Evidence map›Paper›PMID 28754506›Full record

ArticleExperimental neurology2017

The differentiated networks related to essential tremor onset and its amplitude modulation after alcohol intake.

David J Pedrosa, Christian Nelles, Peter Brown, Lukas J Volz, Esther A Pelzer, Marc Tittgemeyer, John-Stuart Brittain, Lars Timmermann

Open access · greenAbstract read
In one paragraph

Article in Experimental neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. A Role for GABATremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Article
  6. Review
  7. Cerebellar α6GABANeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Article
  8. Alcohol and Ganaxolone Suppress Tremor via Extra-Synaptic GABATremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Article
  9. Article
  10. Is the inferior olive central to essential tremor? Yes.International review of neurobiology · 2022
    Article
  11. Review
  12. The Role of the Cerebellum in Tremor - Evidence from Neuroimaging.Tremor and other hyperkinetic movements (New York, N.Y.) · 2021
    Review
  13. Alcohol-Responsive Hyperkinetic Movement Disorders-a Mechanistic Hypothesis.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Review
  14. Selective loss of the GABAJournal of neurophysiology · 2020
    Article
  15. Article
  16. Article
  17. Suppression of Harmaline Tremor by Activation of an Extrasynaptic GABATremor and other hyperkinetic movements (New York, N.Y.) · 2018
    Article
  18. 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

8 authors at 5 institutions in 3 countries.

David J PedrosaNuffield Department of Clinical Neurosciences, MRC Brain Network Dynamics Unit, University of Oxford, Oxford, United Kingdom; Department of Neurology, University Hospital Cologne, Cologne, Germany. Electronic address: david.pedrosa@staff.uni-marburg.de.
Christian NellesDepartment of Neurology, University Hospital Cologne, Cologne, Germany.
Peter BrownNuffield Department of Clinical Neurosciences, MRC Brain Network Dynamics Unit, University of Oxford, Oxford, United Kingdom.
Lukas J VolzDepartment of Neurology, University Hospital Cologne, Cologne, Germany; SAGE Center for the Study of the Mind, University of California, Santa Barbara, USA.
Esther A PelzerMax-Planck Institute for Neurological Research Cologne, Cologne, Germany.
Marc TittgemeyerMax-Planck Institute for Neurological Research Cologne, Cologne, Germany.
John-Stuart BrittainNuffield Department of Clinical Neurosciences, MRC Brain Network Dynamics Unit, University of Oxford, Oxford, United Kingdom.
Lars TimmermannDepartment of Neurology, University Hospital Cologne, Cologne, Germany; Department of Neurology, University Hospital Marburg, Marburg, Germany.
Max Planck Institute for Metabolism Research · DEMRC Brain Network Dynamics Unit · GBUniversity Hospital Cologne · DEUniversity of California, Santa Barbara · USUniversity of Oxford · GB

Funding

Medical Research Council MC_UU_12024/1Medical Research Council MR/N003446/1Medical Research Council MR/N003446/2
6 · The paper itself

Abstract

The dysregulation of endogenous rhythms within brain networks have been implicated in a broad range of motor and non-motor pathologies. Essential tremor (ET), classically the purview of a single aberrant pacemaker, has recently become associated with network-level dysfunction across multiple brain regions. Specifically, it has been suggested that motor cortex constitutes an important node in a tremor-generating network involving the cerebellum. Yet the mechanisms by which these regions relate to tremor remain a matter of considerable debate. We sought to discriminate the contributions of cerebral and cerebellar dysregulation by combining high-density electroencephalography with subject-specific structural MRI. For that, we contrasted ET with voluntary (mimicked) tremor before and after ingestion of alcohol to regulate the tremorgenic networks. Our results demonstrate distinct loci of cortical tremor coherence, most pronounced over the sensorimotor cortices in healthy controls, but more frontal motor areas in ET-patients consistent with a heightened involvement of the supplementary motor area. We further demonstrate that the reduction in tremor amplitude associated with alcohol intake is reflected in altered cerebellar - but not cerebral - coupling with movement. Taken together, these findings implicate tremor emergence as principally associated with increases in activity within frontal motor regions, whereas modulation of the amplitude of established tremor relates to changes in cerebellar activity. These findings progress a mechanistic understanding of ET and implicate network-level vulnerabilities in the rhythmic nature of communication throughout the brain.

Indexed as

AdultAgedAlcohol DrinkingCerebellumCerebral CortexElectroencephalographyEssential TremorEthanolFemaleHumansMaleMiddle AgedNerve NetPhotic StimulationPsychomotor PerformanceReaction TimeEthanolBeamformerDICSEssential tremorMRI

Identifiers

PMID28754506
PMCPMC5584663
OpenAlexW2738487790

What OpenQuestion holds

Textmetadata
LicenceTDM
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.