Evidence map›Paper›PMID 32429216›Full record

ArticleBrain sciences2020

Modulation of Fibers to Motor Cortex during Thalamic DBS in Tourette Patients Correlates with Tic Reduction.

Pablo Andrade, Petra Heiden, Moritz Hoevels, Marc Schlamann, Juan C Baldermann, Daniel Huys, Veerle Visser-Vandewalle

Open access · goldAbstract read
In one paragraph

Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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 1 institution in 1 country.

Pablo AndradeDepartment of Stereotactic and Functional Neurosurgery, University Hospital of Cologne, 50397 Cologne, Germany.ORCID 0000-0002-2596-7301
Petra HeidenDepartment of Stereotactic and Functional Neurosurgery, University Hospital of Cologne, 50397 Cologne, Germany.
Moritz HoevelsDepartment of Stereotactic and Functional Neurosurgery, University Hospital of Cologne, 50397 Cologne, Germany.
Marc SchlamannDepartment of Neuroradiology, University Hospital of Cologne, 50397 Cologne, Germany.
Juan C BaldermannDepartment of Psychiatry and Psychotherapy, University Hospital of Cologne, 50397 Cologne, Germany.
Daniel HuysDepartment of Psychiatry and Psychotherapy, University Hospital of Cologne, 50397 Cologne, Germany.ORCID 0000-0002-9124-4128
Veerle Visser-VandewalleDepartment of Stereotactic and Functional Neurosurgery, University Hospital of Cologne, 50397 Cologne, Germany.
University Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Probabilistic tractography in Tourette syndrome (TS) patients have shown an alteration in the connectivity of the primary motor cortex and supplementary motor area with the striatum and thalamus, suggesting an abnormal connectivity of the cortico-striatum-thalamocortical-pathways in TS. Deep brain stimulation (DBS) of the centromedian nucleus-nucleus ventrooralis internus (CM-Voi complex) in the thalamus is an effective treatment for refractory TS patients. We investigated the connectivity of activated fibers from CM-Voi to the motor cortex and its correlation between these projections and their clinical outcome. Seven patients with TS underwent CM-Voi-DBS surgery and were clinically evaluated preoperatively and six months postoperatively. We performed diffusion tensor imaging to display the activated fibers projecting from the CM-Voi to the different motor cortex regions of interest. These analyses showed that the extent of tic reduction during DBS is associated with the degree of stimulation-dependent connectivity between CM-Voi and the motor cortex, and in particular, an increased density of projections to the presupplementary motor area (preSMA). Non-responder patients displayed the largest amount of active fibers projecting into cortical areas other than motor cortex compared to responder patients. These findings support the notion that an abnormal connectivity of thalamocortical pathways underlies TS, and that modulation of these circuits through DBS could restore the function and reduce symptoms.

Indexed as

connectivity, tractographydeep brain stimulationimagingTourette syndrome

Identifiers

PMID32429216
PMCPMC7287978
OpenAlexW3024210354

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Registered trials

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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.