Evidence map›Paper›PMID 27324878›Full record

ReviewBrain : a journal of neurology2016

Cervical dystonia: a neural integrator disorder.

Aasef G Shaikh, David S Zee, J Douglas Crawford, Hyder A Jinnah

Open access · bronzeAbstract readReview
In one paragraph

Review in Brain : a journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 98 citations in OpenAlex.

  1. Sensorimotor Perceptive Rehabilitation Integrated (SPRInt) program: exercises with augmented movement feedback associated to botulinum neurotoxin in idiopathic cervical dystonia-an observational study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Trial
  2. Article
  3. Implications of neural integration beyond gaze-holding: translating insights from animal models to human patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  4. Abnormal Connectivity of the Head Neural Integrator in Cervical Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Observational
  5. Review
  6. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Isolated Cervical Dystonia: Diagnosis and Classification.Movement disorders : official journal of the Movement Disorder Society · 2023
    Review
  11. Article
  12. Movement disorders clinical practice · 2022
    Article
  13. Review
  14. Review
  15. Article
  16. Lessons learned from the syndrome of oculopalatal tremor.Journal of computational neuroscience · 2021
    Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Aasef G Shaikh1 Department of Neurology, Case Western Reserve University, Cleveland, OH, USA 2 Daroff-DelOsso Ocular Motility Laboratory, Neurology Service, Louis Stoke VA Medical Center, Cleveland, OH, USA aasefshaikh@gmail.com.
David S Zee3 Department of Neurology, The Johns Hopkins University, Baltimore, MD, USA.
J Douglas Crawford4 Centre for Vision Research and Departments of Psychology, Biology, and Kinesiology and Health Sciences, York University, Toronto, ON, Canada.
Hyder A Jinnah5 Department of Neurology, Emory University, Atlanta, GA, USA.
Emory University · USJohns Hopkins University · USLouis Stokes Cleveland VA Medical Center · USYork University · CA

Funding

NIH HHS U54 TR001456 07
6 · The paper itself

Abstract

Ocular motor neural integrators ensure that eyes are held steady in straight-ahead and eccentric positions of gaze. Abnormal function of the ocular motor neural integrator leads to centripetal drifts of the eyes with consequent gaze-evoked nystagmus. In 2002 a neural integrator, analogous to that in the ocular motor system, was proposed for the control of head movements. Recently, a counterpart of gaze-evoked eye nystagmus was identified for head movements; in which the head could not be held steady in eccentric positions on the trunk. These findings lead to a novel pathophysiological explanation in cervical dystonia, which proposed that the abnormalities of head movements stem from a malfunctioning head neural integrator, either intrinsically or as a result of impaired cerebellar, basal ganglia, or peripheral feedback. Here we briefly recapitulate the history of the neural integrator for eye movements, then further develop the idea of a neural integrator for head movements, and finally discuss its putative role in cervical dystonia. We hypothesize that changing the activity in an impaired head neural integrator, by modulating feedback, could treat dystonia.

Indexed as

Eye MovementsHead MovementsHumansNervous System DiseasesNystagmus, PathologicTorticolliscerebellumintegratormidbrainnystagmustremor

Identifiers

PMID27324878
PMCPMC5840887
OpenAlexW2461642639

What OpenQuestion holds

Textmetadata
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.