Evidence map›Paper›PMID 40059836›Full record

ArticleAnnals of neurology2025

Network Localization of Pediatric Lesion-Induced Dystonia.

Rose Gelineau-Morel, Nomazulu Dlamini, Joel Bruss, Alexander L Cohen, Amanda Robertson, Dimitrios Alexopoulos, Christopher D Smyser, Aaron D Boes

Abstract read
In one paragraph

Article in Annals of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. 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
  3. Somato-Cognitive Action Network in Focal Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  4. Article
  5. Brain network pathophysiology in dystonia.Dystonia (Lausanne, Switzerland) · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rose Gelineau-Morel *Division of Neurology, Department of Pediatrics, Children's Mercy Kansas City, Kansas City, MO.ORCID 0000-0002-7387-9082
Nomazulu Dlamini *Division of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.
Joel BrussDepartment of Pediatrics, University of Iowa Carver College of Medicine, University of Iowa, Iowa City, IA.
Alexander L CohenDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0001-6557-5866
Amanda RobertsonDivision of Neurology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.
Dimitrios AlexopoulosDepartment of Neurology, Washington University, St Louis, MO.
Christopher D Smyser *Department of Neurology, Washington University, St Louis, MO.
Aaron D Boes *Department of Pediatrics, University of Iowa Carver College of Medicine, University of Iowa, Iowa City, IA.ORCID 0000-0002-7865-9257

Funding

WUIDDRC Supplement-Supporting the health and well-being of children with intellectual and developmental disability during COVID-19 pandemicP50HD103525 · NICHD · WASHINGTON UNIVERSITY · PI JEFFREY D MILBRANDT · 2020 to 2026
$15.5M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Childrens Mercy Hospital Fellowship Program in Pediatric PharmacologyT32HD069038 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Laura B Ramsey, Jonathan Wagner · 2011 to 2026
$3.1M
Predicting Cognitive Outcomes from Stroke Based on Lesion LocationR01NS114405 · NINDS · UNIVERSITY OF IOWA · PI BOES, AARON D · 2020 to 2024
$2.1M
National Career Development Program for Researchers in Pediatric Clinical PharmacologyK12HD113189 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DANIEL K. BENJAMIN, Daniel Gonzalez · 2023 to 2026
$1.2M
The neuroanatomical basis for face processing deficits in autism spectrum disorderK23MH120510 · NIMH · BOSTON CHILDREN'S HOSPITAL · PI COHEN, ALEXANDER LI · 2020 to 2023
$779k
Pharmacogenomic Contribution to the Biotransformation of Trihexyphenidyl and Development of a Precision Dosing Model for Children with Dystonia and Cerebral PalsyK23HD114899 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Rose Nicole Gelineau-Morel · 2025 to 2026
$328k
National Institute of Child Health and Human Development T32HD069038NICHD NIH HHS K12 HD113189NICHD NIH HHS K23 HD114899NICHD NIH HHS P50 HD103525NICHD NIH HHS P50 HD105351NICHD NIH HHS T32 HD069038NIMH NIH HHS K23 MH120510NIMH NIH HHS K23MH120510NINDS NIH HHS 3R01NS114405NINDS NIH HHS R01 NS114405Simons Foundation Autism Research InitiativeThe Auxilium Foundation
6 · The paper itself

Abstract

objectiveDystonia is a movement disorder defined by involuntary muscle contractions leading to abnormal postures or twisting and repetitive movements. Classically dystonia has been thought of as a disorder of the basal ganglia, but newer results in idiopathic dystonia and lesion-induced dystonia in adults point to broader motor network dysfunction spanning the basal ganglia, cerebellum, premotor cortex, sensorimotor, and frontoparietal regions. It is unclear whether a similar network is shared between different etiologies of pediatric lesion-induced dystonia.

methodsThree cohorts of pediatric patients with lesion-induced dystonia were identified. The lesion etiologies included hypoxia, kernicterus, and stroke versus comparison subjects with acquired lesions not associated with dystonia. Multivariate lesion-symptom mapping and lesion network mapping were used to evaluate the anatomy and networks associated with dystonia.

resultsMultivariate lesion-symptom mapping showed that lesions of the putamen and globus pallidus were associated with dystonia (r = 0.41, p < 0.001). Lesion network mapping using normative connectome data from healthy children demonstrated that these regional findings occurred within a common brain-wide network that involves the basal ganglia, anterior and medial cerebellum, and cortical regions that overlap the cingulo-opercular action-mode and somato-cognitive-action networks.

interpretationWe interpret these findings as novel evidence for a unified dystonia brain network that involves the somato-cognitive-action network, which is implicated in the coordination of movement. Elucidation of this network gives insight into the functional origins of dystonia and provides novel targets to investigate for therapeutic intervention. ANN NEUROL 2025;98:152-162.

Indexed as

BrainDystoniaDystonic DisordersNerve NetAdolescentBrain MappingChildChild, PreschoolCohort StudiesConnectomeFemaleHumansMagnetic Resonance ImagingMaleStroke

Identifiers

PMID40059836
PMCPMC12176519

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.