Evidence map›Paper›PMID 40104321›Full record

ArticleTurkish journal of medical sciences2025

Evaluation of nonmotor symptoms in myasthenia gravis patients.

Aysel Tekeşin, Çağla Şişman, Ufuk Emre Toprak, Alena Sar, Burcu Akalin, Goncagül Koşargelir, Melih Tütüncü, Enes Yiğit

Abstract read
In one paragraph

Article in Turkish journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Aysel TekeşinDepartment of Neurology, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-0856-9387
Çağla ŞişmanDepartment of Neurology, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-7632-0049
Ufuk Emre ToprakDepartment of Neurology, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-1650-3935
Alena SarDepartment of Neurology, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0009-0001-6452-6023
Burcu AkalinDepartment of Neurology, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0009-0007-3745-1269
Goncagül KoşargelirDepartment of Otolaryngology-Head and Neck Surgery, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0003-0763-456X
Melih TütüncüDepartment of Neurology, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-9851-7002
Enes YiğitDepartment of Otolaryngology-Head and Neck Surgery, İstanbul Training and Research Hospital, Health Sciences University, İstanbul, Turkiye.ORCID https://orcid.org/0000-0002-9853-6238

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Myasthenia gravis (MG) is chronic autoimmune disorder characterized primarily by muscle weakness and fatigue, due to autoantibodies targeting acetylcholine receptor at neuromuscular junction. Herein, it was aimed to evaluate nonmotor symptoms in MG patients and compare them with disease duration, severity, and clinical features. Materials and methods: This prospective study was conducted with two groups: 35 MG patients and 35 healthy volunteers. The patient group comprised 17 females and 18 males with a mean age of 52.9 ± 13.6 years. The control group comprised 23 females and 12 males with a mean age of 46.9 ± 12.2 years. The Myasthenia Gravis Foundation of America clinical classification and Myasthenia Gravis Composite and Turkish version of the Myasthenia Gravis Quality of Life 15 scales were applied to the patient group. To assess nonmotor functions, questionnaires evaluating the symptoms of headache, pain, depression, anxiety, sleep, physical activity, cognition, smell, and taste were applied to both the patient and control groups. Results: The results revealed prevalent and diverse nonmotor symptoms in the MG group. The Montreal Cognitive Assessment (MoCA) score and degree of olfactory function in cinnamon was statistically significantly (p < 0.05) lower in the patient group than in the control group. The degree of impairment on the MoCA, headache rate, Beck depression score, depression rate, Beck anxiety score, anxiety rate, Pittsburgh Sleep Quality Index (PSQI) score, and poor sleep quality rate were significantly higher (p < 0.05) in the patient group than in the control group. Conclusion: In conclusion, this study emphasizes the importance of recognizing and managing nonmotor symptoms in MG patients, advocating for a multidisciplinary approach to care that addresses both motor and nonmotor manifestations. By expanding our understanding of the systemic impact of MG and exploring new treatment modalities, we can improve the lives of those living with this complex autoimmune disorder. Further research is needed to elucidate the pathogenic mechanisms underlying these nonmotor manifestations, which will be pivotal in developing more targeted and effective therapeutic strategies.

Indexed as

Myasthenia GravisAdultAgedAnxietyCase-Control StudiesDepressionFemaleHeadacheHumansMaleMiddle AgedPainProspective StudiesQuality of LifeSurveys and QuestionnairesTurkeyMyasthenia gravisnonmotor symptomssystemic impact

Identifiers

PMID40104321
PMCPMC11913501

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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.