Evidence map›Paper›PMID 29254860›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2018

Somatosensory Evoked Potentials and Central Motor Conduction Times in children with dystonia and their correlation with outcomes from Deep Brain Stimulation of the Globus pallidus internus.

Verity M McClelland, Doreen Fialho, Denise Flexney-Briscoe, Graham E Holder, Markus C Elze, Hortensia Gimeno, Ata Siddiqui, Kerry Mills, Richard Selway, Jean-Pierre Lin

Open access · hybridAbstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  17. Abnormal patterns of corticomuscular and intermuscular coherence in childhood dystonia.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Verity M McClellandDepartment of Basic and Clinical Neuroscience, Maurice Wohl Clinical Neuroscience Institute, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 9RX, United Kingdom; Complex Motor Disorder Service, Children's Neurosciences Department, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, United Kingdom. Electronic address: verity.mcclelland@kcl.ac.uk.
Doreen FialhoDepartment of Clinical Neurophysiology, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, United Kingdom.
Denise Flexney-BriscoeDepartment of Clinical Neurophysiology, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, United Kingdom.
Graham E HolderDepartment of Clinical Neurophysiology, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, United Kingdom; Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, London EC1V 2PD, United Kingdom; University College London Institute of Ophthalmology, 11-43 Bath St, London EC1V 9EL, United Kingdom.
Markus C ElzeF. Hoffmann-La Roche AG, Biostatistics, 4070 Basel, Switzerland.
Hortensia GimenoComplex Motor Disorder Service, Children's Neurosciences Department, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, United Kingdom; Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom.
Ata SiddiquiDepartment of Radiology, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom; Department of Neuroradiology King's College Hospital NHS Foundation Trust, London, United Kingdom.
Kerry MillsDepartment of Basic and Clinical Neuroscience, Maurice Wohl Clinical Neuroscience Institute, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 9RX, United Kingdom.
Richard SelwayDepartment of Functional Neurosurgery, King's College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, United Kingdom.
Jean-Pierre LinComplex Motor Disorder Service, Children's Neurosciences Department, Evelina Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, United Kingdom. Electronic address: jean-pierre.lin@gstt.nhs.uk.
King's College Hospital NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBMoorfields Eye Hospital NHS Foundation Trust · GBRoche (Switzerland) · CH

Funding

Medical Research Council MR/P006868/1
6 · The paper itself

Abstract

objectivesTo report Somatosensory Evoked Potentials (SEPs) and Central Motor Conduction Times (CMCT) in children with dystonia and to test the hypothesis that these parameters predict outcome from Deep Brain Stimulation (DBS).

methods180 children with dystonia underwent assessment for Globus pallidus internus (GPi) DBS, mean age 10 years (range 2.5-19). CMCT to each limb was calculated using Transcranial Magnetic Stimulation. Median and posterior tibial nerve SEPs were recorded over contralateral and midline centro-parietal scalp. Structural abnormalities were assessed with cranial MRI. One-year outcome from DBS was assessed as percentage improvement in Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS-m).

resultsAbnormal CMCTs and SEPs were found in 19% and 47% of children respectively and were observed more frequently in secondary than primary dystonia. Of children proceeding to DBS, better outcome was seen in those with normal (n = 78/89) versus abnormal CMCT (n = 11/89) (p = 0.002) and those with normal (n = 35/51) versus abnormal SEPs (n = 16/51) (p = 0.001). These relationships were independent of dystonia aetiology and cranial MRI findings.

conclusionsCMCTs and SEPs provide objective evidence of motor and sensory pathway dysfunction in children with dystonia and relate to DBS outcome. SIGNIFICANCE: CMCTs and SEPs can contribute to patient selection and counselling of families about potential benefit from neuromodulation for dystonia.

Indexed as

Deep Brain StimulationAdolescentChildChild, PreschoolDystoniaEvoked Potentials, SomatosensoryFemaleGlobus PallidusHumansMaleMotor CortexNeural ConductionSomatosensory CortexTranscranial Magnetic StimulationTreatment OutcomeYoung AdultCentral Motor Conduction TimeChildrenDeep Brain StimulationDystoniaDystonic cerebral palsySecondarySomatosensory Evoked Potentials

Identifiers

PMID29254860
PMCPMC5786451
OpenAlexW2769874615

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.