Evidence map›Paper›PMID 40248113›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2025

Deep Brain Stimulation of the VIM for Tremor in a Patient with POLR3A-Associated Cerebellar Syndrome Without Long-Term Benefit.

Ute Scheller, Steffen Paschen, Fabian Maass, Christoph van Riesen

Abstract readCase Reports
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ute SchellerUniversity Medical Center Göttingen, Department of Neurology, Göttingen, Germany.ORCID 0000-0003-4202-2470
Steffen PaschenDepartment of Neurology, University Hospital Schleswig-Holstein, Campus Kiel Germany.ORCID 0000-0002-9306-8332
Fabian Maass *University Medical Center Göttingen, Department of Neurology, Göttingen, Germany.ORCID 0000-0002-4077-2852
Christoph van Riesen *University Medical Center Göttingen, Department of Neurology, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Deep brain stimulation is an approved therapy for essential tremor and Parkinson's disease. In addition, VIM-DBS is used off-label for the treatment of tremor syndromes with a different etiology. Case Report: We present the case of a woman with a drug-refractory action tremor due to rare compound heterozygous POLR3A mutations. Her treatment with VIM DBS did not lead to a sustained improvement of symptoms. Discussion: Tremor due to POLR3A-related cerebellar syndromes may not be responsive to VIM DBS. The networks contributing to cerebellar tremor should be better investigated in terms of where neuromodulatory therapy might be more effective.

Indexed as

Cerebellar DiseasesDeep Brain StimulationRNA Polymerase IIITremorVentral Thalamic NucleiFemaleHumansMiddle AgedPOLR3A protein, humanRNA Polymerase IIIdeep brain stimulationPOLR3Atremor

Identifiers

PMID40248113
PMCPMC12005138

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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.