Evidence map›Paper›PMID 39039223›Full record

ArticleEuropean child & adolescent psychiatry2025

Psychotic attack during the clinical course of megalencephalic leukoencephalopathy with subcortical cysts: a case report.

Pınar Aydoğan Avşar, Elif Akçay, Esra Gürkaş

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Pınar Aydoğan AvşarDepartment of Child and Adolescent Psychiatry, Alanya Education and Training Hospital, Antalya, Turkey. dr_pinaraydogan@hotmail.com.ORCID http://orcid.org/0000-0001-5938-3243
Elif AkçayDepartment of Child and Adolescent Psychiatry, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4673-6254
Esra GürkaşDepartment of Pediatric Neurology, Ankara Bilkent City Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3942-5105

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVan der Knaap disease or megalencephalic leukoencephalopathy with subcortical cysts (MLC), is a slowly progressive neurodegenerative disease with macrocephaly. We present a case of MLC with a confirmed homozygous MLC1 mutation who presented with a psychotic attack at a very young age. CASE PRESENTATION: An 11-year-old girl was admitted to the emergency room with delusions, hallucinations, and irritability. She was diagnosed with MLC at 18 months old. Her psychotic symptoms were improved with the administration of risperidone treatment added to her valproic acid treatment for EEG abnormality.

conclusionIn this case study we reported the first episode of a psychotic attack during the clinical course of MLC. This case indicates the possibility that MLC influences the onset of the psychotic attack. Further investigation with more patients is needed to identify the relationship.

Indexed as

CystsHereditary Central Nervous System Demyelinating DiseasesPsychotic DisordersChildFemaleHumansMembrane ProteinsRisperidoneMembrane ProteinsMLC1 protein, humanRisperidoneLeukodystrophyMLC1PsychosisSchizophreniaVan De Knaap Disease

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.