Evidence map›Paper›PMID 34663226›Full record

ArticleBMC neuroscience2021

Cerebral ventriculomegaly in myotonic dystrophy type 1: normal pressure hydrocephalus-like appearances on magnetic resonance imaging.

Saya Iida, Hiroko Seino, Fumiko Nagahata, Soichiro Tatsuo, Sho Maruyama, Seiko Kon, Hiroto Takada, Masashi Matsuzaka, Koichiro Sugimoto, Shingo Kakeda

Open access · goldAbstract read
In one paragraph

Article in BMC neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 55% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Genetic Risk Factors in Normal Pressure Hydrocephalus: What We Know and What Is Next.Movement disorders : official journal of the Movement Disorder Society · 2025
    Pooled it
  3. Article
  4. Article
  5. 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

10 authors at 4 institutions in 1 country.

Saya IidaDepartment of Radiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
Hiroko SeinoDepartment of Radiology, National Hospital Organization, Aomori Hospital, Aomori, Aomori, Japan.
Fumiko NagahataDepartment of Radiology, National Hospital Organization, Aomori Hospital, Aomori, Aomori, Japan.
Soichiro TatsuoDepartment of Radiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
Sho MaruyamaDepartment of Radiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.
Seiko KonDepartment of Neurology, National Hospital Organization, Aomori Hospital, Aomori, Aomori, Japan.
Hiroto TakadaDepartment of Neurology, National Hospital Organization, Aomori Hospital, Aomori, Aomori, Japan.
Masashi MatsuzakaClinical Research Support Center, Hirosaki University Hospital, Hirosaki, Aomori, Japan.
Koichiro SugimotoDepartment of Radiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan.
Shingo KakedaDepartment of Radiology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan. kakeda@hirosaki-u.ac.jp.ORCID 0000-0002-0521-9728
Aomori Rosai Hospital · JPHirosaki University · JPHirosaki University Hospital · JPUniversity of Occupational and Environmental Health Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral ventriculomegaly is an abnormal feature characteristic of myotonic dystrophy type 1 (DM1). This retrospective study investigated the morphologic changes accompanied by ventriculomegaly in DM1 on brain MRI.

methodsOne hundred and twelve adult patients with DM1 and 50 sex- and age-matched controls were assessed. The imaging characteristics for evaluations included the z-Evans Index (ventriculomegaly), callosal angle (CA), enlarged perivascular spaces in the centrum semiovale (CS-EPVS), temporo-polar white matter lesion (WML) on 3D fluid-attenuated inversion recovery (FLAIR), disproportionately enlarged subarachnoid-space hydrocephalus (DESH), and pathological brain atrophy. The "z-Evans Index" was defined as the maximum z-axial length of the frontal horns to the maximum cranial z-axial length. To determine the imaging characteristics and genetic information (CTG repeat numbers) that were associated with the z-Evans Index, we used binominal logistic regression analyses.

resultsThe z-Evans Index was significantly larger in the patients than in the controls (0.30 ± 0.05 vs. 0.24 ± 0.02; p < 0.01). The z-Evans Index was independently associated with the callosal angle (p < 0.01) and pathological brain atrophy (p < 0.01) but not with age, gender, CTG repeat numbers, or CS-EPVS. Of the 34 patients older than 49 years, 7 (20.6%) were considered to have DESH.

conclusionsOur MRI study revealed a normal pressure hydrocephalus (NPH)-like appearance as a morphologic finding accompanied by ventriculomegaly in DM1 that tends to occur in elderly patients.

Indexed as

Age FactorsMagnetic Resonance ImagingAdultAgingCorpus CallosumFemaleHumansHydrocephalus, Normal PressureMaleMiddle AgedMyotonic DystrophyNeuroimagingDisproportionately enlarged subarachnoid-space hydrocephalusEvans IndexMRIMyotonic dystrophyNormal pressure hydrocephalusventriculomegaly

Identifiers

PMID34663226
PMCPMC8522090
OpenAlexW3175055124

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.