Evidence map›Paper›PMID 32983612›Full record

ArticleNeurology. Clinical practice2020

Deep brain stimulation for orthostatic tremor: A single-center case series.

Angela L Hewitt, Bryan T Klassen, Kendall H Lee, Jamie J Van Gompel, Anhar Hassan

Open access · greenAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Effect of Orthostatic Tremor on Quality of Life - a Cohort Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  4. Observational
  5. Article
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 1 institution in 1 country.

Angela L HewittDepartment of Neurology (ALH, BTK, AH) and Department of Neurosurgery (KHL, JVG), Mayo Clinic, Rochester, MN.
Bryan T KlassenDepartment of Neurology (ALH, BTK, AH) and Department of Neurosurgery (KHL, JVG), Mayo Clinic, Rochester, MN.
Kendall H LeeDepartment of Neurology (ALH, BTK, AH) and Department of Neurosurgery (KHL, JVG), Mayo Clinic, Rochester, MN.
Jamie J Van GompelDepartment of Neurology (ALH, BTK, AH) and Department of Neurosurgery (KHL, JVG), Mayo Clinic, Rochester, MN.
Anhar HassanDepartment of Neurology (ALH, BTK, AH) and Department of Neurosurgery (KHL, JVG), Mayo Clinic, Rochester, MN.
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrthostatic tremor (OT) is a high-frequency weight-bearing tremor of the legs and trunk associated with progressive disability and is often refractory to medications. Case reports suggest that thalamic deep brain stimulation (DBS) is effective. We report 5 female patients with medication-refractory OT who underwent bilateral thalamic DBS at the Mayo Clinic and assess factors associated with a successful DBS outcome.

methodsDemographic, clinical, electrophysiology, and DBS data were abstracted. Outcomes were change in tremor-onset latency, standing time, standing ADLs, and patient and clinician global impression of change (PGIC; CGIC).

resultsAll 5 patients had improved standing time (72 vs 408 seconds,

conclusionsBilateral thalamic DBS improved OT symptoms with benefit lasting up to 6 years. A modest increase in standing time of several minutes was associated with meaningful improvement in standing ADLs. Microlesional effect and bilateral stimulation are likely favorable features, while baseline standing time of several minutes may be unfavorable. These findings may inform clinician and patient counseling and require confirmation in larger studies.

Identifiers

PMID32983612
PMCPMC7508346
OpenAlexW2973897880

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.