Evidence map›Paper›PMID 35723521›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2022

Neuroimaging Correlates of Cognitive Deficits in Wilson's Disease.

Samuel Shribman, Maggie Burrows, Rhian Convery, Martina Bocchetta, Carole H Sudre, Julio Acosta-Cabronero, David L Thomas, Godfrey T Gillett, Emmanuel A Tsochatzis, Oliver Bandmann and 2 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Review
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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 8 institutions in 1 country.

Samuel ShribmanReta Lila Weston Institute, UCL Queen Square Institute of Neurology, London.
Maggie BurrowsReta Lila Weston Institute, UCL Queen Square Institute of Neurology, London.
Rhian ConveryDementia Research Centre, UCL Queen Square Institute of Neurology, London, United Kingdom.
Martina BocchettaDementia Research Centre, UCL Queen Square Institute of Neurology, London, United Kingdom.ORCID 0000-0003-1814-5024
Carole H SudreMRC Unit for Lifelong Health and Ageing, University College London, London, United Kingdom.
Julio Acosta-CabroneroTenoke Ltd, Cambridge, United Kingdom.
David L ThomasDementia Research Centre, UCL Queen Square Institute of Neurology, London, United Kingdom.
Godfrey T GillettDepartment of Clinical Chemistry, Northern General Hospital, Sheffield, United Kingdom.
Emmanuel A TsochatzisUCL Institute of Liver and Digestive Health and Royal Free Hospital, London, United Kingdom.
Oliver BandmannSheffield Institute of Translational Neuroscience, Sheffield, United Kingdom.
Jonathan D RohrerDementia Research Centre, UCL Queen Square Institute of Neurology, London, United Kingdom.
Thomas T WarnerReta Lila Weston Institute, UCL Queen Square Institute of Neurology, London.ORCID 0000-0001-6195-6995
Queen Mary University of London · GBUK Dementia Research Institute · GBKing's College London · GBNorthern General Hospital · GBSheffield Kidney Institute · GBTewkesbury Community Hospital · GBThe Royal Free Hospital · GBWellcome Centre for Human Neuroimaging · GB

Funding

Department of Health BRC149/NS/MHMedical Research Council MC_EX_MR/N50192X/1Medical Research Council MC_UU_00019/3Medical Research Council MC_UU_00019/4Medical Research Council MR/M008525/1Medical Research Council MR/M023664/1Medical Research Council MR/T046015/1
6 · The paper itself

Abstract

backgroundCognitive impairment is common in neurological presentations of Wilson's disease (WD). Various domains can be affected, and subclinical deficits have been reported in patients with hepatic presentations. Associations with imaging abnormalities have not been systematically tested.

objectiveThe aim was to determine the neuroanatomical basis for cognitive deficits in WD.

methodsWe performed a 16-item neuropsychological test battery and magnetic resonance brain imaging in 40 patients with WD. The scores for each test were compared between patients with neurological and hepatic presentations and with normative data. Associations with Unified Wilson's Disease Rating Scale neurological examination subscores were examined. Quantitative, whole-brain, multimodal imaging analyses were used to identify associations with neuroimaging abnormalities in chronically treated stable patients.

resultsAbstract reasoning, executive function, processing speed, calculation, and visuospatial function scores were lower in patients with neurological presentations than in those with hepatic presentations and correlated with neurological examination subscores. Deficits in abstract reasoning and phonemic fluency were associated with lower putamen volumes even after controlling for neurological severity. About half of patients with hepatic presentations had poor performance in memory for faces, cognitive flexibility, or associative learning relative to normative data. These deficits were associated with widespread cortical atrophy and/or white matter diffusion abnormalities.

conclusionsSubtle cognitive deficits in patients with seemingly hepatic presentations represent a distinct neurological phenotype associated with diffuse cortical and white matter pathology. This may precede the classical neurological phenotype characterized by movement disorders and executive dysfunction and be associated with basal ganglia damage. A binary phenotypic classification for WD may no longer be appropriate. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Cognition DisordersCognitive DysfunctionHepatolenticular DegenerationCognitionHumansMagnetic Resonance ImagingNeuroimagingcognitionmagnetic resonance imagingWilson's disease

Identifiers

PMID35723521
PMCPMC9542291
OpenAlexW4283162532

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.