Evidence map›Paper›PMID 29204315›Full record

ReviewTremor and other hyperkinetic movements (New York, N.Y.)2017

Pathogenesis of Primary Orthostatic Tremor: Current Concepts and Controversies.

Abhishek Lenka, Pramod Kumar Pal, Danish Ejaz Bhatti, Elan D Louis

Open access · greenAbstract readReview
In one paragraph

Review in Tremor and other hyperkinetic movements (New York, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Systematic review of pharmacological treatment options for orthostatic tremor in prospective patient cohorts and randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Slow Orthostatic Tremor: Review of the Current Evidence.Tremor and other hyperkinetic movements (New York, N.Y.) · 2019
    Pooled it
  3. Review
  4. Orthostatic tremor after knee contusion without head trauma: A rare case report.Turkish journal of physical medicine and rehabilitation · 2023
    Article
  5. Tremor Syndromes: An Updated Review.Frontiers in neurology · 2021
    Review
  6. Ataxia Prevalence in Primary Orthostatic Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. The Top 50 Most-Cited Articles in Orthostatic Tremor: A Bibliometric Review.Tremor and other hyperkinetic movements (New York, N.Y.) · 2019
    Review
  12. Review
  13. Complete Resolution of Symptoms of Primary Orthostatic Tremor with Perampanel.Tremor and other hyperkinetic movements (New York, N.Y.) · 2018
    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

4 authors at 3 institutions in 2 countries.

Abhishek LenkaDepartment of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bangalore, India.
Pramod Kumar PalDepartment of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India.
Danish Ejaz BhattiDepartment of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA.
Elan D LouisDivision of Movement Disorders, Department of Neurology, Yale School of Medicine, Yale University, New Haven, CT, USA.
National Institute of Mental Health and Neurosciences · INUniversity of Nebraska Medical Center · USYale University · US

Funding

ENVIRONMENTAL EPIDEMIOLOGY OF ESSENTIAL TREMORR01NS039422 · NINDS · YALE UNIVERSITY · PI LOUIS, ELAN D · 2000 to 2013
$7.7M
Identification of Susceptibility Genes for Essential TremorR01NS073872 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLARK, LORRAINE N, LOUIS, ELAN D · 2011 to 2019
$7.4M
Environmental Epidemiology of Essential TremorR01NS094607 · NINDS · YALE UNIVERSITY · PI LOUIS, ELAN D · 2016 to 2020
$3.9M
PATHOLOG-OMICS - ESSENTIAL TREMOR IN THE BROADER CONTEXT OF NEURODEGENERATIONR01NS088257 · NINDS · YALE UNIVERSITY · PI FAUST, PHYLLIS L, LOUIS, ELAN D · 2015 to 2019
$3.3M
in Vivo Quantification of Cerebellar GABA and NAA in Essential TremorR01NS085136 · NINDS · YALE UNIVERSITY · PI MATUSKEY, DAVID A · 2013 to 2017
$3.3M
NINDS NIH HHS R01 NS039422NINDS NIH HHS R01 NS073872NINDS NIH HHS R01 NS085136NINDS NIH HHS R01 NS088257NINDS NIH HHS R01 NS094607
6 · The paper itself

Abstract

Background: Orthostatic tremor (OT), a rare and complex movement disorder, is characterized by rapid tremor of both legs and the trunk while standing. These disappear while the patient is either lying down or walking. OT may be idiopathic/primary or it may coexist with several neurological conditions (secondary OT/OT plus). Primary OT remains an enigmatic movement disorder and its pathogenesis and neural correlates are not fully understood. Methods: A PubMed search was conducted in July 2017 to identify articles for this review. Results: Structural and functional neuroimaging studies of OT suggest possible alterations in the cerebello-thalamo-cortical network. As with essential tremor, the presence of a central oscillator has been postulated for OT; however, the location of the oscillator within the tremor network remains elusive. Studies have speculated a possible dopaminergic deficit in the pathogenesis of primary OT; however, the evidence in favor of this concept is not particularly robust. There is also limited evidence favoring the concept that primary OT is a neurodegenerative disorder, as a magnetic resonance spectroscopic imaging study revealed significant reduction in cerebral and cerebellar N-acetyl aspartate (NAA) levels, a marker of neuronal compromise or loss. Discussion: Based on the above, it is clear that the pathogenesis of primary OT still remains unclear. However, the available evidence most strongly favors the existence of a central oscillatory network, and involvement of the cerebellum and its connections.

Indexed as

BrainDizzinessHumansTremorcerebellumneurodegenerationOrthostatic tremorpathogenesis

Identifiers

PMID29204315
PMCPMC5712672
OpenAlexW2775099140

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.