Evidence map›Paper›PMID 32224617›Full record

ArticleStereotactic and functional neurosurgery

Magnetic Resonance-Guided Focused Ultrasound Thalamotomy to Treat Essential Tremor in Nonagenarians.

Michelle Paff, Alexandre Boutet, Clemens Neudorfer, Gavin J B Elias, Jürgen Germann, Aaron Loh, Walter Kucharczyk, Alfonso Fasano, Michael L Schwartz, Andres M Lozano

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Stereotactic and functional neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Clinical neurophysiology in the treatment of movement disorders: IFCN handbook chapter.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Review
  5. Article
  6. Article
  7. Milestones in Tremor Research: 10 Years Later.Movement disorders clinical practice · 2022
    Review
  8. Article
  9. Surgical Management of Parkinson's Disease in the Elderly.Movement disorders clinical practice · 2021
    Review
  10. Article
  11. Transcranial Ultrasound Innovations Ready for Broad Clinical Application.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2020
    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

10 authors at 2 institutions in 1 country.

Michelle PaffUniversity Health Network, Toronto, Ontario, Canada.
Alexandre BoutetUniversity Health Network, Toronto, Ontario, Canada.
Clemens NeudorferUniversity Health Network, Toronto, Ontario, Canada.
Gavin J B EliasUniversity Health Network, Toronto, Ontario, Canada.
Jürgen GermannUniversity Health Network, Toronto, Ontario, Canada.
Aaron LohUniversity Health Network, Toronto, Ontario, Canada.
Walter KucharczykUniversity Health Network, Toronto, Ontario, Canada.
Alfonso FasanoEdmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.
Michael L SchwartzDivision of Neurosurgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada.
Andres M LozanoUniversity Health Network, Toronto, Ontario, Canada, lozano@uhnresearch.ca.
University Health Network · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Essential tremor (ET) is a disabling movement disorder that is most prevalent among the elderly. While deep brain stimulation surgery targeting the ventral intermediate nucleus of the thalamus is commonly used to treat ET, the most elderly patients or those with multiple medical comorbidities may not qualify as surgical candidates. Magnetic resonance-guided focused ultrasound (MRgFUS) constitutes a less invasive modality that may be used to perform thalamotomy without the need for a burr hole craniotomy. Here, we report on 2 patients over the age of 90 years who benefited significantly from MRgFUS thalamotomy to relieve their symptoms and improve their quality of life. The procedure was well tolerated and performed safely in both patients. We conclude that age should not be a limiting factor in the treatment of patients with MRgFUS.

Indexed as

Aged, 80 and overEssential TremorFemaleHumansMagnetic Resonance ImagingMalePsychosurgeryQuality of LifeThalamusTreatment OutcomeUltrasonography, InterventionalAdvanced ageEssential tremorFocused ultrasoundThalamotomy

Identifiers

PMID32224617
PMCPMC7384340
OpenAlexW3013115952

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.