Evidence map›Paper›PMID 31919566›Full record

ArticleJournal of neurology2020

Alien limb in the corticobasal syndrome: phenomenological characteristics and relationship to apraxia.

David J Lewis-Smith, Noham Wolpe, Boyd C P Ghosh, James B Rowe

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Alien Hand: Current Research Trends.Current neurology and neuroscience reports · 2025
    Review
  4. Article
  5. Article
  6. Apraxia: From Neuroanatomical Pathways to Clinical Manifestations.Current neurology and neuroscience reports · 2024
    Review
  7. Review
  8. Review
  9. Pathomechanisms of cognitive and behavioral impairment in corticobasal degeneration.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Review
  10. Clinical Spectrum of Tauopathies.Frontiers in neurology · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Alien limb syndrome: A Bayesian account of unwanted actions.Cortex; a journal devoted to the study of the nervous system and behavior · 2020
    Review
  15. 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 at 2 institutions in 1 country.

David J Lewis-SmithDepartment of Clinical Neurosciences, University of Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK.
Noham WolpeDepartment of Clinical Neurosciences, University of Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK. nw305@medschl.cam.ac.uk.ORCID http://orcid.org/0000-0002-4652-7727
Boyd C P GhoshDepartment of Clinical Neurosciences, University of Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK.
James B RoweDepartment of Clinical Neurosciences, University of Cambridge, Herchel Smith Building, Cambridge, CB2 0SZ, UK.
MRC Cognition and Brain Sciences Unit · GBUniversity of Cambridge · GB

Funding

Medical Research Council G0700503Medical Research Council MC_UU_00005/12Medical Research Council SUAG/004 RG91365Wellcome TrustWellcome Trust 103838
6 · The paper itself

Abstract

Alien limb refers to movements that seem purposeful but are independent of patients' reported intentions. Alien limb often co-occurs with apraxia in the corticobasal syndrome, and anatomical and phenomenological comparisons have led to the suggestion that alien limb and apraxia may be causally related as failures of goal-directed movements. Here, we characterised the nature of alien limb symptoms in patients with the corticobasal syndrome (n = 30) and their relationship to limb apraxia. Twenty-five patients with progressive supranuclear palsy Richardson syndrome served as a disease control group. Structured examinations of praxis, motor function, cognition and alien limb were undertaken in patients attending a regional specialist clinic. Twenty-eight patients with corticobasal syndrome (93%) demonstrated significant apraxia and this was often asymmetrical, with the left hand preferentially affected in 23/30 (77%) patients. Moreover, 25/30 (83%) patients reported one or more symptoms consistent with alien limb. The range of these phenomena was broad, including changes in the sense of ownership and control as well as unwanted movements. Regression analyses showed no significant association between the severity of limb apraxia and either the occurrence of an alien limb or the number of alien limb phenomena reported. Bayesian estimation showed a low probability for a positive association between alien limb and apraxia, suggesting that alien limb phenomena are not likely to be related to severity apraxia. Our results shed light on the phenomenology of these disabling and as yet untreatable clinical features, with relevance to theoretical models of voluntary action.

Indexed as

AgedAlien Limb PhenomenonApraxiasBasal Ganglia DiseasesFemaleHumansMaleMiddle AgedSupranuclear Palsy, ProgressiveAlien limb syndromeAnarchic hand syndromeApraxiaCorticobasal syndromeSense of agencySense of ownershipVolition

Identifiers

PMID31919566
PMCPMC7109196
OpenAlexW2998859480

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.