Evidence map›Paper›PMID 28829782›Full record

ArticlePloS one2017

Exploratory structural assessment in craniocervical dystonia: Global and differential analyses.

Larissa Vilany, Thiago J R de Rezende, Luiza G Piovesana, Lidiane S Campos, Paula C de Azevedo, Fabio R Torres, Marcondes C França, Augusto C Amato-Filho, Iscia Lopes-Cendes, Fernando Cendes and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

11 authors at 1 institution in 1 country.

Larissa VilanyNeuroimaging Laboratory, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Thiago J R de RezendeNeuroimaging Laboratory, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Luiza G PiovesanaNeurology Department, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Lidiane S CamposNeurology Department, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Paula C de AzevedoNeurology Department, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Fabio R TorresMedical Genetics Department, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Marcondes C FrançaNeuroimaging Laboratory, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Augusto C Amato-FilhoRadiology Department-School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Iscia Lopes-CendesMedical Genetics Department, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Fernando CendesNeuroimaging Laboratory, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Anelyssa D'AbreuNeuroimaging Laboratory, School of Medical Sciences, State University of Campinas, Campinas, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOur goal was to investigate the cortical thickness and subcortical volume in subjects with craniocervical dystonia and its subgroups.

methodsWe studied 49 subjects, 17 with cervical dystonia, 18 with blepharospasm or oromandibular dystonia, and 79 healthy controls. We performed a whole group analysis, followed by a subgroup analysis. We used Freesurfer software to measure cortical thickness, subcortical volume and to perform a primary exploratory analysis in the craniocervical dystonia group, complemented by a region of interest analysis. We also performed a secondary analysis, with data generated from Freesurfer for subgroups, corrected by false discovery rate. We then performed an exploratory generalized linear model with significant areas for the previous steps using clinical features as independent variables.

resultsThe primary exploratory analysis demonstrated atrophy in visual processing regions in craniocervical dystonia. The secondary analysis demonstrated atrophy in motor, sensory, and visual regions in blepharospasm or oromandibular dystonia, as well as in limbic regions in cervical dystonia. Cervical dystonia patients also had greater cortical thickness than blepharospasm or oromandibular dystonia patients in frontal pole and medial orbitofrontal regions. Finally, we observed an association between precuneus, age of onset of dystonia and age at the MRI exam, in craniocervical dystonia; between motor and limbic regions and age at the exam, clinical score and time on botulinum toxin in cervical dystonia and sensory regions and age of onset and time on botulinum toxin in blepharospasm or oromandibular dystonia.

conclusionsWe detected involvement of visual processing regions in craniocervical dystonia, and a pattern of involvement in cervical dystonia and blepharospasm or oromandibular dystonia, including motor, sensory and limbic areas. We also showed an association of cortical thickness atrophy and younger onset age, older age at the MRI exam, higher clinical score and an uncertain association with longer time on botulinum toxin.

Indexed as

AgedCase-Control StudiesFemaleHumansMaleMiddle AgedTorticollis

Identifiers

PMID28829782
PMCPMC5567646
OpenAlexW2746370850

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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.