Evidence map›Paper›PMID 35025122›Full record

SynthesisBrain and behavior2022

Clinical spectrum and management of dystonia in patients with Japanese encephalitis: A systematic review.

Roshan Aryal, Suraj Shrestha, Sushan Homagain, Sunit Chhetri, Kshitiz Shrestha, Sanjeev Kharel, Ragesh Karn, Reema Rajbhandari, Bikram Prasad Gajurel, Rajeev Ojha

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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 3 institutions in 1 country.

Roshan AryalDepartment of Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, 44600, Nepal.ORCID 0000-0002-4689-9264
Suraj ShresthaDepartment of Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, 44600, Nepal.
Sushan HomagainDepartment of Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, 44600, Nepal.
Sunit ChhetriDepartment of Medicine, B.P. Koirala Institute of Health Sciences, Dharan, 56700, Nepal.
Kshitiz ShresthaDepartment of Medicine, B.P. Koirala Institute of Health Sciences, Dharan, 56700, Nepal.
Sanjeev KharelDepartment of Medicine, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, 44600, Nepal.ORCID 0000-0001-9591-3168
Ragesh KarnDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, 44600, Nepal.
Reema RajbhandariDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, 44600, Nepal.
Bikram Prasad GajurelDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, 44600, Nepal.
Rajeev OjhaDepartment of Neurology, Tribhuvan University Institute of Medicine, Kathmandu, 44600, Nepal.ORCID 0000-0001-7680-7036
Tribhuvan University · NPTribhuvan University Teaching Hospital · NPB.P. Koirala Institute of Health Sciences · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJapanese encephalitis (JE) is a potentially fatal viral infection with a wide range of manifestations and can also present with a variety of movement disorders (MD) including dystonia. Dystonic features in JE are uncommon. Here, we have tried to summarize the clinical features and management of dystonia among JE patients with a comprehensive literature search.

methodsVarious databases, including PubMed, Embase, and Google Scholar, were searched against the predefined criteria using suitable keywords combination and boolean operations. Relevant information from observational and case studies was extracted according to the author, dystonic features, radiological changes in the brain scans, treatment options, and outcome wherever provided.

resultWe identified 19 studies with a total of 1547 JE patients, the diagnosis of which was confirmed by IgM detection in serum and/or cerebrospinal fluid in the majority of the patients (88.62%). 234 (15.13%) of JE patients had dystonia with several types of focal dystonia being present in 131 (55.98%) either alone or in combination. Neuroimaging showed predominant involvement of thalami, basal ganglia, and brainstem. Oral medications including anticholinergics, GABA agonists, and benzodiazepines followed by botulinum toxin were the most common treatment modalities.

conclusionDystonia can be a disabling consequence of JE, and various available medical therapies can significantly improve the quality of life. Owing to insufficient studies on the assessment of dystonia associated with JE, longitudinal studies with a larger number of patients are warranted to further clarify the clinical course, treatment, and outcome of dystonia.

Indexed as

DystoniaDystonic DisordersEncephalitis, JapaneseMovement DisordersHumansQuality of LifedystoniaJapanese encephalitismovement disorderreview

Identifiers

PMID35025122
PMCPMC8865161
OpenAlexW4205546247

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.