Evidence map›Paper›PMID 8164018›Full record

ArticleJournal of neurology1994

Stiff man syndrome: clinical and laboratory findings in eight patients.

H M Meinck, K Ricker, P J Hülser, E Schmid, J Peiffer, M Solimena

Abstract read
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Article in Journal of neurology, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Article
  13. Progressive encephalomyelitis with rigidity: a case report.The journal of spinal cord medicine · 2010
    Article
  14. Article
  15. Stiff man syndrome.CNS drugs · 2001
    Review
  16. Stiff-man syndrome.Postgraduate medical journal · 1998
    Article
  17. Article
  18. Review
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

H M MeinckAbteilung für Klinische Neurophysiologie, Universität Heidelberg, Germany.
K Ricker
P J Hülser
E Schmid
J Peiffer
M Solimena

Funding

MECHANISMS OF SECRETION FROM NEURONS AND ENDOCRINE CELLSR01MH045191 · NIMH · YALE UNIVERSITY · PI DE CAMILLI, PIETRO V · 1990 to 1992
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NIMH NIH HHS NIMH MH 45191.011A
6 · The paper itself

Abstract

The clinical, biochemical, neuroimaging and neurophysiological findings of eight patients with stiff man syndromes (SMS) [four of six being tested with autoantibodies against glutamic acid decarboxylase (GAD)] are presented. In two patients (one GAD-positive, one GAD-negative), transient oculomotor disturbances suggested progressive encephalomyelitis with rigidity and myoclonus (PERM) as differential diagnosis. The catalogue of characteristic clinical symptoms of SMS is extended by three new symptoms: (1) an aura-like feeling reported by five patients to precede spontaneous spasmodic attacks; (2) a stereotyped motor pattern seen in seven patients during spasmodic jerks, consisting of brief opisthotonos, stiffening of the slightly abducted legs and inversion of the plantar-flexed feet; (3) a paroxysmal fear when crossing a free space unaided, or even thinking of it. Clinical findings did not enable us to discriminate between patients tested GAD-positive or GAD-negative. Cerebrospinal fluid contained elevated immunoglobulin levels or cell counts, or both, in the majority of patients. Autopsy of one patient revealed scattered lymphocyte cuffs around leptomeningeal, intracerebral and particularly intraspinal vessels, suggesting a mild inflammatory process. Whether SMS and PERM are closely related is discussed; they are possibly both manifestations of a spectrum of encephalomyelopathies having autoimmunity against GABAergic neurons in common.

Indexed as

Autoimmune DiseasesStiff-Person SyndromeAdultAgedAutoantibodiesBaclofenBenzodiazepinesBlood ProteinsCentral Nervous SystemCerebrospinal Fluid ProteinsElectrodiagnosisFemalegamma-Aminobutyric AcidGlutamate DecarboxylaseHumansMagnetic Resonance ImagingAutoantibodiesBaclofenBenzodiazepinesBlood ProteinsCerebrospinal Fluid Proteinsgamma-Aminobutyric AcidGlutamate Decarboxylase

Identifiers

PMID8164018

What OpenQuestion holds

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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.