Evidence map›Paper›PMID 36831713›Full record

ArticleBrain sciences2023

Frequency and Correlates of Mild Cognitive Impairment in Myasthenia Gravis.

Salvatore Iacono, Vincenzo Di Stefano, Vanessa Costa, Giuseppe Schirò, Antonino Lupica, Bruna Maggio, Davide Norata, Antonia Pignolo, Filippo Brighina, Roberto Monastero

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Comorbidity in myasthenia gravis: multicentric, hospital-based, and controlled study of 178 Italian patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  8. Article
  9. Article
  10. 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

10 authors at 2 institutions in 1 country.

Salvatore IaconoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0003-0035-5859
Vincenzo Di StefanoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0001-9805-1655
Vanessa CostaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-2768-7573
Giuseppe SchiròDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.
Antonino LupicaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0003-1499-9460
Bruna MaggioDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.
Davide NorataDepartment of Experimental and Clinical Medicine, Marche Polytechnic University, 60121 Ancona, Italy.ORCID 0000-0001-7750-3624
Antonia PignoloDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-8883-5701
Filippo BrighinaDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.
Roberto MonasteroDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-2829-523X
University of Palermo · ITMarche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibodies against acetylcholine receptors (AChRs) can also target nicotinic AChRs that are present throughout the central nervous system, thus leading to cognitive dysfunctions in patients with myasthenia gravis (MG). However, the presence of cognitive impairment in MG is controversial, and the factors that may influence this risk are almost completely unknown. In this study, the frequency of mild cognitive impairment (MCI) in MG, as well as the clinical, immunological, and behavioral correlates of MCI in MG were evaluated.

methodsA total of 52 patients with MG underwent a comprehensive assessment including motor and functional scales, serological testing, and neuropsychological and behavioral evaluation.

resultsThe frequency of MCI was 53.8%, and the most impaired cognitive domains were, in order, visuoconstructive/visuospatial skills, memory, and attention. After multivariate analysis, only pyridostigmine use was inversely associated with the presence of MCI, while a trend toward a positive association between MCI and disease severity and arms/legs hyposthenia was found. Correlation analyses showed that daily doses of prednisone and azathioprine significantly correlated with depressive symptomatology, while disease severity significantly correlated with depressive symptomatology and sleep disturbance.

conclusionsThe presence of MCI is rather frequent in MG and is characterized by multidomain amnestic impairment. Such preliminary data need further confirmation on larger case series.

Indexed as

cognitive impairmentdepressive symptomsmyasthenia gravisneuropsychological testingprevalencesleep disorders

Identifiers

PMID36831713
PMCPMC9953757
OpenAlexW4317425965

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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.