Evidence map›Paper›PMID 35844288›Full record

ReviewMovement disorders clinical practice2022

DYT-TUBB4A (DYT4 Dystonia): Clinical Anthology of 11 Cases and Systematized Review.

Julien F Bally, Drew S Kern, Conor Fearon, Sarah Camargos, Francisco Pereira da Silva-Junior, Egberto Reis Barbosa, Laurie J Ozelius, Patricia de Carvalho Aguiar, Anthony E Lang

Open access · hybridAbstract readReview
In one paragraph

Review in Movement disorders clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Rediscovery of the Tubulin β-4A p.Arg2Gly Variant in Whispering Dysphonia: A Report from Austria.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  3. Monogenic disorders associated with motor speech phenotypes in children and adolescents undergoing clinical exome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  4. Review
  5. 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 6 institutions in 4 countries.

Julien F BallyService of Neurology, Department of Clinical Neurosciences Lausanne University Hospital and University of Lausanne Lausanne.ORCID https://orcid.org/0000-0002-0970-8844
Drew S KernDepartment of Neurology University of Colorado School of Medicine Aurora Colorado USA.
Conor FearonThe Edmond J Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital & University of Toronto Toronto Ontario.ORCID https://orcid.org/0000-0002-8172-6094
Sarah CamargosDepartment of Internal Medicine Universidade Federal de Minas Gerais Belo Horizonte Brazil.
Francisco Pereira da Silva-JuniorDepartment of Neurology Universidade de Sao Paulo Sao Paulo Brazil.
Egberto Reis BarbosaDepartment of Neurology Universidade de Sao Paulo Sao Paulo Brazil.
Laurie J OzeliusDepartment of Neurology Massachusetts General Hospital Boston Massachusetts USA.
Patricia de Carvalho AguiarHospital Israelita Albert Einstein Sao Paulo Brazil.
Anthony E LangThe Edmond J Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital & University of Toronto Toronto Ontario.
University of Toronto · CAUniversidade de São Paulo · BRHospital Israelita Albert Einstein · BRMassachusetts General Hospital · USUniversidade Federal de Minas Gerais · BRUniversity of Colorado Denver · US

Funding

TorsinA as a key link in receptor-mediated signalingP01NS087997 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI STANDAERT, DAVID G. · 2015 to 2019
$6.4M
NINDS NIH HHS P01 NS087997
6 · The paper itself

Abstract

Background: DYT-TUBB4A, formerly known as DYT4, has not been comprehensively described as only one large family and three individual cases have been published. We have recently described an in depth genetic and protein structural analysis of eleven additional cases from four families with four new pathogenic variants. We aim to report on the phenomenology of these cases suffering from DYT-TUBB4A and to perform a comprehensive review of the clinical presentation and treatment responses of all DYT-TUBB4A cases reported in the literature. Cases and Literature Review: The clinical picture was typically characterized by laryngeal dystonia (more than three quarters of all cases), associated with cervical dystonia, upper limb dystonia and frequent generalization. Extension of the dystonia to the lower limbs, creating the famous "hobby horse" gait, was present in more than 20% of cases (in only one of ours). Globus pallidus pars interna (GPi) deep brain stimulation (DBS), performed in 4 cases, led to a good improvement with greatest benefit in motoric and less benefit in laryngeal symptoms. Medical treatment was generally rather poorly effective, except some benefit from propranolol, tetrabenazine and alcohol intake. Conclusion: Laryngeal involvement is a hallmark of DYT-TUBB4A. Symptomatic treatment with GPi-DBS led to the greatest benefit in motoric symptoms. Nevertheless,

Indexed as

dystoniaDYT4spasmodic dysphoniaTUBB4A

Identifiers

PMID35844288
PMCPMC9274350
OpenAlexW4224217028

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.