Evidence map›Paper›PMID 29062685›Full record

ArticleNeuroImage. Clinical2018

Loss of inhibition in sensorimotor networks in focal hand dystonia.

Cecile Gallea, Priyantha Herath, Valerie Voon, Alicja Lerner, John Ostuni, Ziad Saad, Shantalaxmi Thada, Jeffrey Solomon, Silvina G Horovitz, Mark Hallett

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Pathophysiology of dystonia: Through the lens of Mark Hallett.Clinical parkinsonism & related disorders · 2026
    Review
  9. Generalized dystonia unraveled: Molecular mechanisms, diagnostic strategies, and treatment paradigms.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  10. Abnormal Brain Iron Metabolism is Linked to Altered Neural Function in Isolated Laryngeal Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  11. Article
  12. Exploring the relationship between dystonia and STN-DBS in Parkinson's disease: insights from a single-centre cohort.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  13. Article
  14. Review
  15. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
  16. Article
  17. Article
  18. Temporal Signature of Task-Specificity in Isolated Focal Laryngeal Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2023
    Article
  19. Article
  20. Review
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

10 authors at 2 institutions in 3 countries.

Cecile GalleaHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States; Institut du Cerveau et de la Moelle (ICM-CRICM), Centre de Neuroimagerie de Recherche (UPMC/INSERM, UMR_975, CNRS 7225), Hôpital de la Pitié Salpétrière, Paris, France. Electronic address: c.gallea-ihu@icm-institute.org.
Priyantha HerathHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States.
Valerie VoonHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States; Behavioural and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK.
Alicja LernerHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States; Center for Drug Evaluation and Research, Food and Drug Agency, Silver Spring, MD, United States.
John OstuniNINDS, NIH, Bethesda, MD, United States.
Ziad SaadExpert Image Analysis, LLC, Potomac, Maryland, United States.
Shantalaxmi ThadaPET, CC, NIH, Bethesda, MD, United States.
Jeffrey SolomonExpert Image Analysis, LLC, Potomac, Maryland, United States.
Silvina G HorovitzHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States.
Mark HallettHuman Motor Control Section, NINDS, NIH, Bethesda, MD, United States.
National Institutes of Health · USInserm · FR

Funding

Pathophysiology of Basal Ganglia DisordersZIANS003031 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HALLETT, MARK · 2009 to 2023
$22.7M
Medical Research Council MR/P008747/1
6 · The paper itself

Abstract

objectiveTo investigate GABA-ergic receptor density and associated brain functional and grey matter changes in focal hand dystonia (FHD).

methods18 patients with FHD of the right hand and 18 age and gender matched healthy volunteers (HV) participated in this study. We measured the density of GABA-A receptors using [

resultsIn FHD patients compared to HV, the vermis VI of the right cerebellum and the left sensorimotor cortex had a decrease of Flumazenil binding potential (FMZ-BP), whereas the striatum and the lateral cerebellum did not show significant change. Bilateral inferior prefrontal cortex had increased FMZ-BP and an increase of perfusion, which correlated negatively with disease duration. Only the left sensorimotor cortex showed a decrease of grey matter volume.

interpretationImpairments of GABAergic neurotransmission in the cerebellum and the sensorimotor cortical areas could explain different aspects of loss of inhibitory control in FHD, the former being involved in maladaptive plasticity, the latter in surround inhibition. Reorganization of the inferior prefrontal cortices, part of the associative network, might be compensatory for the loss of inhibitory control in sensorimotor circuits. These findings suggest that cerebellar and cerebral GABAergic abnormalities could play a role in the functional imbalance of striato-cerebello-cortical loops in dystonia.

Indexed as

Brain MappingAdultAgedCarbon RadioisotopesCase-Control StudiesCerebellumCerebrovascular CirculationDystonic DisordersFemaleFlumazenilGABA ModulatorsHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysCarbon RadioisotopesFlumazenilGABA ModulatorsOxygen IsotopesOxygen RadioisotopesCerebellumFocal dystoniaInhibitionMotor cortexMovement disorder

Identifiers

PMID29062685
PMCPMC5645005
OpenAlexW2765606315

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.