Evidence map›Paper›PMID 34773159›Full record

ArticleJournal of neurology2022

Functional MRI connectivity of the primary motor cortex in functional dystonia patients.

Noemi Piramide, Elisabetta Sarasso, Aleksandra Tomic, Elisa Canu, Igor N Petrovic, Marina Svetel, Silvia Basaia, Natasa Dragasevic Miskovic, Vladimir S Kostic, Massimo Filippi and 1 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06328790 (A Window Into the Mind-brain-body Interplay), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 24% 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.

NCT06328790 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Window Into the Mind-brain-body Interplay: Development of Diagnostic, Prognostic Biomarkers and Rehabilitation Strategies in Functional Motor Disorders

TypeobservationalSponsorMichele Tinazzi, MD, PhDRan2023 to 2025Enrolled450ConditionsFunctional Motor DisordersArmsMultidisciplinary Rehabilitation Training, Cross-sectional study on patients with FMD and patients with structural/organic diseases, Cross-sectional study on patients with FMD and healthy controls (HC)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Can virtual reality interventions reduce falls in Parkinson's disease? A systematic review and meta-analysis of randomized trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  4. Observational
  5. Polyelectromyography Under Propofol to Differentiate Functional from Idiopathic Dystonia: A Pilot Study.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
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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

11 authors at 2 institutions in 2 countries.

Noemi PiramideNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Elisabetta SarassoNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Aleksandra TomicClinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Elisa CanuNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Igor N PetrovicClinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Marina SvetelClinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Silvia BasaiaNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Natasa Dragasevic MiskovicClinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Vladimir S KosticClinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Massimo FilippiNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy.
Federica AgostaNeuroimaging Research Unit, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina, 60, 20132, Milan, Italy. agosta.federica@hsr.it.ORCID http://orcid.org/0000-0003-3121-4979
Vita-Salute San Raffaele University · ITUniversity of Belgrade · RS

Funding

ministarstvo prosvete, nauke i tehnološkog razvoja #175090
6 · The paper itself

Abstract

backgroundFunctional movement disorders include a wide spectrum of clinically documented movement disorders without an apparent organic substrate.

objectiveTo explore the functional connectivity (FC) of the primary motor (M1) cortex in functional dystonia (FD) patients relative to healthy controls, with a focus on different clinical phenotypes.

methodsForty FD patients (12 fixed [FixFD]; 28 mobile [MobFD]) and 43 healthy controls (14 young FixFD-age-matched [yHC]; 29 old MobFD-age-matched [oHC]) underwent resting state fMRI. A seed-based FC analysis was performed using bilateral M1 as regions of interest.

resultsCompared to controls, FD patients showed reduced FC between left M1 and left dorsal anterior cingulate cortex, and between right M1 and left M1, premotor/supplementary motor area (SMA), dorsal posterior cingulate cortex (PCC), and bilateral precuneus. Relative to yHC, FixFD patients showed reduced FC between M1 and precuneus bilaterally. Compared to oHC, MobFD patients revealed reduced FC between right M1 and left M1, premotor/SMA, dorsal-PCC, bilateral primary sensory cortices and parieto-occipital areas, and increased FC of right M1 with right associative visual cortex and bilateral ventral-PCC. FixFD patients, relative to MobFD, showed lower FC between the right M1 and right associative visual area, and bilateral precuneus and ventral-PCC.

conclusionsThis study suggests an altered brain FC of the motor circuit with areas involved in emotional processes and sense of agency in FD. FixFD patients showed FC abnormalities mainly in areas related to sense of agency, while MobFD in regions involved in sensorimotor functions (reduced FC) and emotional processing (increased FC).

Indexed as

DystoniaDystonic DisordersMotor CortexBrainBrain MappingHumansMagnetic Resonance ImagingDystoniaFunctional magnetic resonance imaging (fMRI)PathophysiologyPsychogenic movement disorders (PMD)

Identifiers

PMID34773159
OpenAlexW3213947119

What OpenQuestion holds

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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.