Evidence map›Paper›PMID 37828389›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2024

Sensory disturbances in Creutzfeldt-Jakob disease.

Shmuel Appel, Yael Cohen, Shira Appel, Oren S Cohen, Joab Chapman, Hanna Rosenmann, Zeev Nitsan, Esther Kahana

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Shmuel AppelDepartment of Neurology, Barzilai University Medical Center, Ashkelon, Israel. shmuela@barzi.health.gov.il.ORCID http://orcid.org/0000-0003-1447-2183
Yael CohenFaculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Shira AppelSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Oren S CohenSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Joab ChapmanSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Hanna RosenmannDepartment of Neurology, The Agnes Ginges Center for Human Neurogenetics, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Zeev NitsanDepartment of Neurology, Barzilai University Medical Center, Ashkelon, Israel.
Esther KahanaDepartment of Neurology, Barzilai University Medical Center, Ashkelon, Israel.
Ben-Gurion University of the Negev · ILTel Aviv University · ILHadassah Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCreutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disease characterized by rapidly progressive dementia, motor impairments, and psychiatric symptoms. Sensory disturbances were occasionally reported as well. The study aims to describe the sensory symptoms of the disease.

methodsThe CJD Israeli National Database was screened for patients who presented sensory symptoms throughout the disease course. Symptoms, characteristics, and distribution were reviewed and the demographic and clinical data (sex, etiologies of the disease, age of onset, disease duration, neurological exam finding, tau protein level, EEG and MRI findings) were compared with the demographics and clinical data of CJD without sensory symptoms. Then, the patients with sensory symptoms were divided into patients with symptom distribution consistent with peripheral nervous system (PNS) involvement and central nervous system (CNS) involvement. The demographics and clinical data of the 2 groups were compared.

resultsEighty-four CJD patients with sensory symptoms and 645 CJD patients without sensory symptoms were included in the study. Sensory symptoms were more common in genetic E200K CJD patients (14.6% vs. 5.6% respectively, p = 0.0005) (chi-squared test). Numbness and neuropathic pain were the most common symptoms and distribution of symptoms of "stocking gloves" with decreased deep tendon reflexes suggesting peripheral neuropathy in 44% of the patients. In these patients, the classical EEG findings of Periodic Sharp Wave Complexes were less often found (58% vs. 22%, p = 0.02) (chi-squared test).

conclusionsSensory symptoms are more common in E200K patients and often follow peripheral neuropathy distribution that suggests PNS involvement.

Indexed as

Creutzfeldt-Jakob SyndromeNeurodegenerative DiseasesPeripheral Nervous System DiseasesDiagnosis, DifferentialHumansMagnetic Resonance ImagingSensation DisordersCJDE200KPNSSensorySporadic

Identifiers

PMID37828389
OpenAlexW4387582316

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.