Evidence map›Paper›PMID 40172482›Full record

ArticleMovement disorders clinical practice2025

Does Midbrain Atrophy Distinguish Progressive Supranuclear Palsy from Frontotemporal Dementia?

Mauro César Quintão E Silva Cunningham, Sarah Teixeira Camargos, Vinícius Ribeiro Jeunon, Natalia Pessoa Rocha, Antônio Lúcio Teixeira, Thiago de Oliveira Maciel, Elisa de Paula França Resende, Francisco Eduardo Costa Cardoso, Paulo Caramelli, Leonardo Cruz de Souza

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Mauro César Quintão E Silva CunninghamAmbulatório de Distúrbios de Movimento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Sarah Teixeira CamargosAmbulatório de Distúrbios de Movimento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID https://orcid.org/0000-0001-9829-6783
Vinícius Ribeiro JeunonGrupo de Neurologia Cognitiva e do Comportamento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID https://orcid.org/0009-0004-2356-2951
Natalia Pessoa RochaDepartment of Neurology, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-2616-8082
Antônio Lúcio TeixeiraThe Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, Long School of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Thiago de Oliveira MacielQuantum Research Center, Technology Innovation Institute, Abu Dhabi, UAE.
Elisa de Paula França ResendeGrupo de Neurologia Cognitiva e do Comportamento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Francisco Eduardo Costa CardosoAmbulatório de Distúrbios de Movimento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID https://orcid.org/0000-0003-0808-0116
Paulo CaramelliGrupo de Neurologia Cognitiva e do Comportamento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.
Leonardo Cruz de SouzaGrupo de Neurologia Cognitiva e do Comportamento, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil.ORCID https://orcid.org/0000-0001-5027-9722

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 402853/2012-1Conselho Nacional de Desenvolvimento Científico e Tecnológico 474748/2012-0
6 · The paper itself

Abstract

backgroundThe diagnostic value of midbrain atrophy for distinguishing behavioral variant frontotemporal dementia (bvFTD) from progressive supranuclear palsy (PSP) is unclear.

objectiveTo investigate whether measures of midbrain atrophy differentiate PSP from bvFTD.

methodsWe included four groups: healthy controls (n = 19), PSP-Richardson syndrome (n = 20), bvFTD (n = 19) and Parkinson's disease (PD; n = 12). The following quantitative and qualitative measures were calculated: Hummingbird sign rating scale [HBS-RS], global midbrain atrophy [GMA], midbrain area, midbrain/pons ratio, the Magnetic Resonance Parkinsonism Index (MRPI), the MRPI 2.0 and brainstem volume.

resultsCompared to controls, PSP and bvFTD had lower values of midbrain area, HBS-RS and GMA, and higher MRPI and MRPI 2.0. HBS-RS, GMA, midbrain/pons ratio, midbrain area, MRPI, MRPI 2.0 and brainstem volume distinguished PSP from bvFTD with 73%, 67%, 75%, 83%, 71%, 69% and 82% accuracies, respectively.

conclusionsBoth quantitative and qualitative measures of midbrain atrophy provided modest accuracy in distinguishing PSP from bvFTD.

Indexed as

Frontotemporal DementiaMesencephalonSupranuclear Palsy, ProgressiveAgedAtrophyDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedParkinson Diseasefrontotemporal dementiamidbrain atrophyneuroimagingparkinsonismprogressive supranuclear palsy

Identifiers

PMID40172482
PMCPMC12371435

What OpenQuestion holds

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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.