Evidence map›Paper›PMID 30854718›Full record

ArticleAnnals of neurology2019

Deep cerebellar stimulation reduces ataxic motor symptoms in the shaker rat.

Collin J Anderson, Karla P Figueroa, Alan D Dorval, Stefan M Pulst

Abstract read
In one paragraph

Article in Annals of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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.

Collin J AndersonDepartment of Neurology.
Karla P FigueroaDepartment of Neurology.
Alan D DorvalDepartment of Bioengineering, University of Utah, Salt Lake City, UT.
Stefan M PulstDepartment of Neurology.

Funding

Spinocerebellar Ataxia Type 2 Gene and Gene ProductR37NS033123 · NINDS · UNIVERSITY OF UTAH · PI PULST, STEFAN M. · 2014 to 2020
$3.6M
Antisense Oligonucleotides for treating Spinocerebellar Ataxia Type 2U01NS103883 · NINDS · UNIVERSITY OF UTAH · PI PULST, STEFAN M., SCOLES, DANIEL R · 2018 to 2020
$1.9M
Deep cerebellar stimulation to treat degenerative cerebellar ataxiasR21NS104799 · NINDS · UNIVERSITY OF UTAH · PI PULST, STEFAN M. · 2017 to 2018
$418k
National Ataxia Foundation Postdoctoral FellowshipNational Science Foundation CAREER 1351112National Science Foundation NSF-CAREER 1351112NIH National Institute of Neurological Disorders and Stroke R21NS10479901NIH National Institute of Neurological Disorders and Stroke R37NS03312317NIH National Institute of Neurological Disorders and Stroke U01NS10388301NINDS NIH HHS R21 NS104799NINDS NIH HHS R37 NS033123NINDS NIH HHS U01 NS103883Utah Neuroscience Initiative Collaborative Pilot Project Award
6 · The paper itself

Abstract

objectiveDegenerative cerebellar ataxias (DCAs) affect up to 1 in 5,000 people worldwide, leading to incoordination, tremor, and falls. Loss of Purkinje cells, nearly universal across DCAs, dysregulates the dentatothalamocortical network. To address the paucity of treatment strategies, we developed an electrical stimulation-based therapy for DCAs targeting the dorsal dentate nucleus.

methodsWe tested this therapeutic strategy in the Wistar Furth shaker rat model of Purkinje cell loss resulting in tremor and ataxia. We implanted shaker rats with stimulating electrodes targeted to the dorsal dentate nucleus and tested a spectrum of frequencies ranging from 4 to 180 Hz.

resultsStimulation at 30 Hz most effectively reduced motor symptoms. Stimulation frequencies >100 Hz, commonly used for parkinsonism and essential tremor, worsened incoordination, and frequencies within the tremor physiologic range may worsen tremor.

interpretationLow-frequency deep cerebellar stimulation may provide a novel strategy for treating motor symptoms of degenerative cerebellar ataxias. Ann Neurol 2019;85:681-690.

Indexed as

Electrodes, ImplantedAnimalsCerebellar AtaxiaCerebellumDeep Brain StimulationPurkinje CellsRatsRats, TransgenicRats, WistarTremor

Identifiers

PMID30854718
PMCPMC8098166

What OpenQuestion holds

Textmetadata
LicenceTDM
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.