Evidence map›Paper›PMID 32647899›Full record

ArticleJournal of neurology2020

Deep brain stimulation reduces (nocturnal) dyskinetic exacerbations in patients with ADCY5 mutation: a case series.

Ana Luísa de Almeida Marcelino, Tina Mainka, Patricia Krause, Werner Poewe, Christos Ganos, Andrea A Kühn

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Psychiatric Disorders and Apathy in Mixed Movement Disorders Linked to ADCY5 (MxMD-ADCY5).Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. Article
  4. Mixed Movement Disorder Caused byCase reports in neurological medicine · 2026
    Article
  5. Article
  6. Treatment Efficacy of Theophylline in ADCY5-Related Dyskinesia: A Retrospective Case Series Study.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  7. Scoping Review on ADCY5-Related Movement Disorders.Movement disorders clinical practice · 2023
    Article
  8. ADCY5-related dyskinesia: a case report.Neurological research and practice · 2022
    Article
  9. Genetic updates on paroxysmal dyskinesias.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Review
  10. Paroxysmal Movement Disorders.Frontiers in neurology · 2021
    Review
  11. Review
  12. 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

6 authors at 4 institutions in 2 countries.

Ana Luísa de Almeida MarcelinoMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité Campus Mitte, Charité, University Medicine Berlin, Chariteplatz 1, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0002-3291-7222
Tina MainkaMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité Campus Mitte, Charité, University Medicine Berlin, Chariteplatz 1, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0002-0597-2648
Patricia KrauseMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité Campus Mitte, Charité, University Medicine Berlin, Chariteplatz 1, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0001-9063-0556
Werner PoeweDepartment of Neurology, Medical University Innsbruck, 6020, Innsbruck, Austria.ORCID http://orcid.org/0000-0003-4367-0971
Christos GanosMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité Campus Mitte, Charité, University Medicine Berlin, Chariteplatz 1, 10117, Berlin, Germany.ORCID http://orcid.org/0000-0001-8077-8530
Andrea A KühnMovement Disorder and Neuromodulation Unit, Department of Neurology, Charité Campus Mitte, Charité, University Medicine Berlin, Chariteplatz 1, 10117, Berlin, Germany. andrea.kuehn@charite.de.
Charité - Universitätsmedizin Berlin · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEGerman Center for Neurodegenerative Diseases · DEInnsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in the ADCY5 gene can cause a complex hyperkinetic movement disorder. Episodic exacerbations of dyskinesia are a particularly disturbing symptom as they occur predominantly during night and interrupt sleep. We present the clinical short- and long-term effects of pallidal deep brain stimulation (DBS) in three patients with a confirmed pathogenic ADCY5 mutation. Patients were implanted with bilateral pallidal DBS at the age of 34, 20 and 13 years. Medical records were reviewed for clinical history. Pre- and postoperative video files were assessed using the "Abnormal Involuntary Movement Scale" (AIMS) as well as the motor part of the "Burke Fahn Marsden Dystonia Rating Scale" (BFMDRS). All patients reported subjective general improvement ranging from 40 to 60%, especially the reduction of nocturnal episodic dyskinesias (80-90%). Objective scales revealed only a mild decrease of involuntary movements in all and reduced dystonia in one patient. DBS-induced effects were sustained up to 13 years after implantation. We demonstrate that treatment with pallidal DBS was effective in reducing nocturnal dyskinetic exacerbations in patients with ADCY5-related movement disorder, which was sustained over the long term.

Indexed as

Deep Brain StimulationDystonic DisordersAdenylyl CyclasesAdolescentAdultGlobus PallidusHumansMutationTreatment OutcomeYoung AdultAdenylyl Cyclasesadenylyl cyclase type VADCY5Deep brain stimulationDyskinesiaGlobus pallidus internusHyperkinetic movement disorder

Identifiers

PMID32647899
PMCPMC7674568
OpenAlexW3041941699

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.