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Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis

Background: Fabry disease (FD) is the second most common lysosomal storage disorder. This disorder affects multiple systems that include the cardiac, renal, and nervous system. The pulvinar sign (PS) is a relatively common sign seen in patients with FD. The PS is a bilateral, symmetrical pulvinar hi...

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Autores principales: Ortíz, Juan Fernando, Solís, María Belén, Ali, Syed Saad, Khurana, Mahika, Moncayo, Juan Andrés, Kothari, Nishel Yogesh, Alzamora, Mateo, Eissa-Garces, Ahmed, Patel, Ghanshyam, Monteros, Gustavo Andrés, Sen, Meghdeep, Quiñonez, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229505/
https://www.ncbi.nlm.nih.gov/pubmed/35736622
http://dx.doi.org/10.3390/neurolint14020041
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author Ortíz, Juan Fernando
Solís, María Belén
Ali, Syed Saad
Khurana, Mahika
Moncayo, Juan Andrés
Kothari, Nishel Yogesh
Alzamora, Mateo
Eissa-Garces, Ahmed
Patel, Ghanshyam
Monteros, Gustavo Andrés
Sen, Meghdeep
Quiñonez, Jonathan
author_facet Ortíz, Juan Fernando
Solís, María Belén
Ali, Syed Saad
Khurana, Mahika
Moncayo, Juan Andrés
Kothari, Nishel Yogesh
Alzamora, Mateo
Eissa-Garces, Ahmed
Patel, Ghanshyam
Monteros, Gustavo Andrés
Sen, Meghdeep
Quiñonez, Jonathan
author_sort Ortíz, Juan Fernando
collection PubMed
description Background: Fabry disease (FD) is the second most common lysosomal storage disorder. This disorder affects multiple systems that include the cardiac, renal, and nervous system. The pulvinar sign (PS) is a relatively common sign seen in patients with FD. The PS is a bilateral, symmetrical pulvinar high signal relative to the signal intensity seen on unenhanced T1-weighted brain MR imaging. Methods: We conducted a systematic review with metanalysis to analyze the pool prevalence of the disorder. We used the Moose Guidelines and PRISMA Protocol for this systematic review and Robins 1 to access the BIAS of the study. To analyze the pool prevalence, we used “Open Meta-Analysis” software for analyzing the study. We used “Review Manager 5.4” to analyze the odds ratio between patients with and without the PS and patients with and without stroke among patients with FD. Results: We gather 12 studies from 2003 to 2021 for the analysis of this study. The pool prevalence of the study was 0.146 (0.076–0.217) (62/385 cases) with a 95% CI (0.0945–0.415) (p < 0.01). The prevalence was much higher in men (59 cases) than in women (3 cases). There was no relationship between the pulvinar sign and patients with stroke among patients with Fabry disease. Odds ratio 1.97 95% CI (0.35–11.21), p = 0.44; Tau2 = 0.77. There seems to be a correlation with renal failure (RF), but there were very few studies to conduct a metanalysis with RF. Conclusions: The prevalence of the PS among all studies was 23.9%; the prevalence of this sign is higher among males. We found that FD patients who had strokes did not have higher odds of presenting with the Pulvinar Sign than the FD patients who did not suffer a stroke. Patients with renal failure and FD seem to have a higher tendency to have the PS, but there were not enough studies to analyze that theory. Overall, we think the pulvinar sign has a poor prognostic value in patients with Fabry’s disease.
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spelling pubmed-92295052022-06-25 Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis Ortíz, Juan Fernando Solís, María Belén Ali, Syed Saad Khurana, Mahika Moncayo, Juan Andrés Kothari, Nishel Yogesh Alzamora, Mateo Eissa-Garces, Ahmed Patel, Ghanshyam Monteros, Gustavo Andrés Sen, Meghdeep Quiñonez, Jonathan Neurol Int Systematic Review Background: Fabry disease (FD) is the second most common lysosomal storage disorder. This disorder affects multiple systems that include the cardiac, renal, and nervous system. The pulvinar sign (PS) is a relatively common sign seen in patients with FD. The PS is a bilateral, symmetrical pulvinar high signal relative to the signal intensity seen on unenhanced T1-weighted brain MR imaging. Methods: We conducted a systematic review with metanalysis to analyze the pool prevalence of the disorder. We used the Moose Guidelines and PRISMA Protocol for this systematic review and Robins 1 to access the BIAS of the study. To analyze the pool prevalence, we used “Open Meta-Analysis” software for analyzing the study. We used “Review Manager 5.4” to analyze the odds ratio between patients with and without the PS and patients with and without stroke among patients with FD. Results: We gather 12 studies from 2003 to 2021 for the analysis of this study. The pool prevalence of the study was 0.146 (0.076–0.217) (62/385 cases) with a 95% CI (0.0945–0.415) (p < 0.01). The prevalence was much higher in men (59 cases) than in women (3 cases). There was no relationship between the pulvinar sign and patients with stroke among patients with Fabry disease. Odds ratio 1.97 95% CI (0.35–11.21), p = 0.44; Tau2 = 0.77. There seems to be a correlation with renal failure (RF), but there were very few studies to conduct a metanalysis with RF. Conclusions: The prevalence of the PS among all studies was 23.9%; the prevalence of this sign is higher among males. We found that FD patients who had strokes did not have higher odds of presenting with the Pulvinar Sign than the FD patients who did not suffer a stroke. Patients with renal failure and FD seem to have a higher tendency to have the PS, but there were not enough studies to analyze that theory. Overall, we think the pulvinar sign has a poor prognostic value in patients with Fabry’s disease. MDPI 2022-06-01 /pmc/articles/PMC9229505/ /pubmed/35736622 http://dx.doi.org/10.3390/neurolint14020041 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Ortíz, Juan Fernando
Solís, María Belén
Ali, Syed Saad
Khurana, Mahika
Moncayo, Juan Andrés
Kothari, Nishel Yogesh
Alzamora, Mateo
Eissa-Garces, Ahmed
Patel, Ghanshyam
Monteros, Gustavo Andrés
Sen, Meghdeep
Quiñonez, Jonathan
Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title_full Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title_fullStr Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title_full_unstemmed Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title_short Pulvinar Sign, Stroke and Their Relationship with Fabry Disease: A Systematic Review and Metanalysis
title_sort pulvinar sign, stroke and their relationship with fabry disease: a systematic review and metanalysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229505/
https://www.ncbi.nlm.nih.gov/pubmed/35736622
http://dx.doi.org/10.3390/neurolint14020041
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