Evidence map›Paper›PMID 33066158›Full record

ArticleBrain sciences2020

Functional Neural Changes after Low-Frequency Bilateral Globus Pallidus Internus Deep Brain Stimulation for Post-Hypoxic Cortical Myoclonus: Voxel-Based Subtraction Analysis of Serial Positron Emission.

Myung Ji Kim, So Hee Park, Kyoung Heo, Jin Woo Chang, Joong Il Kim, Won Seok Chang

Open access · goldAbstract readCase Reports
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 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 35% 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, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Lance-Adams Syndrome: An Updated Review of a Rare Post-Hypoxic Complication.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Review
  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

6 authors at 2 institutions in 1 country.

Myung Ji KimDepartment of Neurosurgery, Brain Research Institute, College of Medicine, Yonsei University, Seoul 03722, Korea.ORCID 0000-0002-3260-1703
So Hee ParkDepartment of Neurosurgery, Brain Research Institute, College of Medicine, Yonsei University, Seoul 03722, Korea.
Kyoung HeoDepartment of Neurology, College of Medicine, Yonsei University, Seoul 03722, Korea.
Jin Woo ChangDepartment of Neurosurgery, Brain Research Institute, College of Medicine, Yonsei University, Seoul 03722, Korea.ORCID 0000-0002-2717-0101
Joong Il KimFuture Medicine Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea.ORCID 0000-0001-5538-6674
Won Seok ChangDepartment of Neurosurgery, Brain Research Institute, College of Medicine, Yonsei University, Seoul 03722, Korea.ORCID 0000-0003-3145-4016
Yonsei University · KRKorea Institute of Oriental Medicine · KR

Funding

National Research Foundation of Korea [2016M3C7A1914123]National Research Foundation of Korea [NRF-2020R1A2C2008480]
6 · The paper itself

Abstract

Post-hypoxic myoclonus (PHM) and Lance-Adams syndrome (LAS) are rare conditions following cardiopulmonary resuscitation. The aim of this study was to identify functional activity in the cerebral cortex after a hypoxic event and to investigate alterations that could be modulated by deep brain stimulation (DBS). A voxel-based subtraction analysis of serial positron emission tomography (PET) scans was performed in a 34-year-old woman with chronic medically refractory PHM that improved with bilateral globus pallidus internus (Gpi) DBS implanted three years after the hypoxic event. The patient required low-frequency stimulation to show myoclonus improvement. Using voxel-based statistical parametric mapping, we identified a decrease in glucose metabolism in the prefrontal lobe including the dorsolateral, orbito-, and inferior prefrontal cortex, which was suspected to be the origin of the myoclonus from postoperative PET/magnetic resonance imaging (MRI) after DBS. Based on the present study results, voxel-based subtraction of PET appears to be a useful approach for monitoring patients with PHM treated with DBS. Further investigation and continuous follow-up on the use of PET analysis and DBS treatment for patients with PHM are necessary to help understanding the pathophysiology of PHM, or LAS.

Indexed as

deep brain stimulation (DBS)globus pallidum internus (Gpi)Lance–Adams syndrome (LAS)PET/MRI co-registrationpost hypoxic myoclonus (PHM)voxel-based subtraction analysis

Identifiers

PMID33066158
PMCPMC7650619
OpenAlexW3093255178

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.