Evidence map›Paper›PMID 37586838›Full record

ReviewJournal of medical genetics2023

Deep phenotyping of the neuroimaging and skeletal features in KBG syndrome: a study of 53 patients and review of the literature.

Francesca Peluso, Stefano G Caraffi, Gianluca Contrò, Lara Valeri, Manuela Napoli, Giorgia Carboni, Alka Seth, Roberta Zuntini, Emanuele Coccia, Guja Astrea and 55 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of medical genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.1field-weighted citation impact, top 6% 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, 13 citations in OpenAlex.

  1. Article
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  5. A novel heterozygous mutation ofFrontiers in pediatrics · 2025
    Article
  6. 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

65 authors at 20 institutions in 12 countries.

Francesca PelusoMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.ORCID 0000-0002-0976-1258
Stefano G CaraffiMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Gianluca ContròMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Lara ValeriMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Manuela NapoliNeuroradiology Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Giorgia CarboniRadiology Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Alka SethRadiology, Rigshospitalet, Kobenhavn, Denmark.
Roberta ZuntiniMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Emanuele CocciaMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Guja AstreaDepartment of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Toscana, Italy.
Anne-Marie BisgaardCenter for Rare Diseases, Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital, Kobenhavn, Denmark.
Ivan IvanovskiInstitute of Medical Genetics, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-0113-783X
Silvia MaitzService of Medical Genetics, IOSI, EOC, Lugano, Switzerland.
Elise Brischoux-BoucherHunter Genetics, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.ORCID 0000-0002-4816-1431
Melissa T CarterThe University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0001-7211-3731
Maria Lisa DenticiDepartment of Clinical Genetics, Copenhagen University Hospital, Kobenhavn, Denmark.ORCID 0000-0002-9505-5906
Koenraad DevriendtDepartment for Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark.
Melissa BelliniDepartment of Pediatrics, University of Modena and Reggio Emilia, Modena, Italy.
Maria Cristina DigilioDepartment of Medical and Surgical Sciences of the Mother, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Asif DojaThe University of Newcastle, Callaghan, New South Wales, Australia.
David A DymentThe University of Newcastle, Callaghan, New South Wales, Australia.
Stense FarholtDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Gelderland, Netherlands.
Carlos R FerreiraMedical Genetics Unit, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Coimbra, Portugal.
Lynne A WolfeMedical Genetics Unit, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Coimbra, Portugal.
William A GahlNational Human Genome Research Institute, Bethesda, Maryland, USA.
Maria GnazzoTranslational Cytogenomics Research Unit, Laboratory of Medical Genetics, Bambino Gesu Pediatric Hospital, Roma, Lazio, Italy.
Himanshu GoelHunter Genetics, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
Sabine Weller GrønborgCenter for Rare Diseases, Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital, Kobenhavn, Denmark.
Trine HammerDepartment of Clinical Genetics, Copenhagen University Hospital, Kobenhavn, Denmark.
Lorenzo IughettiDepartment of Pediatrics, University of Modena and Reggio Emilia, Modena, Italy.
Tjitske KleefstraDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Gelderland, Netherlands.
David A KoolenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Gelderland, Netherlands.
Francesca Romana LepriTranslational Cytogenomics Research Unit, Laboratory of Medical Genetics, Bambino Gesu Pediatric Hospital, Roma, Lazio, Italy.
Gabrielle LemireDepartment of Genetics, Children's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Pedro LouroMedical Genetics Unit, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Coimbra, Portugal.
Gary McCullaghRoyal Manchester Children's Hospital and University of Manchester, Royal Manchester Children's Hospital, Manchester, Manchester, UK.
Simona F MadeoDepartment of Medical and Surgical Sciences of the Mother, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Annarita MiloneDepartment of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Toscana, Italy.
Roberta MiloneDepartment of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Toscana, Italy.
Jens Erik Klint NielsenDepartment of Pediatrics, Zealand University Hospital Roskilde, Roskilde, Sjaelland, Denmark.
Antonio NovelliTranslational Cytogenomics Research Unit, Laboratory of Medical Genetics, Bambino Gesu Pediatric Hospital, Roma, Lazio, Italy.
Charlotte W OckeloenDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Gelderland, Netherlands.
Rosario PascarellaNeuroradiology Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Tommaso PippucciU.O. Genetica Medica, IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico S Orsola, Bologna, Emilia-Romagna, Italy.
Ivana RiccaDepartment of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Toscana, Italy.
Stephen P RobertsonDepartment of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-5181-7809
Sarah SawyerDepartment of Genetics, Children's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Marie Falkenberg SmelandDepartment of Medical Genetics, University Hospital of North Norway, Tromso, Troms, Norway.
Sander StegmannDepartment of Clinical Genetics and School for Oncology and Developmental Biology, Maastricht University Medical Centre+, Maastricht, Limburg, Netherlands.
Constanze T StumpelDepartment of Clinical Genetics and School for Oncology and Developmental Biology, Maastricht University Medical Centre+, Maastricht, Limburg, Netherlands.
Amy GoelUniversity of Newcastle, Callaghan, The University of Newcastle, Callaghan, New South Wales, Australia.
Juliet M TaylorGenetic Health Service - Northern Hub, Genetic Health Service - Northern Hub, Aukland, New Zealand.
Domenico BarbutiRadiology and Bioimaging Unit, Bambino Gesu Pediatric Hospital, Roma, Lazio, Italy.
Annarosa SoresinaPaediatrics Clinic and Institute for Molecular Medicine A. Nocivelli, Department of Clinical and Ex-perimental Sciences, ASST Spedali Civili di Brescia, Brescia, Lombardia, Italy.
Maria Francesca BedeschiMedical Genetic Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Roberta BattiniDepartment of Developmental Neuroscience, IRCCS Stella Maris Foundation, Calambrone, Toscana, Italy.
Anna CavalliChild Neurology and Psychiatry Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Carlo FuscoChild Neurology and Psychiatry Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Maria IasconeLaboratory of Medical Genetics, ASST Papa Giovanni XXIII, Bergamo, Lombardia, Italy.
Lionel Van MaldergemCentre de génétique humaine, Université de Franche-Comté, Centre Hospitalier Universitaire de Besancon, Besancon, France.
Sunita VenkateswaranThe University of Newcastle, Callaghan, New South Wales, Australia.
Orsetta ZuffardiDepartment of Molecular Medicine, University of Pavia, Pavia, Lombardia, Italy.
Samantha VerganoDivision of Medical Genetics and Metabolism, Children's Hospital of The King's Daughters, Norfolk, Virginia, USA.
Livia GaravelliMedical Genetics Unit, Maternal and Child Health Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy livia.garavelli@ausl.re.it.
Allan BayatDepartment for Epilepsy Genetics and Personalized Medicine, Danish Epilepsy Centre, Dianalund, Denmark.
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Modena and Reggio Emilia · ITUniversity of Newcastle Australia · AUBambino Gesù Children's Hospital · ITCopenhagen University Hospital · DKFondazione Stella Maris · ITRadboud University Nijmegen · NLHospitais da Universidade de Coimbra · PTChildren's Hospital of Eastern Ontario · CAJohn Hunter Hospital · AUMaastricht University Medical Centre · NLAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCentre Hospitalier Universitaire de Besançon · FRChildren's Hospital of The King's Daughters · USEnte Ospedaliero Cantonale · CHFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITNational Human Genome Research Institute · USOspedale Papa Giovanni XXIII · ITRigshospitalet · DK

