Evidence map›Paper›PMID 24333801›Full record

ReviewNeuroscience2014

Dystonia as a network disorder: what is the role of the cerebellum?

C N Prudente, E J Hess, H A Jinnah

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuroscience, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 138 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 1% 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.

NCT02982304 phase1unknown statusnot on this mapstarted 2015, after this paper: background citation

Multi-Target Pallidal and Thalamic Deep Brain Stimulation for Hemi-Dystonia

TypeinterventionalSponsorUniversity of British ColumbiaRan2015 to 2021Enrolled4ConditionsDystonia, Dystonia, SecondaryArmsDeep Brain Stimulation
NCT03247868 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Multimodal Treatment of Cervical Dystonia With Botulinum Toxin Injections Associated With a Sensory-motor Perceptive Rehabilitation Integrated Approach (SPRInt) Based on Motor Learning Techniques

TypeinterventionalSponsorFondazione Don Carlo Gnocchi ETSRan2016 to 2018Enrolled20ConditionsCervical Dystonia,PrimaryArmsBotulinum Toxin+SPRInt
3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 2 syntheses or guidelines pooled it, 254 citations in OpenAlex.

  1. The anatomical basis of upper limb dystonia: lesson from secondary cases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Pooled it
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  13. Mapping the Neuroanatomy of Dystonia Using Causal Brain Lesions.medRxiv : the preprint server for health sciences · 2025
    Article
  14. Article
  15. Abnormal Connectivity of the Head Neural Integrator in Cervical Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Observational
  16. Somato-Cognitive Action Network in Focal Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
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  20. Thalamic deep brain stimulation improves movement in a cerebellar model of lesion-based status dystonicus.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article

78 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

C N PrudenteNeuroscience Program and Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA. Electronic address: cpruden@emory.edu.
E J HessDepartment of Pharmacology, Emory University School of Medicine, Atlanta, GA 30322, USA; Department of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA. Electronic address: ellen.hess@emory.edu.
H A JinnahDepartment of Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA; Department of Genetics, Emory University School of Medicine, Atlanta, GA 30322, USA; Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USA. Electronic address: hjinnah@emory.edu.
Emory University · US

Funding

Dystonia CoalitionU54NS065701 · NINDS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2009 to 2014
$7.0M
TRAINING IN SYSTEMS AND INTEGRATIVE BIOLOGY:NEUROSCIENCET32GM008605 · NIGMS · EMORY UNIVERSITY · PI SMITH, YOLAND · 1996 to 2015
$4.2M
Dystonia CoalitionU54TR001456 · NCATS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2015 to 2016
$2.5M
NEUROBIOLOGY OF DYSTONIAR01NS040470 · NINDS · JOHNS HOPKINS UNIVERSITY · PI JINNAH, HYDER A · 2000 to 2008
$2.5M
NCATS NIH HHS U54 TR001456NIGMS NIH HHS T32 GM008605NINDS NIH HHS R01 NS040470NINDS NIH HHS U54 NS065701
6 · The paper itself

Abstract

The dystonias are a group of disorders defined by sustained or intermittent muscle contractions that result in involuntary posturing or repetitive movements. There are many different clinical manifestations and causes. Although they traditionally have been ascribed to dysfunction of the basal ganglia, recent evidence has suggested dysfunction may originate from other regions, particularly the cerebellum. This recent evidence has led to an emerging view that dystonia is a network disorder that involves multiple brain regions. The new network model for the pathogenesis of dystonia has raised many questions, particularly regarding the role of the cerebellum. For example, if dystonia may arise from cerebellar dysfunction, then why are there no cerebellar signs in dystonia? Why are focal cerebellar lesions or degenerative cerebellar disorders more commonly associated with ataxia rather than dystonia? Why is dystonia more commonly associated with basal ganglia lesions rather than cerebellar lesions? Can answers obtained from animals be extrapolated to humans? Is there any evidence that the cerebellum is not involved? Finally, what is the practical value of this new model of pathogenesis for the neuroscientist and clinician? This article explores potential answers to these questions.

Indexed as

AnimalsBasal Ganglia DiseasesCerebellar DiseasesDystoniaHumansNerve Netcerebellumdystonianetwork modelPETpositron emission tomographySCAsspinocerebellar ataxias

Identifiers

PMID24333801
PMCPMC3928686
OpenAlexW2046641753

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.