Evidence map›Paper›PMID 32172171›Full record

Trial reportNeuroImage. Clinical2020

PSA and VIM DBS efficiency in essential tremor depends on distance to the dentatorubrothalamic tract.

Till A Dembek, Jan Niklas Petry-Schmelzer, Paul Reker, Jochen Wirths, Stefanie Hamacher, Julia Steffen, Haidar S Dafsari, Mauritius Hövels, Gereon R Fink, Veerle Visser-Vandewalle and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
–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

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Probabilistic mapping of tremor control and gait ataxia risk in deep brain stimulation.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  7. Article
  8. Article
  9. Surgical Treatment of Tremor Syndromes: A Guide to the Clinician.Movement disorders clinical practice · 2026
    Review
  10. Rescue Thalamotomy for Habituation to Deep Brain Stimulation in Essential Tremor: Case Report.Tremor and other hyperkinetic movements (New York, N.Y.) · 2026
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Involvement of the Cerebellar Peduncles inInternational journal of molecular sciences · 2025
    Review
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  20. 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

11 authors.

Till A DembekUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany. Electronic address: till.dembek@uk-koeln.de.
Jan Niklas Petry-SchmelzerUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany.
Paul RekerUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany.
Jochen WirthsUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Stereotactic and Functional Neurosurgery, Germany.
Stefanie HamacherUniversity of Cologne, Institute of Medical Statistics and Computational Biology, Germany.
Julia SteffenUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany.
Haidar S DafsariUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany.
Mauritius HövelsUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Stereotactic and Functional Neurosurgery, Germany.
Gereon R FinkUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany; Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Center Jülich, Jülich, Germany.
Veerle Visser-VandewalleUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Stereotactic and Functional Neurosurgery, Germany.
Michael T BarbeUniversity of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Neurology, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relation between deep brain stimulation (DBS) of the posterior-subthalamic-area (PSA) and the ventral-intermediate-nucleus (VIM) and the distance to the dentatorubrothalamic tract (DRTT) in essential tremor (ET).

methodsTremor rating scale (TRS) hemi-scores were analyzed in 13 ET patients, stimulated in both the VIM and the PSA in a randomized, crossover trial. Distances of PSA and VIM contacts to population-based DRTTs were calculated. The relationships between distance to DRTT and stimulation amplitude, as well as DBS efficiency (TRS improvement per amplitude) were investigated.

resultsPSA contacts were closer to the DRTT (p = 0.019) and led to a greater improvement in TRS hemi-scores (p = 0.005) than VIM contacts. Proximity to the DRTT was related to lower amplitudes (p < 0.001) and higher DBS efficiency (p = 0.017).

conclusionsDifferences in tremor outcome and stimulation parameters between contacts in the PSA and the VIM can be explained by their different distance to the DRTT.

Indexed as

AgedDeep Brain StimulationEssential TremorFemaleHumansMaleMiddle AgedNeural PathwaysSubthalamic NucleusVentral Thalamic NucleiDeep brain stimulationDentatorubrothalamic tractEssential tremorPSAVIM

Identifiers

PMID32172171
PMCPMC7076091

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.