Evidence map›Paper›PMID 34410614›Full record

ArticleCerebellum (London, England)2022

Therapeutic Use of Cerebellar Intermittent Theta Burst Stimulation (iTBS) in a Sardinian Family Affected by Spinocerebellar Ataxia 38 (SCA 38).

Angela Sanna, Paolo Follesa, Paolo Tacconi, Mariangela Serra, Maria Giuseppina Pisu, Viola Cocco, Michela Figorilli, Giovanni Defazio, Monica Puligheddu

Open access · hybridAbstract read
In one paragraph

Article in Cerebellum (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 30% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Theta-burst stimulation as a therapeutic tool in neurological pathology: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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 2 institutions in 1 country.

Angela SannaDepartment of Biomedical Sciences, University of Cagliari, Cagliari, Italy. angelasanna72@gmail.com.ORCID http://orcid.org/0000-0001-6390-3811
Paolo FollesaDepartment of Life and Environment Sciences, Section of Neuroscience and Anthropology and Center of Excellence for Neurobiology of Dependence, University of Cagliari, Cagliari, Italy.
Paolo TacconiSection of Neurology, University Hospital of Cagliari, Cagliari, Italy.
Mariangela SerraDepartment of Life and Environment Sciences, Section of Neuroscience and Anthropology and Center of Excellence for Neurobiology of Dependence, University of Cagliari, Cagliari, Italy.
Maria Giuseppina PisuNeuroscience Institute, National Research Council of Italy (CNR), Cagliari, Italy.
Viola CoccoDepartment of Medical Science and Public Health, Section of Neurology, University of Cagliari, Cagliari, Italy.
Michela FigorilliDepartment of Medical Science and Public Health, Section of Neurology, University of Cagliari, Cagliari, Italy.
Giovanni DefazioDepartment of Medical Science and Public Health, Section of Neurology, University of Cagliari, Cagliari, Italy.
Monica PulighedduDepartment of Medical Science and Public Health, Section of Neurology, University of Cagliari, Cagliari, Italy.
University of Cagliari · ITNeuroscience Institute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinocerebellar ataxia 38 (SCA 38) is an autosomal dominant disorder caused by conventional mutations in the ELOVL5 gene which encodes an enzyme involved in the synthesis of very long fatty acids, with a specific expression in cerebellar Purkinje cells. Three Italian families carrying the mutation, one of which is of Sardinian descent, have been identified and characterized. One session of cerebellar intermittent theta burst stimulation (iTBS) was applied to 6 affected members of the Sardinian family to probe motor cortex excitability measured by motor-evoked potentials (MEPs). Afterwards, patients were exposed to ten sessions of cerebellar real and sham iTBS in a cross-over study and clinical symptoms were evaluated before and after treatment by Modified International Cooperative Ataxia Rating Scale (MICARS). Moreover, serum BDNF levels were evaluated before and after real and sham cerebellar iTBS and the role of BDNF Val66Met polymorphism in influencing iTBS effect was explored. Present data show that one session of cerebellar iTBS was able to increase MEPs in all tested patients, suggesting an enhancement of the cerebello-thalamo-cortical pathway in SCA 38. MICARS scores were reduced after ten sessions of real cerebellar iTBS showing an improvement in clinical symptoms. Finally, although serum BDNF levels were not affected by cerebellar iTBS when considering all samples, segregating for genotype a difference was found between Val66Val and Val66Met carriers. These preliminary data suggest a potential therapeutic use of cerebellar iTBS in improving motor symptoms of SCA38.

Indexed as

Cerebellar AtaxiaSpinocerebellar AtaxiasAtaxiaBrain-Derived Neurotrophic FactorCross-Over StudiesEvoked Potentials, MotorHumansNeuronal PlasticityTranscranial Magnetic StimulationBrain-Derived Neurotrophic FactorBrain-derived neurotrophic factorCerebellar ataxiaSCA 38Theta burst stimulationTranscranial magnetic stimulation

Identifiers

PMID34410614
PMCPMC9325795
OpenAlexW3194048213

What OpenQuestion holds

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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.