Evidence map›Paper›PMID 38362012›Full record

ArticleFrontiers in neurology2023

MR-guided focused ultrasound thalamotomy for lithium-induced tremor: a case report and literature review.

Kate Gelman, Joseph Melott, Vishal Thakur, Abdul R Tarabishy, Ana Brandt, Peter Konrad, Manish Ranjan, Adeel A Memon

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
3.0field-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

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

  1. Pooled it
  2. Review
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

8 authors at 2 institutions in 1 country.

Kate GelmanSchool of Medicine, West Virginia University, Morgantown, WV, United States.
Joseph MelottSchool of Medicine, West Virginia University, Morgantown, WV, United States.
Vishal ThakurDepartment of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States.
Abdul R TarabishySchool of Medicine, West Virginia University, Morgantown, WV, United States.
Ana BrandtDepartment of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States.
Peter KonradDepartment of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States.
Manish RanjanDepartment of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States.
Adeel A MemonDepartment of Neurology, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, United States.
Blanchette Rockefeller Neurosciences Institute · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug-induced tremor is a common side effect of lithium with an occurrence of approximately 25% of patients. Cessation of the offending drug can be difficult, and many medical treatments for drug-induced tremor are ineffective. Deep brain stimulation (DBS) has been shown in a limited number of case reports to effectively reduce drug-induced tremor, however, which remains an invasive therapeutic option. MR-guided focused ultrasound (MRgFUS) thalamotomy is an FDA-approved non-invasive treatment for essential tremor (ET). To the best of our knowledge, MRgFUS thalamotomy has never been reported to treat drug-induced tremor. Here, we present a case of a left-handed 55-year-old man with a progressive, medically refractory lithium-induced tremor of the bilateral upper extremities. The patient underwent MRgFUS thalamotomy targeting the right ventral intermediate nucleus (VIM) of the thalamus to treat the left hand. There was almost complete resolution of his left-hand tremor immediately following MRgFUS. There were no side effects. The patient continues to show excellent tremor control at 90-day follow-up and remains free from side effects. This case demonstrates MRgFUS thalamotomy as a possible novel treatment option to treat drug-induced tremor.

Indexed as

case reporthigh-intensity focused ultrasound (HIFU)lithiumMR-guided focused ultrasound (MRgFUS)tremor

Identifiers

PMID38362012
PMCPMC10867204
OpenAlexW4391445740

What OpenQuestion holds

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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.