Evidence map›Paper›PMID 42699641›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2026

Expanding the TBL1XR1 Disease Spectrum: Generalized Dystonia Associated with a New Genetic Variant.

Maximilian Johannes Löw, Felix Bernsdorff, Christiane Weinrich, Saskia Biskup, Jerome Jüngling, Christoph van Riesen, Fabian Maass

Abstract readCase Reports
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Maximilian Johannes LöwDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0009-0002-7505-0021
Felix BernsdorffDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.
Christiane WeinrichDepartment of Neurology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0009-0002-6455-0186
Saskia BiskupCeGaT, Center for Genomics and Transcriptomics, Tübingen, Germany.ORCID https://orcid.org/0000-0002-1573-861X
Jerome JünglingCeGaT, Center for Genomics and Transcriptomics, Tübingen, Germany.ORCID https://orcid.org/0009-0001-2896-9986
Christoph van Riesen *Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0003-1734-2421
Fabian Maass *Department of Neurology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0002-4077-2852

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A growing number of identified genes increasingly reveal genetic overlaps between neurodevelopmental disorders and combined dystonia syndromes. Case report: We report a 61-year-old man with a neurodevelopmental disorder, mild ataxic signs and generalized dystonia who had been misdiagnosed with cerebral palsy for 40 years. Whole-exome sequencing identified a novel heterozygous pathogenic frameshift variant in TBL1XR1. Discussion: TBL1XR1 variants are classically associated with Pierpont syndrome and autism spectrum disorder. Although movement disorders have been reported, this case suggests generalized dystonia as a possible additional manifestation. It highlights the value of retrospective genetic phenotyping and next-generation sequencing in adults with long-standing neurodevelopmental diagnoses.

Indexed as

Dystonic DisordersNuclear ProteinsPeroxinsReceptors, Cytoplasmic and NuclearRepressor ProteinsHumansMaleMiddle AgedNuclear ProteinsPeroxinsReceptors, Cytoplasmic and NuclearRepressor ProteinsTBL1XR1 protein, humangeneralized dystoniaPierpont syndromeTBL1XR1

Identifiers

PMID42699641
PMCPMC13544040

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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.