Evidence map›Paper›PMID 35585436›Full record

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

Neurological soft signs are increased in migraine without aura: relationship with the affective status.

Lucio Tremolizzo, Daniele Selvatico, Federico Emanuele Pozzi, Diletta Cereda, Jacopo Cosimo DiFrancesco, Lorenzo Fumagalli, Carlo Ferrarese, Ildebrando Appollonio

Open access · hybridAbstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 53% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Neurological soft signs in neurodegenerative dementias: Results of the DemeNSS study.PCN reports : psychiatry and clinical neurosciences · 2025
    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

8 authors at 2 institutions in 1 country.

Lucio TremolizzoNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy. lucio.tremolizzo@unimib.it.ORCID http://orcid.org/0000-0003-0473-6560
Daniele SelvaticoSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Federico Emanuele PozziNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Diletta CeredaNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Jacopo Cosimo DiFrancescoNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Lorenzo FumagalliNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Carlo FerrareseNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Ildebrando AppollonioNeurology Unit, ASST Monza, San Gerardo Hospital, Monza, Italy.
Azienda Ospedaliera San Gerardo · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurological soft signs (NSS) are subtle non-localizing sensorimotor abnormalities initially reported as increased in primary headache patients. The aims of this study were confirming with full power NSS increased expression in migraine and, collaterally, determining if psychiatric traits or white matter lesions at brain imaging could influence this result.

methodsForty drug-free episodic migraine outpatients (MH) were recruited with 40 matched controls. NSS were determined by the 16-item Heidelberg scale; depression, anxiety and QoL by the HAM-D; the STAI-X1/X2; and the SF36, respectively. The Fazekas scale on brain MR studies was applied in n = 32 MH, unravelling deep white matter signal alterations (DWM). MH characteristics, including the headache disability inventory (HDI), were recorded.

resultsNSS were 46% increased in MH vs. controls (p = 0.0001). HAM-D and STAI-X1/X2 were increased in MH, while SF36 was unchanged, but they all failed to influence NSS, just as MH characteristics. NSS scores were increased in MH-DWM + (n = 11, + 85%) vs. MH-DWM - (n = 21, + 27%) vs. controls (p < 0.0001). NSS increased expression in MH was influenced by DWM, while psychiatric traits and headache characteristics failed to do so. DISCUSSION/

conclusionsNSS are increased in MH and probably not influenced by the affective status, possibly marking a dysfunction within the cerebellar-thalamic-prefrontal circuit that may deserve further attention from the prognostic point of view.

Indexed as

Migraine without AuraSchizophreniaHeadacheHumansMagnetic Resonance ImagingNeurologic ExaminationQuality of LifeAnxietyBrain imagingDepressionHeadacheMigraineNeurological soft signs

Identifiers

PMID35585436
PMCPMC9474476
OpenAlexW4280586358

What OpenQuestion holds

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LicenceCC BY
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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.