Evidence map›Paper›PMID 34261338›Full record

ReviewNeurodegenerative disease management2021

Neurophysiological biomarkers to optimize deep brain stimulation in movement disorders.

Daniel Sirica, Angela L Hewitt, Christopher G Tarolli, Miriam T Weber, Carol Zimmerman, Aida Santiago, Andrew Wensel, Jonathan W Mink, Karlo J Lizárraga

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Neurodegenerative disease management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06716983 (Multimodal Investigation of Cortico-Basal Ganglia-Thalamo-Cortical), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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.

NCT06716983 recruitingnot on this mapstarted 2023, after this paper: background citation

Multimodal Investigation of Cortico-Basal Ganglia-Thalamo-Cortical (CBGTC) Network Dynamics in Dystonic Patients With Deep Brain Stimulation (DBS)

TypeobservationalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2023 to 2026Enrolled15ConditionsDystoniaArmsfMRI, EEG-MEG, registration of local field potentials, genetic panel
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Local Field Potentials in Movement Disorders: A Narrative Review.Stereotactic and functional neurosurgery · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Closing the loop in DBS: A data-driven approach.Parkinsonism & related disorders · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Unraveling the threads of stability: A review of the neurophysiology of postural control in Parkinson's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. 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

9 authors at 1 institution in 1 country.

Daniel SiricaMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Angela L HewittMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.ORCID 0000-0001-6565-4011
Christopher G TarolliMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Miriam T WeberMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Carol ZimmermanMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Aida SantiagoMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Andrew WenselMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.
Jonathan W MinkMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.ORCID 0000-0002-7867-3710
Karlo J LizárragaMotor Physiology & Neuromodulation Program, Division of Movement Disorders, Department of Neurology, University of Rochester, Rochester, NY 14618, USA.ORCID 0000-0001-9766-6252
University of Rochester · US

Funding

University of Rochester Intellectual and Developmental Disabilities Research CenterP50HD103536 · NICHD · UNIVERSITY OF ROCHESTER · PI JOHN J FOXE, Anna K Majewska · 2020 to 2026
$9.8M
EXPERIMENTAL THERAPEUTICS IN NEUROLOGICAL DISEASET32NS007338 · NINDS · UNIVERSITY OF ROCHESTER · PI ROBERT G. HOLLOWAY, Michael P McDermott · 1990 to 2026
$6.4M
NICHD NIH HHS P50 HD103536NINDS NIH HHS T32 NS007338
6 · The paper itself

Abstract

Intraoperative neurophysiological information could increase accuracy of surgical deep brain stimulation (DBS) lead placement. Subsequently, DBS therapy could be optimized by specifically targeting pathological activity. In Parkinson's disease, local field potentials (LFPs) excessively synchronized in the beta band (13-35 Hz) correlate with akinetic-rigid symptoms and their response to DBS therapy, particularly low beta band suppression (13-20 Hz) and high frequency gamma facilitation (35-250 Hz). In dystonia, LFPs abnormally synchronize in the theta/alpha (4-13 Hz), beta and gamma (60-90 Hz) bands. Phasic dystonic symptoms and their response to DBS correlate with changes in theta/alpha synchronization. In essential tremor, LFPs excessively synchronize in the theta/alpha and beta bands. Adaptive DBS systems will individualize pathological characteristics of neurophysiological signals to automatically deliver therapeutic DBS pulses of specific spatial and temporal parameters.

Indexed as

BiomarkersDeep Brain StimulationDystoniaHumansMovement DisordersParkinson DiseaseBiomarkersdeep brain stimulationdystoniaessential tremorlocal field potentialsmicroelectrode recordingsneuromodulationneurophysiological biomarkersParkinson’s disease

Identifiers

PMID34261338
PMCPMC8977945
OpenAlexW3181752289

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.