Evidence map›Paper›PMID 38223351›Full record

ArticleNeurology. Clinical practice2024

Therapeutic Effects of Dual Dopaminergic Modulation With l-DOPA and Chlorpromazine in Patients With Idiopathic Cervical Dystonia.

Shinichi S Matsumoto, Hidetaka Koizumi, Hideki Shimazu, Satoshi Goto

Open access · greenAbstract readCase Reports
In one paragraph

Article in Neurology. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

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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

4 authors at 1 institution in 2 countries.

Shinichi S MatsumotoDepartment of Neurology (SSM), Osaka Neurological Institute; Department of Neurology (HK), Kyoto Prefectural Rehabilitation Hospital for the Disabled, Nakaashihara; Department of Pharmacology (HS), School of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Hyogo; Center for Drug Discovery and Development Sciences (SG), Research Organization of Science and Technology, Ritsumeikan University, Kyoto; and Department of Clinical Neuroscience (SG), Institute of Biomedical Sciences, Tokushima University, Japan.ORCID https://orcid.org/0000-0002-6755-8549
Hidetaka KoizumiDepartment of Neurology (SSM), Osaka Neurological Institute; Department of Neurology (HK), Kyoto Prefectural Rehabilitation Hospital for the Disabled, Nakaashihara; Department of Pharmacology (HS), School of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Hyogo; Center for Drug Discovery and Development Sciences (SG), Research Organization of Science and Technology, Ritsumeikan University, Kyoto; and Department of Clinical Neuroscience (SG), Institute of Biomedical Sciences, Tokushima University, Japan.ORCID https://orcid.org/0009-0003-0382-3926
Hideki ShimazuDepartment of Neurology (SSM), Osaka Neurological Institute; Department of Neurology (HK), Kyoto Prefectural Rehabilitation Hospital for the Disabled, Nakaashihara; Department of Pharmacology (HS), School of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Hyogo; Center for Drug Discovery and Development Sciences (SG), Research Organization of Science and Technology, Ritsumeikan University, Kyoto; and Department of Clinical Neuroscience (SG), Institute of Biomedical Sciences, Tokushima University, Japan.ORCID https://orcid.org/0000-0002-8507-5938
Satoshi GotoDepartment of Neurology (SSM), Osaka Neurological Institute; Department of Neurology (HK), Kyoto Prefectural Rehabilitation Hospital for the Disabled, Nakaashihara; Department of Pharmacology (HS), School of Pharmacy and Pharmaceutical Sciences, Mukogawa Women's University, Hyogo; Center for Drug Discovery and Development Sciences (SG), Research Organization of Science and Technology, Ritsumeikan University, Kyoto; and Department of Clinical Neuroscience (SG), Institute of Biomedical Sciences, Tokushima University, Japan.ORCID https://orcid.org/0000-0002-8238-5762
Mukogawa Women's University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Imbalanced activities between dopamine D Methods: We enrolled 21 patients with CD who responded poorly to botulinum toxin treatment. The severities of CD motor symptoms and CD-associated pain were determined using the Toronto Western Spasmodic Torticollis Rating Scale and the visual analog scale, respectively. Results: In patients with CD (n = 7), oral administration of l-DOPA combined with CPZ significantly attenuated both CD motor symptoms and CD-associated pain in a dose-related manner. By contrast, there was no improvement of CD symptoms in patients (n = 7) who ingested l-DOPA alone nor in those (n = 7) who ingested CPZ alone. Discussion: DDM with l-DOPA and CPZ may be an effective tool to treat dystonia symptoms in patients with botulinum toxin-resistant idiopathic CD. Our results may also indicate that CD dystonia symptoms could be attenuated through DDM inducing an increase in striosomal D Classification of Evidence: This study provides Class III evidence that treatment of botulinum toxin-resistant idiopathic cervical dystonia with l-DOPA and chlorpromazine is superior to either one alone.

Identifiers

PMID38223351
PMCPMC10783972
OpenAlexW4390629240

What OpenQuestion holds

Textmetadata
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.