clinical Trials Readiness in CDKL5 Deficiency DisorderU01NS114312 · NINDS · UNIVERSITY OF COLORADO DENVER · PI BENKE, TIMOTHY A, DOWNS, JENNY · 2021 to 2025
$4.7M
Diagnosis and Genotype-Phenotype Correlations in Early Life Epilepsy and CDKL5 DisorderK23NS107646 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI OLSON, HEATHER ELISA · 2018 to 2023
$1.2M
NICHD NIH HHS U54 HD061222NICHD NIH HHS U54 HD090255NINDS NIH HHS K23 NS107646NINDS NIH HHS U01 NS114312
6 · The paper itself

Abstract

aimTo characterize the neuro-ophthalmological phenotype of cyclin-dependent kinase-like 5 (CDKL5) deficiency disorder (CDD) and assess visual acuity as a reproducible, quantitative outcome measure.

methodWe retrospectively analyzed clinical data from patients with CDD. Complete neuro-ophthalmological assessments, including visual acuity, were evaluated.

resultsOf 26 patients (22 females, four males; median age 4y, interquartile range 2y 1mo-7y 10mo), cerebral visual impairment (CVI), defined as visual dysfunction in the absence of ocular or anterior visual pathway abnormalities, was diagnosed in all those over 2 years of age. Ophthalmological examinations revealed nystagmus in 10 patients and strabismus in 24 patients. Visual acuity was measured in 24 patients, by preferential looking in all and by sweep visual evoked potential in 13. Visual acuities were lower than age expectations and demonstrated improvement in the first 3 years. Adjusting for age and sex, average preferential looking visual acuity after 2 years of age was higher in patients with intact mobility than in those who were non-mobile.

interpretationCVI was observed in patients with CDD. Visual acuity improved over time and correlated with mobility. Visual acuity, as a quantifiable measure of visual function, should be considered as an outcome measure in pre-clinical and clinical studies for CDD. What this paper adds Cerebral visual impairment is highly prevalent in cyclin-dependent kinase-like 5 deficiency disorder (CDD). Visual acuity is a measurable quantitative outcome measure in CDD. Visual acuity in CDD correlates with gross motor ability.

Indexed as

ChildChild, PreschoolEpileptic SyndromesEvoked Potentials, VisualFemaleHumansMalePhenotypeRetrospective StudiesSpasms, InfantileVision DisordersVision, OcularVisual Pathways

Identifiers

PMID34028805
PMCPMC8782241
OpenAlexW3165590853

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Registered trials

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.