Evidence map›Paper›PMID 31076915›Full record

SynthesisJournal of neural transmission (Vienna, Austria : 1996)2019

Long-term effect of subthalamic and pallidal deep brain stimulation for status dystonicus in children with methylmalonic acidemia and GNAO1 mutation.

Alberto Benato, Miryam Carecchio, Alberto Burlina, Francesco Paoloni, Stefano Sartori, Margherita Nosadini, Domenico d'Avella, Andrea Landi, Angelo Antonini

Abstract readCase ReportsSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neural transmission (Vienna, Austria : 1996), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Dyskinetic crisis inFrontiers in neurology · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Phenotypes in children withFrontiers in pediatrics · 2023
    Article
  9. Article
  10. DBS emergency surgery for treatment of dystonic storm associated with rhabdomyolysis and acute colitis in DYT-GNAO1.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  11. Article
  12. Article
  13. Both subthalamic and pallidal deep brain stimulation are effective forTherapeutic advances in neurological disorders · 2022
    Article
  14. Deep brain stimulation in a young child withSurgical neurology international · 2022
    Article
  15. Arching deep brain stimulation in dystonia types.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  16. 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

9 authors at 1 institution in 1 country.

Alberto BenatoDepartment of Neurosciences, University of Padova, Padua, Italy. benato.alberto@gmail.com.ORCID 0000-0002-2150-1213
Miryam CarecchioDepartment of Neurosciences, University of Padova, Padua, Italy.
Alberto BurlinaDepartment of Women's and Children's Health, University of Padova, Padua, Italy.
Francesco PaoloniDepartment of Neurosciences, University of Padova, Padua, Italy.
Stefano SartoriDepartment of Women's and Children's Health, University of Padova, Padua, Italy.
Margherita NosadiniDepartment of Women's and Children's Health, University of Padova, Padua, Italy.
Domenico d'AvellaDepartment of Neurosciences, University of Padova, Padua, Italy.
Andrea LandiDepartment of Neurosciences, University of Padova, Padua, Italy.
Angelo AntoniniDepartment of Neurosciences, University of Padova, Padua, Italy.ORCID 0000-0003-1040-2807
University of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Status dystonicus (SD) is a rare and potentially life-threatening condition requiring intensive care management. Deep brain stimulation (DBS) has emerged as an effective treatment for SD refractory to medical management, but its application in this field is still limited. Here, we report the long-term outcome of four pediatric patients treated with DBS at the University Hospital of Padua, Italy, for SD refractory to medications. In addition, we present the results of a systematic literature review aimed at identifying published cases of SD treated with DBS, with focus on motor outcome. In our cohort, two children were affected by methylmalonic acidemia and suffered acute basal ganglia lesions, while the other two carried a pathogenic mutation in GNAO1 gene. DBS target was subthalamic nucleus (STN) in one case and globus pallidus internus (GPi) in three. All patients experienced SD resolution within 8-19 days after surgery. Mean post-operative follow-up was 5 years. We identified in the literature 53 additional SD cases treated with DBS (median age at DBS implantation: 12 years) with reported positive outcome in 51 and resolution of SD in a mean of 17 days after surgery. Our findings indicate that DBS is an effective treatment for SD refractory to medications, even in patients with acute basal ganglia lesions; STN can be an appropriate target when GPi is damaged. Moreover, data from long-term follow-up show that SD recurrences can be significantly reduced in frequency or abolished after DBS implantation.

Indexed as

Deep Brain StimulationGlobus PallidusGTP-Binding Protein alpha Subunits, Gi-GoSubthalamic NucleusAdolescentAmino Acid Metabolism, Inborn ErrorsBasal Ganglia DiseasesChildDystoniaFemaleHumansMutationGNAO1 protein, humanGTP-Binding Protein alpha Subunits, Gi-GoDeep brain stimulationDystoniaGNAO1Methylmalonic acidemiaStatus dystonicusSubthalamic nucleus

Identifiers

PMID31076915
OpenAlexW2943945306

What OpenQuestion holds

Textmetadata
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.