Evidence map›Paper›PMID 33192410›Full record

ArticleFrontiers in human neuroscience2020

STN Versus GPi Deep Brain Stimulation for Action and Rest Tremor in Parkinson's Disease.

Joshua K Wong, Vyas T Viswanathan, Kamilia S Nozile-Firth, Robert S Eisinger, Emma L Leone, Anuj M Desai, Kelly D Foote, Adolfo Ramirez-Zamora, Michael S Okun, Aparna Wagle Shukla

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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Motor evoked potentials as markers of internal capsule current spread during deep brain stimulation for Parkinson's disease.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2026
    Article
  3. Review
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  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Prospective Connectomic-Based Deep Brain Stimulation Programming for Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Intraoperative physiology augments atlas-based data in awake deep brain stimulation.Journal of neurology, neurosurgery, and psychiatry · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. 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

10 authors at 1 institution in 1 country.

Joshua K WongDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Vyas T ViswanathanDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Kamilia S Nozile-FirthDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Robert S EisingerDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Emma L LeoneDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Anuj M DesaiDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Kelly D FooteDepartment of Neurosurgery, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Adolfo Ramirez-ZamoraDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Michael S OkunDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
Aparna Wagle ShuklaDepartment of Neurology, Normal Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, United States.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the effects of subthalamic nucleus (STN) and globus pallidus internus (GPi), deep brain stimulation (DBS) on individual action tremor/postural tremor (AT) and rest tremor (RT) in Parkinson's disease (PD). Randomized DBS studies have reported marked benefit in tremor with both GPi and STN and DBS, however, there is a paucity of information available on AT vs RT when separated by the surgical target.

methodsWe retrospectively reviewed the 1-year clinical outcome of PD patients treated with STN and GPi DBS at the University of Florida. We specifically selected patients with moderate to severe AT. Eighty-eight patients (57 STN and 31 GPi) were evaluated at 6 and 12 months for changes in AT and RT in the OFF-medication/ON stimulation state. A comparison of "response" was performed and defined as greater than or equal to a 2-point decrease in tremor score.

resultsSTN and GPi DBS both improved AT at 6- and 12-months post-implantation (

conclusionBoth STN and GPi DBS reduced PD associated AT and RT at 12 months follow-up. There was no advantage of either brain target in the management of RT or AT. One nuance of the study was that STN DBS was more effective in suppressing AT in the early postoperative period, however, this effect diminished over time. Clinicians should be aware that it may take longer to achieve a similar tremor outcome when utilizing the GPi target.

Indexed as

deep brain stimulationGPiparkinson diseaseSTNtremor

Identifiers

PMID33192410
PMCPMC7651783
OpenAlexW3094261389

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.