Evidence map›Paper›PMID 40880843›Full record

ArticleAnnals of the Child Neurology Society2025

Symptom Onset in Classic Rett Syndrome: Analysis of Initial Clinical Severity Scale Entries.

Alan K Percy, Jeffrey L Neul, Amitha Ananth, Timothy A Benke, Eric D Marsh

Abstract read
In one paragraph

Article in Annals of the Child Neurology Society, 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
  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

5 authors.

Alan K PercyUniversity of Alabama at Birmingham, Heersink School of Medicine, Department of Pediatrics (Neurology) Birmingham, AL.
Jeffrey L NeulVanderbilt Kennedy Center, Vanderbilt University Medical School and Vanderbilt University, Department of Pediatrics (Neurology), Nashville, TN.
Amitha AnanthUniversity of Alabama at Birmingham, Heersink School of Medicine, Department of Pediatrics (Neurology) Birmingham, AL.
Timothy A BenkeChildren's Hospital of Colorado/University of Colorado School of Medicine, Department of Pediatrics (Neurology), Aurora, CO.
Eric D MarshUniversity of Pennsylvania, Perelman School of Medicine, Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA.

Funding

Training and Career Development ComponentU54HD061222 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PERCY, ALAN KENNETH · 2009 to 2019
$12.4M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537NICHD NIH HHS U54 HD061222
6 · The paper itself

Abstract

Objective: To assess clinical features of Rett Syndrome (RTT) at registration into the NIH-sponsored Natural History (NH) study using the Clinical Severity Scale (CSS). Introduction: The CSS was established in 2000 to assess characteristics of individuals with RTT and related disorders. We analyzed the CSS at enrollment into the NH study of all individuals with classic RTT. Methods: The CSS of 1258 individuals was utilized to examine three historical items (age at regression, age at onset of hand stereotypies, and head growth) and ten clinical features at initial enrollment. Results: Among historical items, age at regression was most prominent after age 12 months with 8% regressing prior to this, hand stereotypies were most common after 18 months with 30% occurring before, and head growth was substantially lower overall. Hand use, ambulation, and communication skills were reduced in most. Discussion and Conclusion: These findings reflect core clinical criteria for classic RTT and mirror the top concerns registered independently by parents or caregivers. The CSS is an important analytic tool for association of relative differences in clinical outcome with specific

Indexed as

Classic Rett syndrome (RTT)Clinical Severity Scale (CSS)Initial visit

Identifiers

PMID40880843
PMCPMC12380397

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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.