Evidence map›Paper›PMID 38951972›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2024

Efficacy of Cerebellar Transcranial Magnetic Stimulation in Treating Essential Tremor: A Randomized, Sham-Controlled Trial.

Ahmad Farag Ibrahim El-Adawy, Mohamed Al-Bahay M G Reda, Ali Mahmoud Ahmed, Mohamed Hamed Rashad, Mohamed Ahmed Zaki, Mohie-Eldin Tharwat Mohamed, Mohammad Ali Saeed Hassan, Mohammad Fathi Abdulsalam, Abdelmonem M Hassan, Ahmed Fathy Mohamed and 6 more

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

16 authors.

Ahmad Farag Ibrahim El-Adawy *Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. ahmadfarag291076@yahoo.com.ORCID https://orcid.org/0000-0003-3174-6879
Mohamed Al-Bahay M G Reda *Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0002-0043-8785
Ali Mahmoud Ahmed *Department of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-5018-5539
Mohamed Hamed RashadDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-2549-4874
Mohamed Ahmed ZakiDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0001-6529-8624
Mohie-Eldin Tharwat MohamedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-5116-6620
Mohammad Ali Saeed HassanDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-0372-8382
Mohammad Fathi AbdulsalamDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0001-1772-5548
Abdelmonem M HassanDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0003-4422-2721
Ahmed Fathy MohamedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-4315-0397
Abdel-Ghaffar Ismail FayedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-8004-8420
Mostafa MeshrefDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-0692-6309
Fathy Mahmoud MansourDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0009-0008-8627-1691
Ahmed E SarhanDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-5620-0736
Ahmed Hassan ElsheshinyDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0003-4748-2660
Elsayed AbedDepartment of Neurology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-9186-4941

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeRepetitive transcranial magnetic stimulation (rTMS) of the cerebellar hemisphere represents a new option in treating essential tremor (ET) patients. We aimed to determine the efficacy of cerebellar rTMS in treating ET using different protocols regarding the number of sessions, exposure duration, and follow-up duration.

methodsA randomized sham-controlled trial was conducted, in which 45 recruit patients were randomly allocated to 2 groups. The first (active group) comprised 23 patients who were exposed to 12 sessions of active rTMS with 900 pulses of 1-Hz rTMS at 90% of the resting motor threshold daily on each side of the cerebellar hemispheres over 4 weeks. The second group (sham group) comprised 22 patients who were exposed to 12 sessions of sham rTMS. Both groups were reassessed at baseline and after 1 day, 1 month, 2 months, and 3 months using the Fahn-Tolosa-Marin tremor-rating scale (FTM).

resultsDemographic characteristics did no differ between the two groups. There were significant reductions both in FTM subscores A and B and in the FTM total score in the active-rTMS group during the period of assessment and after 3 months (

conclusionsLow-frequency rTMS over the cerebellar cortex for 1 month showed relative safety and long-lasting efficacy in patients with ET. Further large-sample clinical trials are needed that include different sites of stimulation and longer follow-ups.

Indexed as

cerebellumessential tremorsrandomized controlled trialtranscranial magnetic stimulation

Identifiers

PMID38951972
PMCPMC11220355

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.