Evidence map›Paper›PMID 37920445›Full record

ArticleDystonia (Lausanne, Switzerland)2023

Anatomical categorization of isolated non-focal dystonia: novel and existing patterns using a data-driven approach.

J R Younce, R H Cascella, B D Berman, H A Jinnah, S Bellows, J Feuerstein, A Wagle Shukla, A Mahajan, F C F Chang, K R Duque and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Dystonia (Lausanne, Switzerland), 2023. 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
0.2field-weighted citation impact, top 45% 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. 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

16 authors at 14 institutions in 2 countries.

J R YounceDepartment of Neurology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
R H CascellaSchool of Medicine, Washington University, St. Louis, MO, United States.
B D BermanDepartment of Neurology, Virginia Commonwealth University, Richmond, VA, United States.
H A JinnahDepartment of Neurology, Emory University, Atlanta, GA, United States.
S BellowsDepartment of Neurology, Baylor College of Medicine, Houston, TX, United States.
J FeuersteinDepartment of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
A Wagle ShuklaDepartment of Neurology, University of Florida, Gainesville, FL, United States.
A MahajanRush Parkinson's Disease and Movement Disorders Program, Rush University Medical Center, Chicago, IL, United States.
F C F ChangMovement Disorders Unit, Neurology Department, Westmead Hospital & Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
K R DuqueJames J. and Joan A. Gardner Family Center for Parkinson's Disease and Movement Disorders, Department of Neurology, University of Cincinnati, Cincinnati, OH, United States.
S ReichDepartment of Neurology, University of Maryland, Baltimore, MD, United States.
S Pirio RichardsonDepartment of Neurology, University of New Mexico and New Mexico VA Healthcare System, Albuquerque, NM, United States.
A DeikParkinson Disease and Movement Disorders Center, Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States.
N StoverDepartment of Neurology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
J M LunaDepartment of Radiology, School of Medicine, Washington University, St. Louis, MO, United States.
S A NorrisDepartment of Radiology, School of Medicine, Washington University, St. Louis, MO, United States.
Washington University in St. Louis · USAdvanced Imaging Research (United States) · USBaylor College of Medicine · USEmory University · USNew Mexico VA Health Care System · USRush University Medical Center · USThe University of Sydney · AUUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Florida · USUniversity of Maryland, Baltimore · USUniversity of Pennsylvania · USVirginia Commonwealth University · US

Funding

Project 3: LRRK2 mediated macrophage responses in PDP50NS108675 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YACOUBIAN, TALENE ALENE · 2018 to 2022
$9.9M
Dystonia Coalition- Pilot ProjectU54NS116025 · NINDS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2019 to 2023
$7.1M
Dystonia CoalitionU54NS065701 · NINDS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2009 to 2014
$7.0M
The Role of Striatal Cholinergic Interneurons in DystoniaR01NS124789 · NINDS · WASHINGTON UNIVERSITY · PI Scott Allen Norris · 2022 to 2026
$3.0M
Progressive resistance exercise and dystonia pathophysiology.R01NS122943 · NINDS · UNIVERSITY OF FLORIDA · PI Aparna Wagle Shukla · 2022 to 2026
$2.5M
Dystonia CoalitionU54TR001456 · NCATS · EMORY UNIVERSITY · PI JINNAH, HYDER A · 2015 to 2016
$2.5M
Cerebellar and Basal Ganglia Markers Underlie Neuromotor Impairments in Adults with Autism Spectrum Disorder (ASD)R01NS121120 · NINDS · UNIVERSITY OF FLORIDA · PI WANG, ZHENG · 2021 to 2025
$1.9M
Antigen Decoding by T cellsR01GM109899 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUSE, MORGAN A, WEINER, ORION D · 2014 to 2017
$1.3M
Prediction of outcomes for deep brain stimulation using multimodal MRIK23NS121630 · NINDS · WASHINGTON UNIVERSITY · PI John Robert Younce · 2022 to 2026
$907k
NCATS NIH HHS U54 TR001456NIGMS NIH HHS R01 GM109899NINDS NIH HHS K23 NS121630NINDS NIH HHS P50 NS108675NINDS NIH HHS R01 NS121120NINDS NIH HHS R01 NS122943NINDS NIH HHS R01 NS124789NINDS NIH HHS U54 NS065701NINDS NIH HHS U54 NS116025
6 · The paper itself

Abstract

According to expert consensus, dystonia can be classified as focal, segmental, multifocal, and generalized, based on the affected body distribution. To provide an empirical and data-driven approach to categorizing these distributions, we used a data-driven clustering approach to compare frequency and co-occurrence rates of non-focal dystonia in pre-defined body regions using the Dystonia Coalition (DC) dataset. We analyzed 1,618 participants with isolated non-focal dystonia from the DC database. The analytic approach included construction of frequency tables, variable-wise analysis using hierarchical clustering and independent component analysis (ICA), and case-wise consensus hierarchical clustering to describe associations and clusters for dystonia affecting any combination of eighteen pre-defined body regions. Variable-wise hierarchical clustering demonstrated closest relationships between bilateral upper legs (distance = 0.40), upper and lower face (distance = 0.45), bilateral hands (distance = 0.53), and bilateral feet (distance = 0.53). ICA demonstrated clear grouping for the a) bilateral hands, b) neck, and c) upper and lower face. Case-wise consensus hierarchical clustering at k = 9 identified 3 major clusters. Major clusters consisted primarily of a) cervical dystonia with nearby regions, b) bilateral hand dystonia, and c) cranial dystonia. Our data-driven approach in a large dataset of isolated non-focal dystonia reinforces common segmental patterns in cranial and cervical regions. We observed unexpectedly strong associations between bilateral upper or lower limbs, which suggests that symmetric multifocal patterns may represent a previously underrecognized dystonia subtype.

Indexed as

clusteringdystoniaDystonia Coalitionnon-focalsegmental

Identifiers

PMID37920445
PMCPMC10621194
OpenAlexW4380050383

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.