Evidence map›Paper›PMID 25062250›Full record

ArticlePloS one2014

Excitability of the motor cortex in de novo patients with celiac disease.

Giovanni Pennisi, Giuseppe Lanza, Salvatore Giuffrida, Luisa Vinciguerra, Valentina Puglisi, Mariagiovanna Cantone, Manuela Pennisi, Carmela Cinzia D'Agate, Pietro Naso, Giuseppe Aprile and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

31 citing papers in PubMed, 53 citations in OpenAlex.

  1. Motor Cortex Disinhibition Correlates with Olfactory Dysfunction in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2025
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  16. "Self-Neuroenhancement": The Last Frontier of Noninvasive Brain Stimulation?Journal of clinical neurology (Seoul, Korea) · 2020
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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

13 authors at 2 institutions in 1 country.

Giovanni PennisiDepartment "G.F. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy.
Giuseppe LanzaDepartment of Neurology I.C., Oasi Institute for Research on Mental Retardation and Brain Aging (I.R.C.C.S.), Troina (Enna), Italy.
Salvatore GiuffridaDepartment "G.F. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy.
Luisa VinciguerraDepartment "G.F. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy.
Valentina PuglisiDepartment "G.F. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy.
Mariagiovanna CantoneDepartment of Chemistry, University of Catania, Catania, Italy.
Manuela PennisiDepartment of Chemistry, University of Catania, Catania, Italy.
Carmela Cinzia D'AgateGastroenterology and Endoscopy Unit, University of Catania, Catania, Italy.
Pietro NasoGastroenterology and Endoscopy Unit, University of Catania, Catania, Italy.
Giuseppe AprileGastroenterology and Endoscopy Unit, University of Catania, Catania, Italy.
Giulia MalaguarneraDepartment of Biomedical Sciences, University of Catania, Catania, Italy.
Raffaele FerriDepartment of Neurology I.C., Oasi Institute for Research on Mental Retardation and Brain Aging (I.R.C.C.S.), Troina (Enna), Italy.
Rita BellaDepartment "G.F. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy.
University of Catania · ITOasi Maria SS · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCeliac disease (CD) may initially present as a neurological disorder or may be complicated by neurological changes. To date, neurophysiological studies aiming to an objective evaluation of the potential central nervous system involvement in CD are lacking.

objectiveTo assess the profile of cortical excitability to Transcranial Magnetic Stimulation (TMS) in a group of de novo CD patients. MATERIALS AND

methodsTwenty CD patients underwent a screening for cognitive and neuropsychiatric symptoms by means of the Mini Mental State Examination and the Structured Clinical Interview for DSM-IV Axis I Disorders, respectively. Instrumental exams, including electroencephalography and brain computed tomography, were also performed. Cortico-spinal excitability was assessed by means of single and paired-pulse TMS using the first dorsal interosseus muscle of the dominant hand. TMS measures consisted of resting motor threshold, motor evoked potentials, cortical silent period (CSP), intracortical inhibition (ICI) and facilitation (ICF). None of the CD was on gluten-free diet. A group of 20 age-matched healthy controls was used for comparisons.

resultsCD showed a significantly shorter CSP (78.0 vs 125.0 ms, p<0.025), a reduced ICI (0.3 vs 0.2, p<0.045) and an enhanced ICF (1.1 vs 0.7, p<0.042) compared to controls. A dysthymic disorder was identified in five patients. The effect size between dysthymic and non-dysthymic CD patients indicated a low probability of interference with the CSP (Cohen's d -0.414), ICI (-0.278) and ICF (-0.292) measurements.

conclusionA pattern of cortical excitability characterized by "disinhibition" and "hyperfacilitation" was found in CD patients. Immune system dysregulation might play a central role in triggering changes of the motor cortex excitability.

Indexed as

AdultCeliac DiseaseCentral Nervous SystemDiet, Gluten-FreeElectromyographyEvoked Potentials, MotorFemaleHumansMaleMiddle AgedMotor CortexMuscle, SkeletalTranscranial Magnetic Stimulation

Identifiers

PMID25062250
PMCPMC4111288
OpenAlexW2017302400

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Registered trials

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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.