Evidence map›Paper›PMID 34617633›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2022

Chromatic Pupillometry in Isolated Rapid Eye Movement Sleep Behavior Disorder.

Chiara La Morgia, Martina Romagnoli, Fabio Pizza, Francesco Biscarini, Marco Filardi, Vincenzo Donadio, Michele Carbonelli, Giulia Amore, Jason C Park, Michele Tinazzi and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pupil-light reflex in early-stage Parkinson's disease.Journal of Parkinson's disease · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Predictive risk factors of phenoconversion in idiopathic REM sleep behavior disorder: the Italian study "FARPRESTO".Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Observational
  10. Article
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

14 authors at 6 institutions in 2 countries.

Chiara La MorgiaIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.ORCID 0000-0002-4639-8929
Martina RomagnoliIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.ORCID 0000-0003-1995-558X
Fabio PizzaIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.
Francesco BiscariniDipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.
Marco FilardiDipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.ORCID 0000-0001-9702-8314
Vincenzo DonadioIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.ORCID 0000-0002-1290-7318
Michele CarbonelliDipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.
Giulia AmoreDipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italy.
Jason C ParkDepartment of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, USA.
Michele TinazziDipartimento di Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy.
Valerio CarelliIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.
Rocco LiguoriIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.
Giuseppe PlazziIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy.
Elena AntelmiDipartimento di Neuroscienze, Biomedicina e Movimento, Università di Verona, Verona, Italy.ORCID 0000-0003-1739-6139
Istituto delle Scienze Neurologiche di Bologna · ITUniversity of Bologna · ITUniversity of Verona · ITUniversity of Bari Aldo Moro · ITUniversity of Illinois Chicago · USUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMelanopsin retinal ganglion cell (mRGC)-mediated pupillary light reflex (PLR) abnormalities have been documented in several neurodegenerative disorders including Parkinson's disease. Overall, isolated rapid eye movement (REM) sleep behavior disorder (iRBD) represents the strongest prodromal risk factor for impending α-synucleinopathies.

objectivesTo quantitatively compare PLR and mRGC-mediated contribution to PLR in 16 iRBD patients and 16 healthy controls.

methodsiRBD and controls underwent extensive neuro-ophthalmological evaluation and chromatic pupillometry. In iRBD, PLR metrics were correlated with clinical variables and with additional biomarkers including REM atonia index (RAI), DaTscan, and presence of phosphorylated-α-synuclein (p-α-syn) deposition in skin biopsy.

resultsWe documented higher baseline pupil diameter and decreased rod-transient PLR amplitude in iRBD patients compared to controls. PLR rod-contribution correlated with RAI. Moreover, only iRBD patients with evidence of p-α-syn deposition at skin biopsy showed reduced PLR amplitude compared to controls.

conclusionThe observed PLR abnormalities in iRBD might be considered as potential biomarkers for the risk stratification of phenoconversion of the disease. © 2021 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Parkinson DiseaseREM Sleep Behavior DisorderSynucleinopathiesHumansmelanopsinneurodegenerationpupillometryREM sleep behavior disordersynucleinopathy

Identifiers

PMID34617633
PMCPMC9293298
OpenAlexW3203160118

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.