Evidence map›Paper›PMID 32373653›Full record

ReviewMovement disorders clinical practice2020

Clinical Impact of Deep Brain Stimulation on the Autonomic System in Patients with Parkinson's Disease.

Gabriele Bellini, Laura A Best, Una Brechany, Russell Mills, Nicola Pavese

Open access · bronzeAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Subthalamic deep brain stimulation does not impact on cardiovascular and sudomotor functions assessed by head-up tilt test and sudoscan.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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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

5 authors at 3 institutions in 2 countries.

Gabriele BelliniClinical Ageing Research Centre Newcastle University Newcastle Upon Tyne United Kingdom.ORCID https://orcid.org/0000-0002-0648-6836
Laura A BestClinical Ageing Research Centre Newcastle University Newcastle Upon Tyne United Kingdom.
Una BrechanyNewcastle Upon Tyne Hospitals NHS Foundation Trust Newcastle Upon Tyne United Kingdom.
Russell MillsNewcastle Upon Tyne Hospitals NHS Foundation Trust Newcastle Upon Tyne United Kingdom.
Nicola PaveseClinical Ageing Research Centre Newcastle University Newcastle Upon Tyne United Kingdom.ORCID https://orcid.org/0000-0002-6801-6194
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBNIHR Newcastle Biomedical Research Centre · GBAarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of deep brain stimulation (DBS) in the management of motor symptoms in patients with Parkinson's disease is well defined. However, it is becoming increasingly clear that DBS can either improve or worsen a number of non-motor phenomena.

objectivesWe examined the published literature to better understand the effects on autonomic symptoms following DBS of the subthalamic nucleus and the globus pallidus interna.

methodsWe conducted a PubMed search of studies regarding the effects of DBS on the autonomic system published from January 2001. We searched for the following terms and their combinations: Parkinson's disease, deep brain stimulation, subthalamic nucleus, globus pallidus interna, autonomic dysfunction.

resultsMost studies reported in the literature focus on DBS targeting the subthalamic nucleus, with particular emphasis on favorable outcomes regarding gastrointestinal function and bladder control. However, the emergence or worsening of autonomic symptoms in subgroups of patients has also been documented. More controversial is the effect of stimulation on the cardiovascular, pulmonary, and thermo-regulatory systems as well as sexual functioning. Data regarding the influence of DBS on the autonomic system when the target is the globus pallidus interna is less forthcoming, with target selection varying according to centre and clinical indication.

conclusionsDBS appears to affect the autonomic nervous system, with varying degrees of influence, which may or may not be clinically beneficial for the patient. A better understanding of these effects could help personalize stimulation for individual patients with autonomic disorders and/or avoid autonomic symptoms in susceptible patients.

Indexed as

autonomic systemdeep brain stimulationglobus pallidus internaParkinson's diseasesubthalamic nucleus

Identifiers

PMID32373653
PMCPMC7197307
OpenAlexW3010790798

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.