Evidence map›Paper›PMID 30534112›Full record

ArticleFrontiers in neurology2018

Stereotactic Lesioning of the Thalamic Vo Nucleus for the Treatment of Writer's Cramp (Focal Hand Dystonia).

Takeshi Shimizu, Tomoyuki Maruo, Shimpei Miura, Haruhiko Kishima, Yukitaka Ushio, Satoshi Goto

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Magnetic resonance-guided focused ultrasound in dystonia: a scoping review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  3. The thalamus: Structure, function, and neurotherapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  4. Primary Cueing Tremor: A Task-Specific Tremor of Billiard Players.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  5. Article
  6. Review
  7. Pistol Shooting Dystonia Treated with Thalamotomy.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Article
  8. Review
  9. Dystonia and Cerebellum: From Bench to Bedside.Life (Basel, Switzerland) · 2021
    Review
  10. Article
  11. Article
  12. Treatment of Dystonia: Medications, Neurotoxins, Neuromodulation, and Rehabilitation.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  13. Treatment of dystonia and tics.Clinical parkinsonism & related disorders · 2020
    Review
  14. 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

6 authors at 3 institutions in 1 country.

Takeshi ShimizuDepartment of Neurosurgery, Parkinson's Disease Research Center, KKR Otemae Hospital, Osaka, Japan.
Tomoyuki MaruoDepartment of Neurosurgery, Parkinson's Disease Research Center, KKR Otemae Hospital, Osaka, Japan.
Shimpei MiuraDepartment of Neurosurgery, Parkinson's Disease Research Center, KKR Otemae Hospital, Osaka, Japan.
Haruhiko KishimaDepartment of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan.
Yukitaka UshioDepartment of Neurosurgery, Parkinson's Disease Research Center, KKR Otemae Hospital, Osaka, Japan.
Satoshi GotoDepartment of Neurodegenerative Disorders Research, Graduate School of Medical Sciences, Institute of Biomedical Sciences, Tokushima University, Tokushima, Japan.
Osaka University · JPOtemae Hospital · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Writer's cramp (focal hand dystonia) is a sporadic focal dystonia that affects a specific part of the upper limb causing excessive co-contraction of antagonistic muscles. It usually presents as a task-specific dystonia, including, among others, writing of a character or playing a musical instrument. Although treatments for writer's cramp exist, medical therapy often results in unsatisfactory outcomes in patients with this type of dystonia. However, accumulating evidence suggests that long-term and complete remission of various types of focal hand dystonia can be achieved with stereotactic ablation or deep brain stimulation of the thalamic ventral-oralis complex (Vo) nucleus, which includes both the ventralis oralis posterior and anterior nuclei of the thalamus. Following the striking therapeutic success of Vo thalamotomy in patients with medically-refractory writer's cramp, we here introduce the use of stereotactic lesioning of the thalamic Vo nucleus for the treatment of this focal type of dystonia. Our findings identified patients with disabling writer's cramp (i.e., it prevents their success in their professional careers) to be good candidates for positive outcome with this surgical technique.

Indexed as

focal hand dystonia (FHD)movement disorderthalamotomythalamus anatomywriter's cramp

Identifiers

PMID30534112
PMCPMC6275197
OpenAlexW2902296241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.