Evidence map›Paper›PMID 30515438›Full record

ArticleMovement disorders clinical practice

Prefrontal Cortical Stimulation in Tourette Disorder: Proof-of-concept Clinical and Neuroimaging Study.

Daniela Perani, Stefania Lalli, Leonardo Iaccarino, Pierpaolo Alongi, Orsola Gambini, Angelo Franzini, Alberto Albanese

Open access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 4 institutions in 2 countries.

Daniela PeraniVita-Salute San Raffaele University Milan Italy.
Stefania LalliDepartment of Neurology Catholic University of the Sacred Heart Milan Italy.
Leonardo IaccarinoVita-Salute San Raffaele University Milan Italy.
Pierpaolo AlongiNuclear Medicine Unit IRCCS San Raffaele Hospital Milan Italy.
Orsola GambiniDepartment of Psychiatry University of Milan Medical School and San Paolo Hospital Milan Italy.
Angelo FranziniDepartment of Neurosurgery Istituto Neurologico "C. Besta" Milan Italy.
Alberto AlbaneseDepartment of Neurology Catholic University of the Sacred Heart Milan Italy.ORCID 0000-0002-5864-0006
Vita-Salute San Raffaele University · ITUniversità Cattolica del Sacro Cuore · ITFondazione IRCCS Istituto Neurologico Carlo Besta · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefits of neurosurgery in Tourette Syndrome (TS) are still incompletely understood. Prefrontal cortical electrical stimulation offers a less invasive alternative to deep brain stimulation.

objectiveTo perform a pilot assessment on safety and efficacy of prefrontal cortical bilateral electrical stimulation in TS using clinical and brain metabolic assessments.

methodsFour adult TS patients underwent tic assessment using the Yale Global Tic Severity Scale and the Rush Video Rating Scale at baseline and 1, 3, 6, and 12-months after implant; whereas FDG-PET scans were acquired at baseline and after 6 and 12 months.

resultsTic clinical scores were improved at 6 months after implant, meanwhile they showed a tendency to re-emerge at the 12-month follow-up. There was a correlation between FDG-PET and tics, mainly consisting in a reduction of baseline brain hypermetabolism, which paralleled tic score reduction.

conclusionEpidural stimulation in TS is safe and yields a modulation of tics, paralleled by FDG-PET metabolic modulation.

Indexed as

cerebral metabolismprefrontal cortical stimulationSPM analysisticsTourette's syndrome

Identifiers

PMID30515438
PMCPMC6207124
OpenAlexW2895012835

What OpenQuestion holds

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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.