Evidence map›Paper›PMID 41008332›Full record

ReviewBrain sciences2025

A Comprehensive Overview of Subacute Combined Degeneration: MRI Diagnostic Challenges and Treatment Pathways.

Caterina Bernetti, Laura Cea, Andrea Buoso, Federico Greco, Mariagrazia Rossi, Fabio Pilato, Rosalinda Calandrelli, Gianfranco Di Gennaro, Vincenzo Di Lazzaro, Bruno Beomonte Zobel and 1 more

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

11 authors.

Caterina BernettiFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Laura CeaFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Andrea BuosoFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Federico GrecoResearch Unit of Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, 00128 Rome, Italy.ORCID 0000-0002-9477-0238
Mariagrazia RossiFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Fabio PilatoFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0002-7248-3916
Rosalinda CalandrelliRadiology and Neuroradiology Unit, Department of Imaging, Radiation Therapy and Hematology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, 00168 Roma, Italy.ORCID 0000-0003-4517-3477
Gianfranco Di GennaroDepartment of Health Sciences, Medical Statistics, University of Catanzaro "Magna Græcia", 88100 Catanzaro, Italy.ORCID 0000-0002-7204-4091
Vincenzo Di LazzaroFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Bruno Beomonte ZobelFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.
Carlo Augusto MallioFondazione Policlinico Universitario Campus Bio-Medico, 00128 Rome, Italy.ORCID 0000-0002-0149-0801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subacute combined degeneration (SCD) is a neurological disorder primarily caused by vitamin B12 deficiency. This condition leads to progressive demyelination and axonal damage, predominantly affecting the dorsal and lateral columns of the spinal cord. This review provides a comprehensive overview of SCD, detailing its complex etiology, pathophysiology, and clinical presentation. We highlight the critical role of magnetic resonance imaging (MRI) in the diagnostic process, discussing both the characteristic spinal cord findings and the more subtle intracranial abnormalities. Furthermore, we address the diagnostic challenges presented by conditions that mimic SCD in MRI, such as multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS). We conclude by outlining current treatment pathways and identifying key areas for future research, including the use of advanced neuroimaging techniques and the potential for new therapeutic approaches. This updated synthesis aims to provide a clear framework for clinicians and researchers to better understand and manage SCD.

Indexed as

axonal damagedemyelinationmyelopathyneurodegenerationneuroimagingneurosciencesubacute combined degenerationvitamin B12 deficiency

Identifiers

PMID41008332
PMCPMC12468238

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.