Evidence map›Paper›PMID 36543208›Full record

ArticleInternal medicine (Tokyo, Japan)2023

Adult-onset Leigh Syndrome with a m.9176T>C Mutation Manifested As Reversible Cerebral Vasoconstriction Syndrome.

Ayane Ohyama-Tamagake, Kimihiko Kaneko, Ryo Itami, Masatsugu Nakano, Yasuhiro Namioka, Rumiko Izumi, Haruka Sato, Hideaki Suzuki, Atsuhito Takeda, Yasushi Okazaki and 6 more

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In one paragraph

Article in Internal medicine (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Ayane Ohyama-TamagakeDepartment of Neurology, Tohoku University Hospital, Japan.
Kimihiko KanekoDepartment of Neurology, Tohoku University Hospital, Japan.
Ryo ItamiDepartment of Neurology, Tokyo General Hospital, Japan.
Masatsugu NakanoDepartment of Cardiology, Tokyo General Hospital, Japan.
Yasuhiro NamiokaDepartment of Neurology, Tohoku University Hospital, Japan.
Rumiko IzumiDepartment of Neurology, Tohoku University Hospital, Japan.
Haruka SatoDepartment of Cardiology, Tohoku University Hospital, Japan.
Hideaki SuzukiDepartment of Cardiology, Tohoku University Hospital, Japan.
Atsuhito TakedaDepartment of Pediatrics, Hokkaido University Hospital, Japan.
Yasushi OkazakiDiagnostics and Therapeutic of Intractable Diseases, Intractable Disease Research Center, Graduate School of Medicine, Juntendo University, Japan.
Yukiko YatsukaDiagnostics and Therapeutic of Intractable Diseases, Intractable Disease Research Center, Graduate School of Medicine, Juntendo University, Japan.
Takaaki AbeDepartment of Clinical Biology and Hormonal Regulation, Graduate School of Medicine, Tohoku University, Japan.
Kei MurayamaDepartment of Metabolism, Chiba Children's Hospital, Japan.
Naoto SugenoDepartment of Neurology, Tohoku University Hospital, Japan.
Tatsuro MisuDepartment of Neurology, Tohoku University Hospital, Japan.
Masashi AokiDepartment of Neurology, Tohoku University Hospital, Japan.
Tohoku University Hospital · JPJR Tokyo General Hospital · JPChiba Hospital · JPHokkaido University Hospital · JPJuntendo University · JPRIKEN Center for Integrative Medical Sciences · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 26-year-old woman developed a sudden headache, ptosis, and diplopia. Magnetic resonance imaging and angiography demonstrated a symmetrical lesion from the midbrain to the brainstem, involving the solitary nucleus and multifocal cerebral artery narrowing. Reversible cerebral vasoconstriction syndrome (RCVS) was suspected, and the patient improved after vasodilatation. Leigh syndrome was suspected due to the elevated serum pyruvate level, so mitochondrial DNA was analyzed, and an m.9176T>C mutation was detected. The final diagnosis was adult-onset Leigh syndrome manifesting as RCVS. An uncontrolled baroreflex due to a solitary nuclear lesion or endothelial dysfunction may have contributed to her unique presentation.

Indexed as

Cerebrovascular DisordersHeadache Disorders, PrimaryLeigh DiseaseVasospasm, IntracranialAdultFemaleHumansMagnetic Resonance AngiographyMutationOptic Atrophies, HereditaryVasoconstrictionLeigh syndromemitochondrial diseasereversible cerebral vasoconstriction syndromethunderclap headache

Identifiers

PMID36543208
PMCPMC10372267
OpenAlexW4312094179

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.