Funding

Undiagnosed Diseases ProgramZIAHG200421 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2023 to 2025
$825k
6 · The paper itself

Abstract

backgroundKBG syndrome is caused by haploinsufficiency of

methodsCNS and/or skeletal imaging were collected from molecularly confirmed individuals with KBG syndrome through an international network. We evaluated the original imaging and compared our results with data in the literature.

resultsWe identified 53 individuals, 44 with CNS and 40 with skeletal imaging. Common CNS findings included incomplete hippocampal inversion and posterior fossa malformations; these were significantly more common than previously reported (63.4% and 65.9% vs 1.1% and 24.7%, respectively). Additional features included patulous internal auditory canal, never described before in KBG syndrome, and the recurrence of ventriculomegaly, encephalic cysts, empty sella and low-lying conus medullaris. We found no correlation between these structural anomalies and epilepsy or intellectual disability. Prevalent skeletal findings comprised abnormalities of the spine including scoliosis, coccygeal anomalies and cervical ribs. Hand X-rays revealed frequent abnormalities of carpal bone morphology and maturation, including a greater delay in ossification compared with metacarpal/phalanx bones.

conclusionThis cohort enabled us to describe the prevalence of very heterogeneous neuroradiological and skeletal anomalies in KBG syndrome. Knowledge of the spectrum of such anomalies will aid diagnostic accuracy, improve patient care and provide a reference for future research on the effects of

Indexed as

Abnormalities, MultipleBone Diseases, DevelopmentalIntellectual DisabilityTooth AbnormalitiesFaciesHumansNeuroimagingPhenotypeRepressor ProteinsTranscription FactorsRepressor ProteinsTranscription FactorsCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesGenetic ResearchPathological Conditions, Signs and SymptomsPatient CareRadiology

Identifiers

PMID37586838
PMCPMC10715526
OpenAlexW4385863869

What OpenQuestion holds

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LicenceCC BY-NC
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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.