Evidence map›Paper›PMID 35736622›Full record

ReviewNeurology international2022

Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis.

Juan Fernando Ortíz, María Belén Solís, Syed Saad Ali, Mahika Khurana, Juan Andrés Moncayo, Nishel Yogesh Kothari, Mateo Alzamora, Ahmed Eissa-Garces, Ghanshyam Patel, Gustavo Andrés Monteros and 2 more

Abstract readReview
In one paragraph

Review in Neurology international, 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
–field-weighted citation impact
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.

  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

12 authors.

Juan Fernando OrtízDepartment of Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, CA 94534, USA.ORCID 0000-0001-7512-6140
María Belén SolísSchool of Medicine, Colegio de Ciencias de la Salud, Pontificia Universidad Católica del Ecuador, Quito 170083, Ecuador.ORCID 0000-0003-3540-5609
Syed Saad AliDepartment of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Karachi 74200, Pakistan.ORCID 0000-0002-1307-0572
Mahika KhuranaPublic Health Department, University of California Berkeley, Berkeley, CA 94720, USA.ORCID 0000-0002-9320-8876
Juan Andrés MoncayoSchool of Medicine, Colegio de Ciencias de la Salud, Pontificia Universidad Católica del Ecuador, Quito 170083, Ecuador.ORCID 0000-0003-1547-8747
Nishel Yogesh KothariJawaharlal Nehru Medical College, KLE University, Neuro Nahgar, Belagavi 590010, India.ORCID 0000-0003-2683-1104
Mateo AlzamoraSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.
Ahmed Eissa-GarcesSchool of Medicine, Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 170901, Ecuador.
Ghanshyam PatelMercy Health Internal Medicine Residency, Javon Bea Hospital, Rockford, IL 61114, USA.ORCID 0000-0001-8657-6884
Gustavo Andrés MonterosSchool of Medicine, Colegio de Ciencias de la Salud, Pontificia Universidad Católica del Ecuador, Quito 170083, Ecuador.
Meghdeep SenSchool of Medicine, American University of Antigua, St John's P.O. Box W1451, Antigua and Barbuda.ORCID 0000-0002-9116-0397
Jonathan QuiñonezDepartment of Osteopathic Neuromuscular Medicine, Larkin Community Hospital Palm Springs Campus, Hialeah, FL 33012, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fabry disease (FD) is the second most common lysosomal storage disorder. This disorder affects multiple systems that include the cardiac, renal, and nervous system. The pulvinar sign (PS) is a relatively common sign seen in patients with FD. The PS is a bilateral, symmetrical pulvinar high signal relative to the signal intensity seen on unenhanced T1-weighted brain MR imaging. Methods: We conducted a systematic review with metanalysis to analyze the pool prevalence of the disorder. We used the Moose Guidelines and PRISMA Protocol for this systematic review and Robins 1 to access the BIAS of the study. To analyze the pool prevalence, we used “Open Meta-Analysis” software for analyzing the study. We used “Review Manager 5.4” to analyze the odds ratio between patients with and without the PS and patients with and without stroke among patients with FD. Results: We gather 12 studies from 2003 to 2021 for the analysis of this study. The pool prevalence of the study was 0.146 (0.076−0.217) (62/385 cases) with a 95% CI (0.0945−0.415) (p < 0.01). The prevalence was much higher in men (59 cases) than in women (3 cases). There was no relationship between the pulvinar sign and patients with stroke among patients with Fabry disease. Odds ratio 1.97 95% CI (0.35−11.21), p = 0.44; Tau2 = 0.77. There seems to be a correlation with renal failure (RF), but there were very few studies to conduct a metanalysis with RF. Conclusions: The prevalence of the PS among all studies was 23.9%; the prevalence of this sign is higher among males. We found that FD patients who had strokes did not have higher odds of presenting with the Pulvinar Sign than the FD patients who did not suffer a stroke. Patients with renal failure and FD seem to have a higher tendency to have the PS, but there were not enough studies to analyze that theory. Overall, we think the pulvinar sign has a poor prognostic value in patients with Fabry’s disease.

Indexed as

Fabrymetanalysispulvinarrenal failurestroke

Identifiers

PMID35736622
PMCPMC9229505

What OpenQuestion holds

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Registered trials

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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.