Evidence map›Paper›PMID 38388734›Full record

ArticleNature neuroscience2024

Mapping dysfunctional circuits in the frontal cortex using deep brain stimulation.

Barbara Hollunder, Jill L Ostrem, Ilkem Aysu Sahin, Nanditha Rajamani, Simón Oxenford, Konstantin Butenko, Clemens Neudorfer, Pablo Reinhardt, Patricia Zvarova, Mircea Polosan and 29 more

Open access · hybridAbstract read
In one paragraph

Article in Nature neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 2 pooled it
49.5field-weighted citation impact, top 1% 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

93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
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  17. Beyond the Homunculus-SCAN-AMN as a Shared Action-Oriented Neural Substrate across Movement Disorders.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  18. Macroscale Gradient-Informed Neural Oscillation Topography in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  19. Article
  20. Article

33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 18 institutions in 9 countries.

Barbara HollunderMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-0104-6927
Jill L OstremMovement Disorders and Neuromodulation Centre, Department of Neurology, University of California, San Francisco, San Francisco, CA, USA.
Ilkem Aysu SahinMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0009-0005-9951-374X
Nanditha RajamaniMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Simón OxenfordMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-2989-3861
Konstantin ButenkoCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Clemens NeudorferCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Pablo ReinhardtDepartment of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Patricia ZvarovaMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Mircea PolosanUniversité Grenoble Alpes, Grenoble, France.
Harith AkramUnit of Functional Neurosurgery, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-2899-628X
Matteo VissaniDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3908-7620
Chencheng ZhangDepartment of Neurosurgery, Rujin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0003-4472-4134
Bomin SunDepartment of Neurosurgery, Rujin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0001-5931-2197
Pavel NavratilDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Martin M ReichDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0001-9115-5136
Jens VolkmannDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.
Fang-Cheng YehDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-7946-2173
Juan Carlos BaldermannDepartment of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-5851-9268
Till A DembekCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7023-146X
Veerle Visser-VandewalleDepartment of Stereotactic and Functional Neurosurgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0002-5274-7929
Eduardo Joaquim Lopes AlhoClinic of Pain and Functional Neurosurgery, São Paulo, Brazil.
Paulo Roberto FranceschiniDepartment of Neurology and Neurosurgery, University of Caxias do Sul, Rio Grande do Sul, Brazil.
Pranav NandaDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Carsten FinkeEinstein Center for Neurosciences Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-7665-1171
Andrea A KühnMovement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4134-9060
Darin D DoughertyDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4691-4353
R Mark RichardsonDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2620-7387
Hagai BergmanEdmond and Lily Safra Center for Brain Sciences, The Hebrew University, Jerusalem, Israel.ORCID http://orcid.org/0000-0002-2402-6673
Mahlon R DeLongDepartment of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Alberto MazzoniThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Luigi M RomitoParkinson and Movement Disorders Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.ORCID http://orcid.org/0000-0002-6772-1035
Himanshu TyagiUnit of Functional Neurosurgery, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-4927-4972
Ludvic ZrinzoUnit of Functional Neurosurgery, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0002-6013-4946
Eileen M JoyceUnit of Functional Neurosurgery, UCL Queen Square Institute of Neurology, London, UK.ORCID http://orcid.org/0000-0003-0469-2844
Stephan ChabardesUniversité Grenoble Alpes, Grenoble, France.
Philip A StarrDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-2733-4003
Ningfei Li *Movement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany. ningfei.li@gmail.com.ORCID http://orcid.org/0000-0003-3315-3591
Andreas Horn *Movement Disorders and Neuromodulation Unit, Department of Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany. ahorn1@bwh.harvard.edu.ORCID http://orcid.org/0000-0002-0695-6025
Harvard University · USCharité - Universitätsmedizin Berlin · DENational Hospital for Neurology and Neurosurgery · GBBrigham and Women's Hospital · USHumboldt-Universität zu Berlin · DEUniversitätsklinikum Würzburg · DEEinstein Center for Neurosciences Berlin · DEInserm · FRShanghai Jiao Tong University · CNUniversity of Cologne · DECentre for Movement Disorders · CAEmory University · USFondazione IRCCS Istituto Neurologico Carlo Besta · ITHebrew University of Jerusalem · ILScuola Superiore Sant'Anna · ITUniversidade de Caxias do Sul · BRUniversity of California, San Francisco · USUniversity of Pittsburgh · US

Funding

BRAIN CONNECTS: The center for Large-scale Imaging of Neural Circuits (LINC)UM1NS132358 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Suzanne N Haber, Elizabeth M. C. Hillman · 2023 to 2026
$17.5M
Using human brain connectivity to identify the causal neuroanatomical substrate of depression symptomsR01MH113929 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2017 to 2026
$6.9M
Toward Connectomic Deep Brain Stimulation in Obsessive Compulsive DisorderR01MH130666 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.9M
Using Brain Lesions and Deep Brain Stimulation to Identify an Epilepsy CircuitR01NS127892 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.4M
Medical Research Council MR/J012009/1NIMH NIH HHS R01 MH113929NIMH NIH HHS R01 MH130666NINDS NIH HHS R01 NS127892NINDS NIH HHS UM1 NS132358
6 · The paper itself

Abstract

Frontal circuits play a critical role in motor, cognitive and affective processing, and their dysfunction may result in a variety of brain disorders. However, exactly which frontal domains mediate which (dys)functions remains largely elusive. We studied 534 deep brain stimulation electrodes implanted to treat four different brain disorders. By analyzing which connections were modulated for optimal therapeutic response across these disorders, we segregated the frontal cortex into circuits that had become dysfunctional in each of them. Dysfunctional circuits were topographically arranged from occipital to frontal, ranging from interconnections with sensorimotor cortices in dystonia, the primary motor cortex in Tourette's syndrome, the supplementary motor area in Parkinson's disease, to ventromedial prefrontal and anterior cingulate cortices in obsessive-compulsive disorder. Our findings highlight the integration of deep brain stimulation with brain connectomics as a powerful tool to explore couplings between brain structure and functional impairments in the human brain.

Indexed as

Deep Brain StimulationMotor CortexParkinson DiseaseBrainBrain MappingHumans

Identifiers

PMID38388734
PMCPMC10917675
OpenAlexW4392032200

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.