Evidence map›Paper›PMID 35359213›Full record

ReviewNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

Essential tremor and cognitive impairment: who, how, and why.

Sandy Maria Cartella, Alessandro Bombaci, Gaetano Gallo, Claudia Ledda, Marta Pengo, Antonia Pignolo, Federico Emanuele Pozzi, Emanuele Spina, Assunta Trinchillo, Giovanni Palermo and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cognitive trajectories in older adults with essential tremor.Journal of the International Neuropsychological Society : JINS · 2025
    Article
  6. Article
  7. Article
  8. Effect of Orthostatic Tremor on Quality of Life - a Cohort Study.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  9. Article
  10. Article
  11. 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

12 authors at 8 institutions in 1 country.

Sandy Maria Cartella *Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. sandycartella92@gmail.com.ORCID http://orcid.org/0000-0003-2636-8113
Alessandro Bombaci *"Rita Levi Montalcini" Department of Neuroscience, University of Turin, Turin, Italy.
Gaetano Gallo *Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Claudia Ledda *"Rita Levi Montalcini" Department of Neuroscience, University of Turin, Turin, Italy.
Marta Pengo *Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Antonia Pignolo *Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy.
Federico Emanuele Pozzi *Neurology Department, Ospedale San Gerardo, Monza, Italy.
Emanuele Spina *Department of Neurosciences, Reproductive and Odontostomatology, University of Naples "Federico II" , Naples, Italy.
Assunta Trinchillo *Department of Neurosciences, Reproductive and Odontostomatology, University of Naples "Federico II" , Naples, Italy.
Giovanni Palermo *Department of Clinical and Experimental Medicine, Unit of Neurology, University of Pisa, Pisa, Italy.
Carmen Terranova *Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
on behaf of EduNet SIgN
University of Messina · ITUniversity of Naples Federico II · ITUniversity of Turin · ITAzienda Ospedaliera San Gerardo · ITSapienza University of Rome · ITUniversity of Brescia · ITUniversity of Palermo · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsRecent years have witnessed the switch from considering essential tremor (ET) a monosymptomatic disorder to consider it as part of a spectrum, including other neurological signs, such as mild cognitive impairment and dementia, thus defining it as "ET plus." There are few data on cognitive impairment in ET patients. The aim of this review is to analyze the clinical characteristics of ET patients developing cognitive impairment, their neuropsychological profile, the underpinning mechanisms, and the possible biomarkers.

methodsThe authors performed a narrative review on cognitive decline in essential tremor, including articles written in English since the year 2000. DISCUSSION: The most recent pathogenetic theories of cognitive impairment in ET rely on the cerebellar dysfunction, being part of the Cerebellar Cognitive Affective Syndrome spectrum. Cognitive impairment in ET patients could be assessed through many tests that demonstrate the involvement of different domains, such as attention, executive functions, and language. There are some clinical characteristics of ET that may indicate a greater risk of developing cognitive impairment, namely, cerebellar symptoms, falls, age at onset, and family history. However, there are no established clinical, neurophysiological, neuropathological, and fluid biomarkers of cognitive impairment in ET.

conclusionsIncreasing data are showing in ET the presence of cerebellar symptoms and cognitive impairment. Further studies are needed to better understand cognition in ET patients, and to define the boundary between ET and ET plus, since deeper phenotyping might have important clinical and therapeutic implications.

Indexed as

Cognition DisordersCognitive DysfunctionEssential TremorExecutive FunctionHumansNeuropsychological TestsBiomarkersCerebellumCognitive impairmentEssential tremorNeuropsychological tests

Identifiers

PMID35359213
OpenAlexW4220881557

What OpenQuestion holds

Textmetadata
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.