Evidence map›Paper›PMID 32199026›Full record

ArticleNeurosurgery2020

Anterior Sensorimotor Subthalamic Nucleus Stimulation Is Associated With Improved Voice Function.

Ahmed Jorge, Christina Dastolfo-Hromack, Witold J Lipski, Ian H Kratter, Libby J Smith, Jackie L Gartner-Schmidt, R Mark Richardson

Open access · greenAbstract read
In one paragraph

Article in Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Effects of STN-DBS treatment on voice characteristics in patients with Parkinson's Disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

7 authors at 2 institutions in 1 country.

Ahmed JorgeDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Christina Dastolfo-HromackDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Witold J LipskiDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Ian H KratterDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Libby J SmithDepartment of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Jackie L Gartner-SchmidtDepartment of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania.
R Mark RichardsonDepartment of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts.
University of Pittsburgh · USHarvard University · US

Funding

Subthalamic and corticosubthalamic coding of speech productionU01NS098969 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RICHARDSON, ROBERT MARK · 2016 to 2018
$3.3M
NINDS NIH HHS U01 NS098969
6 · The paper itself

Abstract

backgroundDespite the impact of Parkinson disease (PD) on speech communication, there is no consensus regarding the effect of lead location on voice-related outcomes in subthalamic nucleus (STN) deep brain stimulation (DBS).

objectiveTo determine the relationship of stimulation location to changes in cepstral analyses of voice following STN DBS.

methodsSpeech pathology evaluations were obtained from 14 PD subjects, before and after STN DBS, including audio-perceptual voice ratings (overall severity, loudness, hoarseness changes), measured indices of dysphonia (cepstral peak prominence and cepstral spectral index of dysphonia), and phonatory aerodynamics. The contact locations used for active stimulation at the time of postoperative voice evaluations were determined and assessed in relation to voice outcomes.

resultsVoice outcomes remained relatively unchanged on average. Stimulation locations in the anterior portion of the sensorimotor region of the left STN, however, were associated with improvements in voice severity scores, cepstral spectral index of dysphonia, shortness of breath, and phonatory airflow during connected speech. Posterior locations were associated with worsening of these outcomes. Variation in the medial-lateral or dorsal-ventral position on the left, and in any direction on the right, did not correlate with any voice outcome.

conclusionActive contact placement within the anterior sensorimotor STN was associated with improved perceptual and acoustic-aerodynamic voice-related outcomes. These findings suggest an STN topography for improving airflow for speech, in turn improving how PD patients' voices sound.

Indexed as

Subthalamic NucleusAgedDeep Brain StimulationFemaleHumansMaleMiddle AgedParkinson DiseaseSpeech DisordersCepstralDeep brain stimulationParkinson diseasePhonatory airflowSubthalamic nucleusVoice

Identifiers

PMID32199026
PMCPMC7490159
OpenAlexW3012911936

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.