Evidence map›Paper›PMID 38747154›Full record

ArticleMovement disorders clinical practice2024

Understanding Anxiety in Cervical Dystonia: An Imaging Study.

Abhimanyu Mahajan, Travis Stoub, David A Gonzalez, Glenn Stebbins, Gabrielle Gray, Tila Warner-Rosen, Dana Sugar, Caroline Pylypyuk, Mandy Yu, Cynthia Comella

Abstract read
In one paragraph

Article in Movement disorders 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
–field-weighted citation impact
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.

  1. Stuttering and Dystonia: Is There a Possible Overlap?Movement disorders clinical practice · 2026
    Article
  2. Review
  3. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
  4. 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

10 authors.

Abhimanyu MahajanGardner Family Center For Parkinson's Disease and Movement Disorders, University of Cincinnati, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0001-8807-6672
Travis StoubDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
David A GonzalezDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-0882-7689
Glenn StebbinsDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Gabrielle GrayDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Tila Warner-RosenDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Dana SugarDivision of Movement disorders, Department of Neurology, University of New Mexico, Albuquerque, New Mexico, USA.
Caroline PylypyukDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Mandy YuDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Cynthia ComellaDepartment of Neurological Sciences, Rush University Medical Center, Chicago, Illinois, USA.

Funding

Dystonia Medical Research Foundation
6 · The paper itself

Abstract

backgroundAnxiety may precede motor symptoms in cervical dystonia (CD) and is associated with an earlier onset of dystonia. Our understanding of anxiety in CD is inadequate.

objectiveTo investigate brain networks associated with anxiety in CD.

methodsTwenty-six subjects with idiopathic CD underwent MRI Brain without contrast. Correlational tractography was derived using Diffusion MRI connectometry. Quantitative Anisotropy (QA) was used in deterministic diffusion fiber tracking. Correlational tractography was then used to correlate QA with State-Trait Anxiety Inventory (STAI) state (STAI-S) and trait (STAI-T) subscales.

resultsConnectometry analysis showed direct correlation between state anxiety and QA in tracts from amygdala to thalamus/ pulvinar bilaterally, and trait anxiety and QA in tracts from amygdala to motor cortex, sensorimotor cortex and parietal association area bilaterally (FDR ≤0.05).

conclusionOur efforts to map anxiety to brain networks in CD highlight the role of the amygdala in the pathophysiology of anxiety in CD.

Indexed as

AnxietyTorticollisAdultAgedAmygdalaBrainDiffusion Tensor ImagingFemaleHumansMagnetic Resonance ImagingMaleMiddle Agedanxietybotulinum toxincervical dystoniadystoniapersonality trait

Identifiers

PMID38747154
PMCPMC11329561

What OpenQuestion holds

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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.