Evidence map›Paper›PMID 41549074›Full record

Observational studyAnnals of clinical and translational neurology2026

Brainstem and Cerebellar Volume Loss and Associated Clinical Features in Progressive Supranuclear Palsy.

Chloe Spiegel, Timothy P Siejka, Cassandra Marotta, Josh J Y Lee, Kelly Bertram, Terence J O'Brien, Meng Law, Lucy Vivash, Ian H Harding

Abstract readObservational Study
In one paragraph

Observational study in Annals of clinical and translational neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. Review
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.

Chloe SpiegelDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0009-0002-4274-2785
Timothy P SiejkaDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Cassandra MarottaDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Josh J Y LeeDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Kelly BertramDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Terence J O'BrienDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Meng LawDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Lucy VivashDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Ian H HardingDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.

Funding

MRF MRF1200254
6 · The paper itself

Abstract

introductionProgressive Supranuclear Palsy (PSP) is a neurodegenerative 'tauopathy' with predominating pathology in the basal ganglia and midbrain. Caudal tau spread frequently implicates the cerebellum; however, the pattern of atrophy remains equivocal. We hypothesise that volume loss is appreciable in the cerebellum and brainstem regions-beyond the midbrain-in individuals with PSP and linked to motor and non-motor clinical features.

methodsIn this cross-sectional observational study, volumetric brainstem and cerebellar subsegmentation of T1-weighted magnetic resonance imaging (MRI) was performed in 37 adults with PSP. Group-level comparisons were made with 38 adults with Parkinson's disease (PD) and 35 healthy control (HC) subjects. Regional volumes in the PSP cohort were correlated against disease severity and cognition.

resultsCompared with HC, the midbrain, corpus medullare, and flocculonodular lobe were smaller in PSP (d = 0.90-1.2). Compared with PD, the midbrain, pons, and superior cerebellar peduncle (SCP) were smaller in PSP (d = 0.82-1.9). There was a positive correlation between the frontal assessment battery (FAB) and volume of the superior (r = 0.50) and inferior (r = 0.48) cerebellar posterior lobes. The PSP rating scale also correlated with SCP (r = -0.58) and midbrain (r = -0.52) volume.

conclusionAdditional regions of brainstem and cerebellar volume loss, alongside midbrain atrophy, were observed in PSP. The reported clinico-radiologic correlations suggest a role of the cerebellum in cognitive dysfunction. These findings indicate that the cerebellum is not spared and support further work to understand the temporal course of cerebellar and cerebellar connectivity changes relative to other brain regions.

Indexed as

Brain StemCerebellumParkinson DiseaseSupranuclear Palsy, ProgressiveAgedAtrophyCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedbrainstemcerebellumprogressive supranuclear palsyvolumetric MRI

Identifiers

PMID41549074
PMCPMC13358556

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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.