Evidence map›Paper›PMID 24255802›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2013

Lessons Learned from Open-label Deep Brain Stimulation for Tourette Syndrome: Eight Cases over 7 Years.

Maria G Motlagh, Megan E Smith, Angeli Landeros-Weisenberger, Andrew J Kobets, Robert A King, Joan Miravite, Alain C J de Lotbinière, Ron L Alterman, Alon Y Mogilner, Michael H Pourfar and 2 more

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In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 4% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Deep brain stimulation in Tourette's syndrome: evidence to date.Neuropsychiatric disease and treatment · 2019
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Mechanisms of deep brain stimulation.Journal of neurophysiology · 2016
    Review
  14. Article
  15. Review
  16. Review
  17. Uncommon applications of deep brain stimulation in hyperkinetic movement disorders.Tremor and other hyperkinetic movements (New York, N.Y.) · 2015
    Review
  18. 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

12 authors at 1 institution in 1 country.

Maria G MotlaghChild Study Center, Yale University, New Haven, Connecticut, United States of America.
Megan E Smith
Angeli Landeros-Weisenberger
Andrew J Kobets
Robert A King
Joan Miravite
Alain C J de Lotbinière
Ron L Alterman
Alon Y Mogilner
Michael H Pourfar
Michael S Okun
James F Leckman
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep brain stimulation (DBS) remains an experimental but promising treatment for patients with severe refractory Gilles de la Tourette syndrome (TS). Controversial issues include the selection of patients (age and clinical presentation), the choice of brain targets to obtain optimal patient-specific outcomes, and the risk of surgery- and stimulation-related serious adverse events.

methodsThis report describes our open-label experience with eight patients with severe refractory malignant TS treated with DBS. The electrodes were placed in the midline thalamic nuclei or globus pallidus, pars internus, or both. Tics were clinically assessed in all patients pre- and postoperatively using the Modified Rush Video Protocol and the Yale Global Tic Severity Scale (YGTSS).

resultsAlthough three patients had marked postoperative improvement in their tics (>50% improvement on the YGTSS), the majority did not reach this level of clinical improvement. Two patients had to have their DBS leads removed (one because of postoperative infection and another because of lack of benefit). DISCUSSION: Our clinical experience supports the urgent need for more data and refinements in interventions and outcome measurements for severe, malignant, and medication-refractory TS. Because TS is not an etiologically homogenous clinical entity, the inclusion criteria for DBS patients and the choice of brain targets will require more refinement.

Indexed as

deep brain stimulationGilles de la Tourette syndromeglobus pallidus internusmidline thalamic nuclei

Identifiers

PMID24255802
PMCPMC3822402
OpenAlexW2103094294

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.