Evidence map›Paper›PMID 31974808›Full record

ArticleJournal of neurology2020

Functional disconnection of the dentate nucleus in essential tremor.

Sankalp Tikoo, Sara Pietracupa, Silvia Tommasin, Matteo Bologna, Nikolas Petsas, Komal Bharti, Alfredo Berardelli, Patrizia Pantano

Abstract read
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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 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
3.1field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Review
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  8. Article
  9. Brain Imaging Phenotypes Associated with Polygenic Risk for Essential Tremor.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Erroneous Compensation for Long-Latency Feedback Delays as Origin of Essential Tremor.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
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  16. Article
  17. Review
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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

8 authors at 2 institutions in 1 country.

Sankalp TikooDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy.
Sara PietracupaIRCCS Neuromed, Pozzilli, Isernia, Italy.
Silvia TommasinDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy.
Matteo BolognaDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy.
Nikolas PetsasIRCCS Neuromed, Pozzilli, Isernia, Italy.
Komal BhartiDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy.
Alfredo BerardelliDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy.
Patrizia PantanoDepartment of Human Neurosciences, Sapienza University, Viale dell'Università30, 00185, Rome, Italy. patrizia.pantano@uniroma1.it.
Sapienza University of Rome · ITIstituto Neurologico Mediterraneo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite previous functional MRI studies on alterations within the cerebello-thalamo-cortical circuit in patients with essential tremor (ET), the specific role of disconnection of the dentate nucleus (DN), the main output cerebellar pathway, still needs clarification. In this study, we evaluated DN functional connectivity (FC) changes and their relationship with motor and non-motor symptoms in ET. We studied 25 ET patients and 26 healthy controls. Tremor severity was assessed using the Fahn-Tolosa-Marin tremor rating scale (FTM-TRS) and tremor amplitude and frequency were evaluated using kinematic techniques. Cognitive profile was assessed by montreal cognitive assessment (MoCA) and frontal assessment battery (FAB). All participants underwent a 3 T MRI protocol including resting-state blood oxygenation level dependent and diffusion tensor sequences. We used a seed-based approach to investigate DN FC and to explore the diffusion properties of cerebellar peduncles. There was significantly decreased DN FC with cortical, subcortical, and cerebellar areas in ET patients compared with healthy controls. Correlation analysis showed that: (1) the DN FC with the supplementary motor area, pre and postcentral gyri, and prefrontal cortex negatively correlated with FTM-TRS score and disease duration; (2) DN FC changes in the thalamus and caudate negatively correlated with peak tremor frequency, changes in the cerebellum positively correlated with tremor amplitude, and changes in the bilateral thalamus negatively correlated with tremor amplitude, and (3) DN FC with the associative prefrontal and parietal cortices, basal ganglia, and thalamus positively correlated with the MoCA score. Diffusion abnormalities were found in the three cerebellar peduncles, which did not correlate with clinical scores.

Indexed as

ConnectomeAdultAgedBasal GangliaCerebellar NucleiCerebral CortexDiffusion Tensor ImagingEssential TremorFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetSeverity of Illness IndexThalamusCerebellar pedunclesDentate nucleusEssential tremorFunctional connectivityFunctional magnetic resonance imaging

Identifiers

PMID31974808
OpenAlexW3001321585

What OpenQuestion holds

Textmetadata
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.