Evidence map›Paper›PMID 36389221›Full record

ArticleFrontiers in neuroscience2022

Case report: A multiple sclerosis patient with imaging features of glymphatic failure benefitted from CSF flow shunting.

Antonio Scollato, Francesco Lolli, Giancarlo Lastrucci, Anna Repice, Giuseppe De Santis, Claudio Nicoletti, Berardino Porfirio, Pasquale Gallina

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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

8 authors at 2 institutions in 1 country.

Antonio ScollatoNeurosurgery Unit, "Cardinale Panico" Hospital, Tricase, Italy.
Francesco LolliDepartment of Clinical and Experimental Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy.
Giancarlo LastrucciDepartment of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy.
Anna RepiceNeurology Unit, Careggi University Hospital, Florence, Italy.
Giuseppe De SantisNeurology Unit, "Cardinale Panico" Hospital, Tricase, Italy.
Claudio NicolettiDepartment of Experimental and Clinical Medicine, Section of Anatomy, University of Florence, Florence, Italy.
Berardino PorfirioDepartment of Clinical and Experimental Biomedical Sciences "Mario Serio", University of Florence, Florence, Italy.
Pasquale GallinaDepartment of Neurosciences, Psychology, Drug Research and Child Health, University of Florence, Florence, Italy.
University of Florence · ITAzienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The derangement of CSF circulation impacts the functions of the glymphatic-lymphatic system (G-Ls), which regulates solute trafficking and immune surveillance in the CNS. The G-Ls failure leads to the dysregulation of clearance of waste molecules in the brain and to an altered CNS immune response. The imaging features of dilated perivascular spaces imply the impairment of the G-Ls. We report on the case of a patient with primary progressive multiple sclerosis and dilatation of perivascular spaces, who transiently improved after CSF shunt diversions. The underlying mechanisms remain to be determined and at this stage, it is not possible to link CSF diversion to an effect on MS pathology. However, this observation provides the rationale to incentivize research in the largely unknown area of CSF dynamic disturbances on G-Ls failure and ultimately in neurodegeneration.

Indexed as

CSF dynamic disturbancesCSF shuntingglymphatic systemmultiple sclerosisperivascular space

Identifiers

PMID36389221
PMCPMC9663833
OpenAlexW4308006646

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.