Evidence map›Paper›PMID 32358703›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

Treating dissociative post-traumatic stress disorder presenting as a functional movement disorder with transcranial magnetic stimulation targeting the cingulate gyrus.

Robin Blades, Sheldon Jordan, Sergio Becerra, Branon Eusebio, Mark Heatwole, Jessica Iovine, Kennedy Mahdavi, Michael Mamoun, Natalie Nicodemus, Hannah Packham and 2 more

Abstract readCase Reports
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

12 authors at 2 institutions in 1 country.

Robin BladesNeurological Associates - The Interventional Group, Los Angeles, CA, USA. robinblades@gmail.com.
Sheldon JordanNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Sergio BecerraNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Branon EusebioTheramind, Santa Barbara, CA, USA.
Mark HeatwoleTheramind, Santa Barbara, CA, USA.
Jessica IovineNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Kennedy MahdaviNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Michael MamounCNS Health, Los Angeles, CA, USA.
Natalie NicodemusNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Hannah PackhamNeurological Associates - The Interventional Group, Los Angeles, CA, USA.
Norman SpivakDepartment of Neurosurgery, University of California Los Angeles, Los Angeles, CA, USA.
Taylor KuhnDepartment of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, USA.
University of California, Los Angeles · USNeurobehavioral Systems · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 29-year-old woman presented with head and neck dystonia, as well as functional seizures. The patient was an active military service member with a history of combat-related trauma. Resting blood oxygen level dependent (BOLD) functional MRI (fMRI) scans of the brain demonstrated an increased anterior cingulate component of the salience network and hyper-connectivity between the insula and cingulate. Following neurological and psychiatric evaluation, she was diagnosed with dissociative post-traumatic stress disorder, partially presenting as a functional movement disorder. Inhibitory repetitive transcranial magnetic stimulation (rTMS) was prescribed with the anterior cingulate as the primary target, and supplementary motor and premotor cortices as secondary targets. The treatment was intended to suppress tremors both directly and indirectly. Thirty-six sessions later, her symptoms were in remission, and she returned to active duty. This case demonstrates the potential efficacy of fMRI-guided rTMS in the treatment of dissociative PTSD.

Indexed as

Movement DisordersStress Disorders, Post-TraumaticAdultFemaleGyrus CinguliHumansMagnetic Resonance ImagingTranscranial Magnetic StimulationAnterior cingulateDissociative PTSDFunctional movement disorderTMS

Identifiers

PMID32358703
OpenAlexW3021924905

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.