Evidence map›Paper›PMID 34356166›Full record

ArticleBrain sciences2021

Stiff-Eye Syndrome-Anti-GAD Ataxia Presenting with Isolated Ophthalmoplegia: A Case Report.

Abel Dantas Belém, Thaís de Maria Frota Vasconcelos, Rafael César Dos Anjos de Paula, Francisco Bruno Santana da Costa, Pedro Gustavo Barros Rodrigues, Isabelle de Sousa Pereira, Paulo Roberto de Arruda Tavares, Gabriela Studart Galdino, Daniel Aguiar Dias, Carolina de Figueiredo Santos and 3 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Brain sciences, 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
0.3field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. Article
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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

13 authors at 3 institutions in 1 country.

Abel Dantas BelémDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Thaís de Maria Frota VasconcelosDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Rafael César Dos Anjos de PaulaDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Francisco Bruno Santana da CostaDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Pedro Gustavo Barros RodriguesDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Isabelle de Sousa PereiraDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Paulo Roberto de Arruda TavaresDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Gabriela Studart GaldinoDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Daniel Aguiar DiasDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Carolina de Figueiredo SantosHospital Infantil Albert Sabin, Fortaleza 60410-790, Brazil.
Manoel Alves Sobreira-NetoDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.ORCID 0000-0001-9619-6551
Pedro Braga-NetoDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Paulo Ribeiro NobregaDivision of Neurology, Department of Clinical Medicine, Universidade Federal do Ceará, Fortaleza 60430-140, Brazil.
Universidade Federal do Ceará · BRHospital Infantil Albert Sabin · BRUniversidade Estadual do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-GAD ataxia is one of the most common forms of immune-mediated cerebellar ataxias. Many neurological syndromes have been reported in association with anti-GAD. Ophthalmoparesis has been described in stiff person syndrome. We report a case of anti-GAD ataxia presenting initially with isolated ophthalmoplegia and showing complete resolution after immunotherapy. A 26-year-old male patient presented with ophthalmoparesis characterized by tonic upwards deviation of the right eye. In the following month, he developed progressive ataxia with anti-GAD titers of 1972 UI/mL. After treatment with methylprednisolone and immunoglobulin, there was complete resolution of symptoms and anti-GAD titers decreased. This is the first report of isolated ophthalmoparesis due to tonic eye deviation associated with anti-GAD antibodies without stiff-person syndrome. Tonic eye deviation has been reported in SPS, possibly secondary to continuous discharge in gaze holding neurons in the brainstem (similar to what occurs in spinal motor neurons). With growing evidence for ocular abnormalitites in SPS, anti-GAD associated neurological syndromes should be included in the differential diagnosis of isolated ophthalmoplegia.

Indexed as

anti-GAD ataxiaautoimmunecerebellar ataxiaophthalmoplegiastiff person syndrome

Identifiers

PMID34356166
PMCPMC8304346
OpenAlexW3180955345

What OpenQuestion holds

Textmetadata
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.