Evidence map›Paper›PMID 38822147›Full record

ArticleJournal of neurology2024

Motor and non-motor outcome in tremor dominant Parkinson's disease after MR-guided focused ultrasound thalamotomy.

Veronika Purrer, Emily Pohl, Valeri Borger, Hannah Weiland, Henning Boecker, Frederic Carsten Schmeel, Ullrich Wüllner

Abstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Advanced Therapeutics in Parkinson's Disease: What's New?Current neurology and neuroscience reports · 2026
    Review
  5. Article
  6. Article
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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

7 authors.

Veronika PurrerDepartment of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. Veronika.Purrer@ukbonn.de.ORCID http://orcid.org/0000-0002-8972-5483
Emily PohlDepartment of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Valeri BorgerDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Hannah WeilandDepartment of Diagnostic and Interventional Radiology, University Hospital Bonn, Bonn, Germany.
Henning BoeckerGerman Centre of Neurodegenerative Diseases (DZNE), Bonn, Bonn, Germany.
Frederic Carsten SchmeelGerman Centre of Neurodegenerative Diseases (DZNE), Bonn, Bonn, Germany.
Ullrich WüllnerDepartment of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.

Funding

Deutsche Forschungsgemeinschaft INST 1172/64-1
6 · The paper itself

Abstract

BACKGROUND AND

objectivesMagnetic Resonance-guided Focused Ultrasound (MRgFUS) is an emerging technique for the treatment of severe, medication-refractory tremor syndromes. We here report motor and non-motor outcomes 6 and 12 months after unilateral MRgFUS thalamotomy in tremor-dominant Parkinson's disease (tdPD).

methods25 patients with tdPD underwent neuropsychological evaluation including standardized questionnaires of disability, quality of life (QoL), mood, anxiety, apathy, sleep disturbances, and cognition at baseline, 6 and 12 months after MRgFUS. Motor outcome was evaluated using the Clinical Rating Scale for Tremor (CRST) and Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS). In addition, side effects and QoL of family caregivers were assessed.

results12 months after MRgFUS significant improvements were evident in the tremor subscores. Patients with concomitant rest and postural tremor showed better tremor outcomes compared to patients with predominant rest tremor. There were no differences in the non-motor assessments. No cognitive decline was observed. Side effects were mostly transient (54%) and classified as mild (62%). No changes in the caregivers' QoL could be observed.

conclusionWe found no changes in mood, anxiety, apathy, sleep, cognition or persistent worsening of gait disturbances after unilateral MRgFUS thalamotomy in tdPD. Concomitant postural tremors responded better to treatment than predominant rest tremors.

Indexed as

Parkinson DiseaseThalamusTremorAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedQuality of LifeTreatment OutcomeFocused ultrasoundNon-motor symptomsParkinson’s diseaseThalamotomyTremor

Identifiers

PMID38822147
PMCPMC11233288

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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.