Evidence map›Paper›PMID 32047071›Full record

ArticleNeurology2020

Longitudinal follow-up with VIM thalamic deep brain stimulation for dystonic or essential tremor.

Takashi Tsuboi, Zakia Jabarkheel, Pamela R Zeilman, Matthew J Barabas, Kelly D Foote, Michael S Okun, Aparna Wagle Shukla

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

46 citing papers in PubMed, 83 citations in OpenAlex.

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  9. Surgical Treatment of Tremor Syndromes: A Guide to the Clinician.Movement disorders clinical practice · 2026
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  13. Natural disease progression vs. DBS-related worsening in essential tremor.medRxiv : the preprint server for health sciences · 2025
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  20. Tips and tricks in tremor treatment.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    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

7 authors at 1 institution in 1 country.

Takashi TsuboiFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.ORCID 0000-0001-5042-3181
Zakia JabarkheelFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
Pamela R ZeilmanFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
Matthew J BarabasFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
Kelly D FooteFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
Michael S OkunFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
Aparna Wagle ShuklaFrom the Department of Neurology, Norman Fixel Institute for Neurological Diseases (T.T., Z.J., P.R.Z., M.J.B., M.S.O., A.W.S.), and Department of Neurosurgery (K.D.F.), University of Florida, Gainesville, FL.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess longitudinal tremor outcomes with ventral intermediate nucleus deep brain stimulation (VIM DBS) in patients with dystonic tremor (DT) and to compare with DBS outcomes in essential tremor (ET).

methodsWe retrospectively investigated VIM DBS outcomes for 163 patients followed at our center diagnosed with either DT or ET. The Fahn-Tolosa-Marin tremor rating scale (TRS) was used to assess change in tremor and activities of daily living (ADL) at 6 months, 1 year, 2-3 years, 4-5 years, and ≥6 years after surgery.

resultsTwenty-six patients with DT and 97 patients with ET were analyzed. Compared to preoperative baseline, there were significant improvements in TRS motor up to 4-5 years (52.2%;

conclusionOverall, tremor control with VIM DBS in DT and ET was comparable and remained sustained at long term likely related to intervention at the final common node in the pathologic tremor network. However, the long-term ADL improvements in DT were not sustained, possibly due to inadequate control of concomitant dystonia symptoms. These findings from a large cohort of DT indicate that VIM targeting is reasonable if the tremor is considerably more disabling than the dystonic features. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that VIM DBS improves tremor in patients with DT or ET.

Indexed as

Deep Brain StimulationOutcome Assessment, Health CareVentral Thalamic NucleiActivities of Daily LivingAdultAgedAged, 80 and overDystonic DisordersEssential TremorFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness Index

Identifiers

PMID32047071
PMCPMC7238918
OpenAlexW3006264623

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.