Evidence map›Paper›PMID 41306404›Full record

ArticleClinical case reports2025

Rapidly Progressive Multiple System Atrophy-Cerebellar Type in a 52-Year-Old Woman: Diagnostic Challenges in a Resource-Limited Setting.

Khushi V Singh, Sai Priya Nimmagadda, Ameesh Panda, Rarigela Rohith, Tirth J Patel, Sonika Gopathoti, Prajesh V Patel, Mihirkumar P Parmar, Saleh Mohammed

Abstract read
In one paragraph

Article in Clinical case reports, 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. 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

9 authors.

Khushi V SinghGujarat Medical Education and Research Society Vadnagar India.ORCID https://orcid.org/0009-0001-3169-1655
Sai Priya NimmagaddaGandhi Medical College Secunderabad India.ORCID https://orcid.org/0000-0003-2551-4983
Ameesh PandaByramjee Jeejeebhoy Government Medical College Pune India.ORCID https://orcid.org/0009-0004-3921-4206
Rarigela RohithGandhi Medical College Secunderabad India.ORCID https://orcid.org/0009-0002-3302-3359
Tirth J PatelGujarat Medical Education and Research Society Vadnagar India.ORCID https://orcid.org/0009-0000-6846-0423
Sonika GopathotiSiddhartha Medical College Vijayawada India.ORCID https://orcid.org/0009-0004-8631-2802
Prajesh V PatelGujarat Medical Education and Research Society Vadnagar India.ORCID https://orcid.org/0009-0004-6124-8058
Mihirkumar P ParmarGujarat Medical Education and Research Society Vadnagar India.ORCID https://orcid.org/0000-0002-5110-1544
Saleh MohammedFaridpur Medical College Hospital Dhaka Bangladesh.ORCID https://orcid.org/0000-0002-1042-5390

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple system atrophy (MSA) is a progressive adult-onset neurodegenerative disorder that manifests as a variable combination of cerebellar, parkinsonian, and autonomic dysfunctions. We report a case of a 52-year-old woman who presented with rapidly progressive gait ataxia, dysarthria, orthostatic hypotension, and urinary urgency. MRI of the brain demonstrated pontocerebellar atrophy with the characteristic "hot cross bun" sign, supporting a diagnosis of Multiple System Atrophy-cerebellar type (MSA-C). Despite receiving levodopa and supportive therapy, the symptoms progressed over 8 months, highlighting the unusually rapid disease course. This case highlights the diagnostic value of targeted clinical assessment and MRI when advanced confirmatory tests are inaccessible, underscoring the importance of early recognition and multidisciplinary symptom management in resource-constrained settings.

Indexed as

autonomic dysfunctioncerebellar ataxiahot cross bun signMSA‐Cmultiple system atrophy

Identifiers

PMID41306404
PMCPMC12643945

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.