Evidence map›Paper›PMID 24803911›Full record

ReviewFrontiers in neurology2014

Cervical dystonia: a disorder of the midbrain network for covert attentional orienting.

Michael Hutchinson, Tadashi Isa, Anna Molloy, Okka Kimmich, Laura Williams, Fiona Molloy, Helena Moore, Daniel G Healy, Tim Lynch, Cathal Walsh and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Abnormal Connectivity of the Head Neural Integrator in Cervical Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Does the network model fits neurophysiological abnormalities in blepharospasm?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
  11. Sex differences in movement disorders.Nature reviews. Neurology · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

14 authors at 8 institutions in 2 countries.

Michael HutchinsonDepartment of Neurology, St. Vincent's University Hospital , Dublin , Ireland ; School of Medicine and Medical Science, University College Dublin , Dublin , Ireland.
Tadashi IsaDepartment of Developmental Physiology, National Institute for Physiological Sciences , Okazaki , Japan.
Anna MolloyDepartment of Neurology, St. Vincent's University Hospital , Dublin , Ireland ; School of Medicine and Medical Science, University College Dublin , Dublin , Ireland.
Okka KimmichDepartment of Neurology, St. Vincent's University Hospital , Dublin , Ireland ; School of Medicine and Medical Science, University College Dublin , Dublin , Ireland.
Laura WilliamsDepartment of Neurology, St. Vincent's University Hospital , Dublin , Ireland ; School of Medicine and Medical Science, University College Dublin , Dublin , Ireland.
Fiona MolloyDepartment of Neurophysiology, Beaumont Hospital , Dublin , Ireland.
Helena MooreCork University Hospital , Cork , Ireland.
Daniel G HealyDepartment of Neurology, Beaumont Hospital , Dublin , Ireland.
Tim LynchDublin Neurological Institute, Mater Misericordiae Hospital , Dublin , Ireland.
Cathal WalshDepartment of Statistics, Trinity College Dublin , Dublin , Ireland.
John ButlerTrinity Centre for Bioengineering, Trinity College Dublin , Dublin , Ireland.
Richard B ReillyTrinity Centre for Bioengineering, Trinity College Dublin , Dublin , Ireland.
Richard WalshDepartment of Neurology, The Adelaide and Meath Hospital , Dublin , Ireland.
Sean O'RiordanDepartment of Neurology, St. Vincent's University Hospital , Dublin , Ireland ; School of Medicine and Medical Science, University College Dublin , Dublin , Ireland.
Trinity College Dublin · IEUniversity College Dublin · IEBeaumont Hospital · IESt. Vincent's University Hospital · IECork University Hospital · IEMater Misericordiae University Hospital · IENational Institutes of Natural Sciences · JPTallaght University Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While the pathogenesis of cervical dystonia remains unknown, recent animal and clinical experimental studies have indicated its probable mechanisms. Abnormal temporal discrimination is a mediational endophenotype of cervical dystonia and informs new concepts of disease pathogenesis. Our hypothesis is that both abnormal temporal discrimination and cervical dystonia are due to a disorder of the midbrain network for covert attentional orienting caused by reduced gamma-aminobutyric acid (GABA) inhibition, resulting, in turn, from as yet undetermined, genetic mutations. Such disinhibition is (a) subclinically manifested by abnormal temporal discrimination due to prolonged duration firing of the visual sensory neurons in the superficial laminae of the superior colliculus and (b) clinically manifested by cervical dystonia due to disinhibited burst activity of the cephalomotor neurons of the intermediate and deep laminae of the superior colliculus. Abnormal temporal discrimination in unaffected first-degree relatives of patients with cervical dystonia represents a subclinical manifestation of defective GABA activity both within the superior colliculus and from the substantia nigra pars reticulata. A number of experiments are required to prove or disprove this hypothesis.

Indexed as

cervical dystoniacovert attentionGABAsuperior colliculustemporal discrimination

Identifiers

PMID24803911
PMCPMC4009446
OpenAlexW2099778693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.