Evidence map›Paper›PMID 34927739›Full record

ArticleJournal of inherited metabolic disease2022

Is the brain involved in patients with late-onset Pompe disease?

Jan J A van den Dorpel, Willemijn M C van der Vlugt, Marjolein H G Dremmen, Ryan Muetzel, Esther van den Berg, Roos Hest, Joni de Kriek, Esther Brusse, Pieter A van Doorn, Ans T van der Ploeg and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. [Research progress of nervous system damage in Pompe disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
  5. Article
  6. Is the brain involved in patients with late-onset Pompe disease?Journal of inherited metabolic disease · 2022
    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

12 authors at 1 institution in 1 country.

Jan J A van den DorpelDepartment of Pediatrics, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.ORCID 0000-0003-0948-7313
Willemijn M C van der VlugtDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marjolein H G DremmenDepartment of Radiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ryan MuetzelDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Esther van den BergDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Roos HestDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Joni de KriekDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Esther BrusseDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.
Pieter A van DoornDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.
Ans T van der PloegDepartment of Pediatrics, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.
Johanna M P van den HoutDepartment of Pediatrics, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.
Nadine A M E van der BeekDepartment of Neurology, Erasmus MC, University Medical Center Rotterdam, Center for Lysosomal and Metabolic Diseases, Rotterdam, The Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our objective was to investigate brain structure, cerebral vasculature, and cognitive function in a cohort of patients with late-onset Pompe disease, with particular reference to the differences from those with the classic infantile phenotype, where extensive white-matter abnormalities (WMA) and impaired cognition on long-term enzyme treatment are reported in a subset of patients. Brain imaging (T1, T2, T2 fluid-attenuated inversion recovery, susceptibility-weighted images, and magnetic resonance angiography-time of flight) was combined with extensive cognitive testing of general intelligence (Wechsler IQ Test, Montreal Cognitive Assessment [MoCA]) and specific neuropsychological domains (verbal fluency, cognitive flexibility, attention, memory, and visuospatial abilities). We included 19 patients with late-onset Pompe disease (age range 11-56 years). Two patients showed mild punctate WMA within normal range for age, with a Fazekas score (FS) of 1 to 2. Magnetic resonance angiography revealed a slight vertebrobasilar dolichoectasia in two patients yet did not show any aneurysms or vascular dissections. Most patients had age-adjusted scores within the normal range for the Wechsler index scores (verbal comprehension, perceptual reasoning, working memory, and processing speed) and combined total intelligence (IQ) score (median 101, interquartile range 91-111; one patient had a below-average score for total IQ) as well as for the specific domains verbal fluency, attention, and memory. A subset of patients performed suboptimally on the Rey Complex Figure Test (9/14 patients) or cube-copying/clock-drawing test of the MoCA (8/10 patients). We therefore concluded that our study showed no brain abnormalities, other than minor microvascular lesions considered within normal range for age, nor general cognitive impairment in late-onset Pompe patients. These findings are in sharp contrast with the widespread WMA and cognitive problems found in some classic infantile patients.

Indexed as

Glycogen Storage Disease Type IIBrainCognitionHumansIntelligence TestsMagnetic Resonance ImagingNeuropsychological TestscognitiondolichoectasiaMRI brain imagingneuropsychological assessmentPompe diseasewhite-matter abnormalities

Identifiers

PMID34927739
PMCPMC9306606
OpenAlexW4200527312

What OpenQuestion holds

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LicenceCC BY-NC
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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.