Evidence map›Paper›PMID 25620953›Full record

ArticleFrontiers in neurology2014

Diffuse decreased gray matter in patients with idiopathic craniocervical dystonia: a voxel-based morphometry study.

Camila C Piccinin, Luiza G Piovesana, Maria C A Santos, Rachel P Guimarães, Brunno M De Campos, Thiago J R Rezende, Lidiane S Campos, Fabio R Torres, Augusto C Amato-Filho, Marcondes C França and 3 more

Abstract read
In one paragraph

Article 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 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Neural Correlates of Intellectual Dysfunction in Episodic Ataxia Type 2.Journal of clinical neurology (Seoul, Korea) · 2026
    Article
  5. Article
  6. Distinct Roles of Cerebellar Afferent and Efferent Fiber Tracts in Craniocervical Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
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  15. Review
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  19. GABAFrontiers in neurology · 2018
    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

13 authors.

Camila C PiccininNeuroimaging Laboratory, University of Campinas , Campinas , Brazil.
Luiza G PiovesanaDepartment of Neurology, University of Campinas , Campinas , Brazil.
Maria C A SantosNeuroimaging Laboratory, University of Campinas , Campinas , Brazil.
Rachel P GuimarãesNeuroimaging Laboratory, University of Campinas , Campinas , Brazil.
Brunno M De CamposNeuroimaging Laboratory, University of Campinas , Campinas , Brazil.
Thiago J R RezendeNeuroimaging Laboratory, University of Campinas , Campinas , Brazil.
Lidiane S CamposDepartment of Neurology, University of Campinas , Campinas , Brazil.
Fabio R TorresDepartment of Medical Genetics, University of Campinas , Campinas , Brazil.
Augusto C Amato-FilhoDepartment of Radiology, University of Campinas , Campinas , Brazil.
Marcondes C FrançaNeuroimaging Laboratory, University of Campinas , Campinas , Brazil ; Department of Neurology, University of Campinas , Campinas , Brazil.
Iscia Lopes-CendesDepartment of Medical Genetics, University of Campinas , Campinas , Brazil.
Fernando CendesNeuroimaging Laboratory, University of Campinas , Campinas , Brazil ; Department of Neurology, University of Campinas , Campinas , Brazil.
Anelyssa D'AbreuNeuroimaging Laboratory, University of Campinas , Campinas , Brazil ; Department of Neurology, University of Campinas , Campinas , Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have addressed the role of structures other than the basal ganglia in the pathophysiology of craniocervical dystonia (CCD). Neuroimaging studies have attempted to identify structural abnormalities in CCD but a clear pattern of alteration has not been established. We performed whole-brain evaluation using voxel-based morphometry (VBM) to identify patterns of gray matter (GM) changes in CCD.

methodsWe compared 27 patients with CCD matched in age and gender to 54 healthy controls. VBM was used to compare GM volumes. We created a two-sample t-test corrected for subjects' age, and we tested with a level of significance of p < 0.001 and false discovery rate (FDR) correction (p < 0.05).

resultsVoxel-based morphometry demonstrated significant reductions of GM using p < 0.001 in the cerebellar vermis IV/V, bilaterally in the superior frontal gyrus, precuneus, anterior cingulate and paracingulate, insular cortex, lingual gyrus, and calcarine fissure; in the left hemisphere in the supplementary motor area, inferior frontal gyrus, inferior parietal gyrus, temporal pole, supramarginal gyrus, rolandic operculum, hippocampus, middle occipital gyrus, cerebellar lobules IV/V, superior, and middle temporal gyri; in the right hemisphere, the middle cingulate and precentral gyrus. Our study did not report any significant result using the FDR correction. We also detected correlations between GM volume and age, disease duration, duration of botulinum toxin treatment, and the Marsden-Fahn dystonia scale scores.

conclusionWe detected large clusters of GM changes chiefly in structures primarily involved in sensorimotor integration, motor planning, visuospatial function, and emotional processing.

Indexed as

cervical dystoniacraniocervical dystoniagray matterneuroimagingsegmental dystoniavoxel-based morphometry

Identifiers

PMID25620953
PMCPMC4288053

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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.