Evidence map›Paper›PMID 34854491›Full record

ArticleMuscle & nerve2022

Motor unit integrity in multifocal motor neuropathy: A systematic evaluation with CMAP scans.

Diederik J L Stikvoort García, Maria O Kovalchuk, H Stephan Goedee, Leonard J van Schelven, Leonard H van den Berg, Hessel Franssen, Boudewijn T H M Sleutjes

Open access · hybridAbstract read
In one paragraph

Article in Muscle & nerve, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. [Multifocal motor neuropathy. Report of three cases at a reference hospital in Mexico].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
  7. Article
  8. 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

7 authors at 2 institutions in 1 country.

Diederik J L Stikvoort GarcíaDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-3984-1635
Maria O KovalchukDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-6769-0363
H Stephan GoedeeDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.
Leonard J van SchelvenDepartment of Medical Technology and Clinical Physics, University Medical Centre Utrecht, Utrecht, The Netherlands.
Leonard H van den BergDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.
Hessel FranssenDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.
Boudewijn T H M SleutjesDepartment of Neurology, Brain Centre Utrecht, University Medical Centre Utrecht, Utrecht, The Netherlands.
Utrecht University · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

aimsProgressive axonal loss in multifocal motor neuropathy (MMN) is often assessed with nerve conduction studies (NCS), by recording maximum compound muscle action potentials (CMAPs). However, reinnervation maintains the CMAP amplitude until a significant portion of the motor unit (MU) pool is lost. Therefore, we performed more informative CMAP scans to study MU characteristics in a large cohort of patients with MMN.

methodsWe derived the maximum CMAP amplitude (CMAP

resultsForty MMN patients and 24 healthy controls were included in the study. CMAP DISCUSSION: We found that MU loss is common in MMN and accompanied by enlarged MUs. Presence of anti-GM1 antibodies was associated with increased relative range of MU thresholds and reduction in largest MU amplitude. Our findings indicate that CMAP scans complement routine NCS, and may have potential for practical monitoring of treatment efficacy and disease progression.

Indexed as

PolyneuropathiesAction PotentialsCohort StudiesDisease ProgressionHumansNeural Conductionanti-ganglioside antibodiesCMAP scanmotor unit integritymotor unit number estimationmultifocal motor neuropathy

Identifiers

PMID34854491
PMCPMC9300115
OpenAlexW3216692684

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.