Evidence map›Paper›PMID 38376074›Full record

ArticleEuropean journal of neurology2024

Assessment of diagnostic criteria for multifocal motor neuropathy in patients included in the Italian database.

Pietro Emiliano Doneddu, Luca Gentile, Dario Cocito, Raffaella Fazio, Marco Luigetti, Chiara Briani, Massimiliano Filosto, Gabriele Siciliano, Luana Benedetti, Giovanni Antonini and 24 more

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Article in European journal of neurology, 2024. 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
–field-weighted citation impact
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.

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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

34 authors.

Pietro Emiliano DonedduNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Luca GentileDepartment of Clinical and Experimental Medicine, Unit of Neurology, University of Messina, Messina, Italy.
Dario CocitoDepartment of Clinical and Biological Sciences, University of Torino, Torino, Italy.ORCID 0000-0002-6964-618X
Raffaella FazioDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology (INSPE), San Raffaele Scientific Institute, Milano, Italy.
Marco LuigettiFondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Neurologia, Roma, Italy.ORCID 0000-0001-7539-505X
Chiara BrianiNeurology Unit, Department of Neuroscience, University of Padova, Padova, Italy.ORCID 0000-0001-8035-0200
Massimiliano FilostoDepartment of Clinical and Experimental Sciences, University of Brescia; NeMO-Brescia Clinical center for Neuromuscular Diseases, Brescia, Italy.ORCID 0000-0002-2852-7512
Gabriele SicilianoNeurology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Luana BenedettiIRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0002-9540-9727
Giovanni AntoniniUnit of Neurophysiopathology, Department of Neurology Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza' University of Rome, Roma, Italy.
Sabrina MatàDepartment of Neurological and Psychiatric Sciences, Azienda Ospedaliero-Universitaria di Careggi, Florence, Italy.
Girolama Alessandra MarfiaDysimmune Neuropathies Unit, Department of Systems Medicine, Tor Vergata University of Rome, Roma, Italy.
Maurizio InghilleriDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Fiore ManganelliDepartment of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples 'Federico II', Napoli, Italy.ORCID 0000-0002-1442-9604
Giuseppe CosentinoDepartment of Brain and Behavioral Sciences, IRCCS Mondino Foundation, University of Pavia, Pavia, Italy.
Filippo BrighinaAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.
Marinella CarpoASST Bergamo Ovest-Ospedale Treviglio, Treviglio, Italy.
Francesca CartaNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
Anna MazzeoDepartment of Clinical and Experimental Medicine, Unit of Neurology, University of Messina, Messina, Italy.
Erdita PeciPresidio Sanitario Major, Istituti Clinici Scientifici Maugeri, Torino, Italy.
Camilla StranoDivision of Neuroscience, Department of Neurology, Institute of Experimental Neurology (INSPE), San Raffaele Scientific Institute, Milano, Italy.
Angela RomanoFondazione Policlinico Universitario Agostino Gemelli IRCCS, UOC Neurologia, Roma, Italy.ORCID 0000-0002-2061-1509
Marta CampagnoloNeurology Unit, Department of Neuroscience, University of Padova, Padova, Italy.
Stefano Cotti-PiccinelliDepartment of Clinical and Experimental Sciences, University of Brescia; NeMO-Brescia Clinical center for Neuromuscular Diseases, Brescia, Italy.
Divina Valeria ViolaNeurology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Francesco GermanoIRCCS Ospedale Policlinico San Martino, Genova, Italy.
Luca LeonardiUnit of Neurophysiopathology, Department of Neurology Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza' University of Rome, Roma, Italy.ORCID 0000-0002-1267-864X
Martina SpertiDepartment of Neurological and Psychiatric Sciences, Azienda Ospedaliero-Universitaria di Careggi, Florence, Italy.
Giorgia MataluniDysimmune Neuropathies Unit, Department of Systems Medicine, Tor Vergata University of Rome, Roma, Italy.
Marco CeccantiDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Emanuele SpinaDepartment of Neuroscience, Reproductive Sciences and Odontostomatology, University of Naples 'Federico II', Napoli, Italy.
Elisa VegezziDepartment of Brain and Behavioral Sciences, IRCCS Mondino Foundation, University of Pavia, Pavia, Italy.ORCID 0000-0001-8776-6831
Vincenzo Di StefanoAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.ORCID 0000-0001-9805-1655
Eduardo Nobile-OrazioNeuromuscular and Neuroimmunology Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0003-2624-8138

Funding

Baxalta (Takeda) IIR-ITA-BXLT-001955/ IISR-2017-104226IRCCS, Humanitas Research Hospital (Rozzano, Milan, Italy)
6 · The paper itself

Abstract

background and purposeThis study aimed to assess the diagnostic criteria, ancillary investigations and treatment response using real-life data in multifocal motor neuropathy (MMN) patients.

methodsClinical and laboratory data were collected from 110 patients enrolled in the Italian MMN database through a structured questionnaire. Twenty-six patients were excluded due to the unavailability of nerve conduction studies or the presence of clinical signs and symptoms and electrodiagnostic abnormalities inconsistent with the MMN diagnosis. Analyses were conducted on 73 patients with a confirmed MMN diagnosis and 11 patients who did not meet the diagnostic criteria.

resultsThe European Federation of Neurological Societies/Peripheral Nerve Society (EFNS/PNS) diagnostic criteria were variably applied. AUTHOR: When applying the American Association of Electrodiagnostic Medicine criteria, an additional 17% of patients fulfilled the criteria for probable/definite diagnosis whilst a further 9.5% missed the diagnosis. In 17% of the patients only compound muscle action potential amplitude, but not area, was measured and subsequently recorded in the database by the treating physician. Additional investigations, including anti-GM1 immunoglobulin M antibodies, cerebrospinal fluid analysis, nerve ultrasound and magnetic resonance imaging, supported the diagnosis in 46%-83% of the patients. Anti-GM1 immunoglobulin M antibodies and nerve ultrasound demonstrated the highest sensitivity. Additional tests were frequently performed outside the EFNS/PNS guideline recommendations.

conclusionsThis study provides insights into the real-world diagnostic and management strategies for MMN, highlighting the challenges in applying diagnostic criteria.

Indexed as

Motor Neuron DiseasePolyneuropathiesHumansImmunoglobulin MItalyMagnetic Resonance ImagingNeural ConductionPeripheral NervesImmunoglobulin Mdiagnosisdiagnostic criteriaguidelinesMMNmultifocal motor neuropathy

Identifiers

PMID38376074
PMCPMC11235749

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