Evidence map›Paper›PMID 36979732›Full record

ArticleBiomedicines2023

Cortico-Subcortical White Matter Bundle Changes in Cervical Dystonia and Blepharospasm.

Costanza Giannì, Claudia Piervincenzi, Daniele Belvisi, Silvia Tommasin, Maria Ilenia De Bartolo, Gina Ferrazzano, Nikolaos Petsas, Giorgio Leodori, Nicoletta Fantoni, Antonella Conte and 2 more

Open access · goldFull text read
In one paragraph

Article in Biomedicines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
  4. Article
  5. Understanding Anxiety in Cervical Dystonia: An Imaging Study.Movement disorders clinical practice · 2024
    Article
  6. Article
  7. 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 2 institutions in 1 country.

Costanza GiannìDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0002-4018-169X
Claudia PiervincenziDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0002-7732-2062
Daniele BelvisiDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.
Silvia TommasinDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0001-9088-7968
Maria Ilenia De BartoloRadiology Department, IRCCS Neuromed, 86077 Isernia, Italy.
Gina FerrazzanoDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.
Nikolaos PetsasDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0001-7150-9697
Giorgio LeodoriDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0002-6631-6740
Nicoletta FantoniDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.
Antonella ConteDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0002-6338-2961
Alfredo BerardelliDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.
Patrizia PantanoDipartimento di Neuroscienze Umane, Sapienza Università di Roma, 00185 Rome, Italy.ORCID 0000-0001-9659-8294
Istituto Neurologico Mediterraneo · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dystonia is thought to be a network disorder due to abnormalities in the basal ganglia-thalamo-cortical circuit. We aimed to investigate the white matter (WM) microstructural damage of bundles connecting pre-defined subcortical and cortical regions in cervical dystonia (CD) and blepharospasm (BSP). Thirty-five patients (17 with CD and 18 with BSP) and 17 healthy subjects underwent MRI, including diffusion tensor imaging (DTI). Probabilistic tractography (BedpostX) was performed to reconstruct WM tracts connecting the globus pallidus, putamen and thalamus with the primary motor, primary sensory and supplementary motor cortices. WM tract integrity was evaluated by deriving their DTI metrics. Significant differences in mean, radial and axial diffusivity between CD and HS and between BSP and HS were found in the majority of the reconstructed WM tracts, while no differences were found between the two groups of patients. The observation of abnormalities in DTI metrics of specific WM tracts suggests a diffuse and extensive loss of WM integrity as a common feature of CD and BSP, aligning with the increasing evidence of microstructural damage of several brain regions belonging to specific circuits, such as the basal ganglia-thalamo-cortical circuit, which likely reflects a common pathophysiological mechanism of focal dystonia.

Indexed as

basal ganglia-thalamo-cortical circuitblepharospasmcervical dystoniadiffusion tensor imagingfocal dystoniaprobabilistic tractographystructural MRIwhite matter

Identifiers

PMID36979732
PMCPMC10044819
OpenAlexW4322770206

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.