Evidence map›Paper›PMID 37974187›Full record

ReviewBMC medical genomics2023

Perampanel effectiveness in treating ROGDI-related Kohlschütter-Tönz syndrome: first reported case in China and literature review.

Linxue Meng, Dishu Huang, Lingling Xie, Xiaojie Song, Hanyu Luo, Jianxiong Gui, Ran Ding, Xiaofang Zhang, Li Jiang

Open access · goldAbstract readReviewCase Reports
In one paragraph

Review in BMC medical genomics, 2023. 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
0.6field-weighted citation impact, top 28% 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.

  1. Genes · 2025
    Review
  2. Article
  3. Article
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

9 authors at 2 institutions in 2 countries.

Linxue Meng *Department of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Dishu Huang *Department of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Lingling XieDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Xiaojie SongDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Hanyu LuoDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Jianxiong GuiDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Ran DingDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Xiaofang ZhangDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Li JiangDepartment of Neurology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China. dr_jiangcqmu@163.com.
China International Science and Technology Cooperation · CNChongqing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study reported the first case of Kohlschütter-Tönz syndrome (KTS) in China and reviewed the literature of the reported cases.

methodsThis patient was registered at the Children's Hospital of Chongqing Medical University. The patient's symptoms and treatments were recorded in detail, and the patient was monitored for six years. We employed a combination of the following search terms and Boolean operators in our search strategy: Kohlschütter-Tönz syndrome, KTS, and ROGDI. These terms were carefully selected to capture a broad range of relevant publications in PubMed, Web of Science, WHO Global Health Library, and China National Knowledge Infrastructure, including synonyms, variations, and specific terms related to KTS. The pathogenicity of the variants was predicted using SpliceAI and MutationTaster, and the structures of the ROGDI mutations were constructed using I-TASSER.

resultsThis is the first case report of KTS in China. Our patient presented with epilepsy, global developmental delay, and amelogenesis imperfecta. A trio-WES revealed homozygous mutations in ROGDI (c.46-37_46-30del). The brain magnetic resonance imaging (MRI) and video electroencephalogram (VEEG) were normal. The efficacy of perampanel (PMP) in treating seizures and intellectual disability was apparent. Furthermore, 43 cases of ROGDI-related KTS were retrieved. 100% exhibited epilepsy, global developmental delay, and amelogenesis imperfecta. 17.2% received a diagnosis of attention deficit hyperactivity disorder (ADHD), and 3.4% were under suspicion of autism spectrum disorder (ASD). Language disorders were observed in all patients. Emotional disorders, notably self-harm behaviors (9.1%), were also reported.

conclusionROGDI-related KTS is a rare neurodegenerative disorder, characterized by three classic clinical manifestations: epilepsy, global developmental delay, and amelogenesis imperfecta. Moreover, patients could present comorbidities, including ADHD, ASD, emotional disorders, and language disorders. PMP may be a potential drug with relatively good efficacy, but long-term clinical trials are still needed.

Indexed as

Amelogenesis ImperfectaAutism Spectrum DisorderEpilepsyLanguage DisordersChildDementiaHumansMembrane ProteinsNitrilesNuclear ProteinsPyridonesMembrane ProteinsNitrilesNuclear ProteinsperampanelPyridonesROGDI protein, humanDevelopmental delayEpilepsyKohlschütter-Tönz syndromePerampanelROGDI gene

Identifiers

PMID37974187
PMCPMC10652482
OpenAlexW4388730627

What OpenQuestion holds

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LicenceCC BY
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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.