Evidence map›Paper›PMID 36184607›Full record

ArticleNeurological research and practice2022

Long-term efficacy with deep brain stimulation of the globus pallidus internus in cervical dystonia: a retrospective monocentric study.

Clemens Jacksch, Kirsten E Zeuner, Ann-Kristin Helmers, Karsten Witt, Günther Deuschl, Steffen Paschen

Open access · diamondAbstract read
In one paragraph

Article in Neurological research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Impact of Physiotherapy in the Treatment of Pain in Cervical Dystonia.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    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

6 authors at 2 institutions in 1 country.

Clemens JackschDepartment of Neurology, Christian Albrechts-University of Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany. Clemens.Jacksch@uksh.de.
Kirsten E ZeunerDepartment of Neurology, Christian Albrechts-University of Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
Ann-Kristin HelmersDepartment of Neurosurgery, Christian Albrechts-University of Kiel, Kiel, Germany.
Karsten WittDepartment of Neurology and Research Center Neurosensory Science, Carl Von Ossietzky University Oldenburg, Oldenburg, Germany.
Günther DeuschlDepartment of Neurology, Christian Albrechts-University of Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
Steffen PaschenDepartment of Neurology, Christian Albrechts-University of Kiel, Arnold-Heller-Str. 3, 24105, Kiel, Germany.
Kiel University · DECarl von Ossietzky Universität Oldenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical dystonia (CD) is characterized by involuntary contractions of the cervical muscles. Data on long-term effectiveness of deep brain stimulation (DBS) are rare. The aim of this study was to evaluate the longitudinal ten years treatment efficacy of DBS in the globus pallidus internus (GPI).

methodsA retrospective single-center data analysis was performed on patients with idiopathic CD, who were treated with GPI DBS for at least 10 years. TWSTR severity score and individual sub-items were compared between pre and post DBS surgery (n = 15) over time.

resultsThere was a significant and persistent positive effect regarding the severity of TWSTRS between the conditions immediately before and 1, 5, and 10 years after establishment of GPI DBS (mean difference: 6.6-7 ± 1.6). Patients with increasing CD complexity showed a poorer response to established treatment forms, such as injection of botulinum toxin and were thus DBS candidates. Especially a predominant torticollis was significantly improved by DBS.

conclusionGPI DBS is an effective procedure especially in severely affected patients with a positive 10-year outcome. It should be considered in more complex CD-forms or predominant torticollis.

Indexed as

Deep brain stimulationIdiopathic cervical dystoniaLong-term effectiveness

Identifiers

PMID36184607
PMCPMC9528120
OpenAlexW4299879799

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.