Evidence map›Paper›PMID 32457588›Full record

ArticleFrontiers in human neuroscience2020

Cortical Inhibitory Imbalance in Functional Paralysis.

Alberto Benussi, Enrico Premi, Valentina Cantoni, Silvia Compostella, Eugenio Magni, Nicola Gilberti, Veronica Vergani, Ilenia Delrio, Massimo Gamba, Raffaella Spezi and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 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
0.6field-weighted citation impact, top 33% 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, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Clinical diagnostic utility of transcranial magnetic stimulation in neurological disorders. Updated report of an IFCN committee.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2023
    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

15 authors at 4 institutions in 1 country.

Alberto BenussiNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Enrico PremiStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Valentina CantoniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Silvia CompostellaNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Eugenio MagniU.O. Neurologia, Fondazione Poliambulanza Hospital, Brescia, Italy.
Nicola GilbertiStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Veronica VerganiStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Ilenia DelrioStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Massimo GambaStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Raffaella SpeziStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Angelo CostaStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Michele TinazziNeurology Unit, Movement Disorders Division, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Alessandro PadovaniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Barbara BorroniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Mauro MagoniStroke Unit, Azienda Socio Sanitaria Territoriale Spedali Civili, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Brescia · ITFondazione Poliambulanza Istituto Ospedaliero · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFunctional neurological disorders are characterized by neurological symptoms that have no identifiable pathology and little is known about their underlying pathophysiology.

objectivesTo analyze motor cortex excitability and intracortical inhibitory and excitatory circuits' imbalance in patients with flaccid functional weakness.

methodsTwenty-one consecutive patients with acute onset of flaccid functional weakness were recruited. Single and paired-pulse transcranial magnetic stimulation (TMS) protocols were used to analyze resting motor thresholds (RMT) and intracortical inhibitory (short interval intracortical inhibition - SICI) and excitatory (intracortical facilitation - ICF) circuits' imbalance between the affected and non-affected motor cortices.

resultsWe observed a significant increase in RMT and SICI in the affected motor cortex (

conclusionThis study extends current knowledge of functional weakness, arguing for a specific central nervous system abnormality which may be involved in the symptoms' pathophysiology.

Indexed as

functional neurological disordersfunctional paralysismotor thresholdshort interval intracortical inhibitiontranscranial magnetic stimulation

Identifiers

PMID32457588
PMCPMC7220997
OpenAlexW3022329516

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.