Evidence map›Paper›PMID 34468800›Full record

ArticleJournal of neurology2022

Comorbid alpha synucleinopathies in idiopathic normal pressure hydrocephalus.

Anri Sakurai, Taiji Tsunemi, Yuta Ishiguro, Ayami Okuzumi, Taku Hatano, Nobutaka Hattori

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  5. Pupillary responses to the glare illusion in normal pressure hydrocephalus: insights into network dysfunction and neurodegenerative comorbidities.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

6 authors at 1 institution in 1 country.

Anri SakuraiDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan.ORCID http://orcid.org/0000-0002-7288-4875
Taiji TsunemiDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan. t-tsunemi@juntendo.ac.jp.ORCID http://orcid.org/0000-0002-0021-0708
Yuta IshiguroDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan.
Ayami OkuzumiDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan.ORCID http://orcid.org/0000-0001-8044-5402
Taku HatanoDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan.ORCID http://orcid.org/0000-0002-6808-0444
Nobutaka HattoriDepartment of Neurology, Juntendo University School of Medicine, 2-1-1 Hongo Bynkyo-ku, Tokyo, 113-8421, Japan.ORCID http://orcid.org/0000-0002-2034-2556
Juntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to determine the prevalence and clinical features of Parkinson's disease (PD)/PD dementia (PD/PDD) or dementia with Lewy bodies (DLB) in idiopathic normal pressure hydrocephalus (iNPH).

methodsPatients with iNPH who were admitted to the Department of Neurology, Juntendo University School of Medicine over the past 10 years have been retrospectively analyzed. The diagnosis of iNPH and concomitant PD/PDD or DLB was established using diagnostic criteria. Motor symptoms were assessed by the Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III.

resultsOverall, 79 patients met the criteria for iNPH, of which 34 developed iNPH without accompanying disorders (iNPHa; 43%), 23 developed iNPH with comorbid PD/PDD (iNPHc + PD/PDD; 29.1%), and 8 developed iNPH with comorbid DLB (iNPHc + DLB; 10.1%). Significant differences in facial expansion and upper-limb parkinsonism were observed with a comorbidity of either PD/PDD or DLB. The specific binding ratio (SBR) of DaTscan was reduced in iNPHa (p = 0.02), but it reduced further with comorbid PD/PDD (p < 0.01) or DLB (p < 0.01). RT-QuIC was positive for all 13 comorbid PD/PDD and negative for all 19 iNPHa.

conclusionThese results highlight that synucleinopathies coexist with iNPH. These can be differentiated by performing DaTscan and RT-QuIC, which can affect its clinical features.

Indexed as

Hydrocephalus, Normal PressureLewy Body DiseaseParkinson DiseaseSynucleinopathiesComorbidityHumansRetrospective StudiesDaTscanDementia with Lewy bodiesLumboperitoneal shunt surgeryNormal pressure hydrocephalusParkinson’s disease

Identifiers

PMID34468800
OpenAlexW3197048003

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.