Evidence map›Paper›PMID 36890650›Full record

ArticleCNS neuroscience & therapeutics2023

Deep brain stimulation may be a viable option for resistant to treatment aggression in children with intellectual disability.

Juan Carlos Benedetti-Isaac, Loida Camargo, Martin Torres Zambrano, Esther Perea-Castro, Edgard Castillo-Tamara, Nicole Caldichoury, Jorge Herrera-Pino, Yuliana Flórez, María Porto, Norman López

Open access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. 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

10 authors at 6 institutions in 4 countries.

Juan Carlos Benedetti-IsaacMedihelp Clinic, Cartagena, Colombia.ORCID 0000-0002-2307-6724
Loida CamargoFacultad de Medicina, Universidad de Cartagena, Cartagena, Colombia.ORCID 0000-0003-0056-6832
Martin Torres ZambranoEscuela de Medicina, Universidad del Sinú, Cartagena, Colombia.ORCID 0000-0002-1360-3041
Esther Perea-CastroEscuela de Medicina, Universidad del Sinú, Cartagena, Colombia.ORCID 0000-0002-8445-9235
Edgard Castillo-TamaraEscuela de Medicina, Universidad del Sinú, Cartagena, Colombia.ORCID 0000-0001-8084-8586
Nicole CaldichouryUniversidad de Los Lagos, Osorno, Chile.ORCID 0000-0003-0813-5324
Jorge Herrera-PinoFlorida International University, Miami, USA.ORCID 0000-0002-2690-4791
Yuliana FlórezUniversidad de La Costa, Barranquilla, Colombia.ORCID 0000-0001-6463-3411
María PortoDepartment of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-3927-5808
Norman LópezUniversidad de La Costa, Barranquilla, Colombia.ORCID 0000-0003-1272-7429
Universidad del Sinú · COUniversity of Cartagena · COUniversity of the Coast · COFlorida International University · USUniversidad de Los Lagos · CLUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDeep brain stimulation (DBS) is a surgical technique used to manage aggression in patients who do not improve despite the use of appropriate drug treatment.

objectiveThe objective of this study is to assess the impact of DBS on aggressive behavior refractory to the pharmacological and behavioral treatment of patients with Intellectual Disabilities (ID).

methodsA follow-up was conducted on a cohort of 12 patients with severe ID, undergoing DBS in posteromedial hypothalamic nuclei; evaluated with the Overt Aggression Scale (OAS), before the intervention, at 6, 12, and 18 months of medical follow-up.

resultsAfter the surgical procedure, there was a significant reduction in the aggressiveness of patients in the follow-up medical evaluation at 6 months (t = 10.14; p < 0.01), 12 months (t = 14.06; p < 0.01), and 18 months (t = 15.34; p < 0.01), respect to the initial measurement; with a very large effect size (6 months: d = 2.71; 12 months: d = 3.75; 18 months: d = 4.10). From 12 months onward, emotional control stabilized and is sustained at 18 months (t = 1.24; p > 0.05).

conclusionDBS in posteromedial hypothalamic nuclei may be an effective treatment for the management of aggression in patients with ID refractory to pharmacological treatment.

Indexed as

Deep Brain StimulationIntellectual DisabilityAggressionChildHumansHypothalamusTreatment Outcomeaggressive behaviordeep brain stimulationhypothalamic nucleisevere intellectual disability

Identifiers

PMID36890650
PMCPMC10324351
OpenAlexW4323652637

What OpenQuestion holds

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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.