Evidence map›Paper›PMID 26487928›Full record

ReviewNeurology international2015

Botulinum Neurotoxin Type A in Neurology: Update.

Marco Orsini, Marco Antonio Araujo Leite, Tae Mo Chung, Wladimir Bocca, Jano Alves de Souza, Olivia Gameiro de Souza, Rayele Priscila Moreira, Victor Hugo Bastos, Silmar Teixeira, Acary Bulle Oliveira and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Neurology international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  14. Article
  15. Experimental Intrastriatal Applications of Botulinum Neurotoxin-A: A Review.International journal of molecular sciences · 2018
    Review
  16. Review
  17. AbobotulinumtoxinA: A 25-Year History.Aesthetic surgery journal · 2017
    Review
  18. Review
  19. Review
  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 at 5 institutions in 1 country.

Marco OrsiniCentro Universitário Augusto Motta, Bonsucesso , Rio de Janeiro, Brasil ; Universidade Federal Fluminense, Departamento de Neurologia, Niterói , Rio de Janeiro, Brasil.
Marco Antonio Araujo LeiteUniversidade Federal Fluminense, Departamento de Neurologia, Niterói , Rio de Janeiro, Brasil.
Tae Mo ChungUniversidade de São Paulo - USP , São Paulo, Brasil.
Wladimir BoccaUniversidade Federal de São Paulo - UNIFESP , São Paulo, Brasil.
Jano Alves de SouzaUniversidade de São Paulo - USP , São Paulo, Brasil.
Olivia Gameiro de SouzaUniversidade de São Paulo - USP , São Paulo, Brasil.
Rayele Priscila MoreiraUniversidade Federal do Piaui , Parnaíba, Brasil.
Victor Hugo BastosUniversidade Federal do Piaui , Parnaíba, Brasil.
Silmar TeixeiraUniversidade Federal do Piaui , Parnaíba, Brasil.
Acary Bulle OliveiraUniversidade Federal de São Paulo - UNIFESP , São Paulo, Brasil.
Bruno da Silva MoraesCentro Universitário Augusto Motta, Bonsucesso , Rio de Janeiro, Brasil.
André Palma MattaUniversidade Federal Fluminense, Departamento de Neurologia, Niterói , Rio de Janeiro, Brasil.
Luis Jorge JacintoUniversidade Federal do Piaui , Parnaíba, Brasil.
Universidade Federal do Piauí · BRUniversidade Brasil · BRUniversidade Federal Fluminense · BRFundação de Apoio à Universidade Federal de São Paulo · BRUniversity Center Augusto Motta · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper reviews the current and most neurological (central nervous system, CNS) uses of the botulinum neurotoxin type A. The effect of these toxins at neuromuscular junction lends themselves to neurological diseases of muscle overactivity, particularly abnormalities of muscle control. There are seven serotypes of the toxin, each with a specific activity at the molecular level. Currently, serotypes A (in two preparations) and B are available for clinical purpose, and they have proved to be safe and effective for the treatment of dystonia, spasticity, headache, and other CNS disorders in which muscle hyperactivity gives rise to symptoms. Although initially thought to inhibit acetylcholine release only at the neuromuscular junction, botulinum toxins are now recognized to inhibit acetylcholine release at autonomic cholinergic nerve terminals, as well as peripheral release of neuro-transmitters involved in pain regulation. Its effects are transient and nondestructive, and largely limited to the area in which it is administered. These effects are also graded according to the dose, allowing individualized treatment of patients and disorders. It may also prove to be useful in the control of autonomic dysfunction and sialorrhea. In over 20 years of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

Indexed as

botulinum toxinneurologyrehabilitation

Identifiers

PMID26487928
PMCPMC4591494
OpenAlexW2146625101

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.