Evidence map›Paper›PMID 31033189›Full record

ArticleCNS neuroscience & therapeutics2019

Deep brain stimulation in post-traumatic dystonia: A case series study.

Hong-Xia Li, Lu He, Chen-Cheng Zhang, Robert Eisinger, Yi-Xin Pan, Tao Wang, Bo-Min Sun, Yi-Wen Wu, Dian-You Li

Abstract readCase Reports
In one paragraph

Article in CNS neuroscience & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Hong-Xia LiDepartment of Neurology & Institute of Neurology, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lu HeDepartment of Neurology & Institute of Neurology, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chen-Cheng ZhangDepartment of Functional Neurosurgery, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Robert EisingerDepartment of Neuroscience, University of Florida, Gainesville, Florida.
Yi-Xin PanDepartment of Functional Neurosurgery, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Tao WangDepartment of Functional Neurosurgery, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Bo-Min SunDepartment of Functional Neurosurgery, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yi-Wen WuDepartment of Neurology & Institute of Neurology, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Dian-You LiDepartment of Functional Neurosurgery, Ruijin Hospital, Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0003-4212-4231

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsDeep brain stimulation (DBS) has been proposed as an effective treatment for drug-intolerant isolated dystonia, but whether it is also efficacious for posttraumatic dystonia (PTD) is unknown. Reports are few in number and have reached controversial conclusions regarding the efficacy of DBS for PTD treatment. Here, we report a case series of five PTD patients with improved clinical benefit following DBS treatment.

methodsFive patients with disabling PTD underwent DBS therapy. The clinical outcomes were assessed with the Burke-Fahn-Marsden dystonia rating scale (BFMDRS) at baseline and the last follow-up visit (at more than 12 months).

resultsPatients 1 and 3 received unilateral globus pallidus internus (GPi) DBS for contralateral dystonia. The subthalamic nucleus (STN) was chosen as target for patients 2 and 4, due to a lesion located in the globus pallidus. Patient 5 had an electrode in the ventral intermediate nucleus (VIM) for treating predominant tremor of left upper extremity, with unexpected improvement of focal hand dystonia. The scores of BFMDRS movement exhibited favorable improvement in all five patients at the last follow-up, ranging from 52.4% to 78.6%.

conclusionsDeep brain stimulation may be an effective and safe treatment for medically refractory PTD, but this needs to be confirmed by further studies.

Indexed as

AdultBrain Injuries, TraumaticDeep Brain StimulationDystonic DisordersFemaleFollow-Up StudiesHumansMaleTreatment OutcomeYoung Adultdeep brain stimulationglobus pallidus internuspost-traumatic dystoniasubthalamic nucleusventral intermediate nucleus

Identifiers

PMID31033189
PMCPMC6834919

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