Evidence map›Paper›PMID 40369461›Full record

ArticleBMC neurology2025

Deep brain stimulation improves cerebellar tremor symptoms in paraneoplastic cerebellar degeneration: a case report.

Xiang Wei, Jingxuan Liu, Guanghan Lu, Jiuqi Yan, Wenwen Dong, Liang Zhao, Chang Qiu, Wenbin Zhang, Jun Yan

Abstract readCase Reports
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Xiang Wei *Department of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Jingxuan Liu *Department of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Guanghan LuDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Jiuqi YanDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Wenwen DongDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Liang ZhaoDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Chang QiuDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China.
Wenbin ZhangDepartment of Functional Neurosurgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, 264 Huaqiao Road, Gulou District, Nanjing City, 210029, Jiangsu Province, China. wenbinzhang@njmu.edu.cn.
Jun YanDepartment of Geriatrics, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing City, 210029, Jiangsu Province, China.

Funding

he Special Funds of the Jiangsu Provincial Key Research and Development Projects (Nos. BE2022049 and BE2022049-1)
6 · The paper itself

Abstract

Paraneoplastic cerebellar degeneration (PCD) is a rare neurological syndrome caused by a remote effect or immune response involving the cerebellum due to tumor. Here, we report a rare case of PCD secondary to ovarian cancer, presenting clinically with cerebellar tremor. The patient presented with involuntary movements affecting the head, neck, and limbs, along with ataxia and horizontal nystagmus. After conventional medical treatments proved ineffective, the patient underwent a multidisciplinary assessment and received approval from the Institutional Review Board at Affiliated Nanjing Brain Hospital, Nanjing Medical University, to consent to deep brain stimulation (DBS) targeting the ventral intermediate nucleus (VIM) of the thalamus. During the 18-month follow-up, the frequency and amplitude of the tremor significantly improved, with the TRS (1-9) total score decreasing to 23, a 64.06% improvement compared to preoperative levels. The ADL scale score increased from 10 preoperatively to 35, indicating a significant improvement in quality of life. Additionally, the patient's cognitive and ataxic symptoms did not worsen. These results suggest significant improvement in symptoms compared to baseline, with enhanced daily life activities and improved quality of life.

Indexed as

Deep Brain StimulationParaneoplastic Cerebellar DegenerationTremorFemaleHumansOvarian NeoplasmsQuality of LifeVentral Thalamic NucleiCase reportCerebellar tremorDeep brain stimulationParaneoplastic cerebellar degenerationParaneoplastic neurological syndrome

Identifiers

PMID40369461
PMCPMC12079840

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.