Evidence map›Paper›PMID 40384399›Full record

ArticleMovement disorders clinical practice2025

Status Dystonicus in Children: Is it more Common than we Realize?

Nadia Al Azri, Lindsey M Vogt, Andrea LeBlanc-Millar, Sara Breitbart, Alfonso Fasano, George M Ibrahim, Carolina Gorodetsky

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. 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.

Nadia Al AzriDivision of Neurology, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0009-0007-2173-2453
Lindsey M VogtDivision of Neurology, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-4878-8517
Andrea LeBlanc-MillarDivision of Neurology, Hospital for Sick Children, Toronto, ON, Canada.
Sara BreitbartDivision of Neurosurgery, Hospital for Sick Children, Toronto, ON, Canada.
Alfonso FasanoDivision of Neurology, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0001-5346-0180
George M IbrahimDivision of Neurosurgery, Hospital for Sick Children, Toronto, ON, Canada.
Carolina GorodetskyDivision of Neurology, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0003-0007-9591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatus dystonicus (SD) is the most severe form of dystonia, affecting predominantly children. SD is thought to be rare, but the incidence is unknown.

objectiveWe aimed to: (1) assess the number of admissions involving SD (2) describe complications/intensive care unit (ICU) transfers, and (3) evaluate whether these changed with implementation of a treatment pathway.

methodsWe retrospectively collected data for patients with SD admitted to the Hospital for Sick Children from January 2020 to June 2024.

resultsWe identified 92 admissions among 48 patients with SD (20/year). Genetic/metabolic dystonia accounted for 45%. Triggers for SD were seen in 82%. The complication rate was 39%, with 27%/19% of individuals requiring ICU care pre/post-pathway, respectively.

conclusionsSD is common, especially in children with genetic/metabolic dystonia, often with identifiable triggers. More data are required to understand the impact of a clinical pathway. Awareness is necessary to mitigate complications.

Indexed as

Dystonic DisordersAdolescentChildChild, PreschoolDystoniaFemaleHospitalizationHumansInfantMaleRetrospective Studiescomplicationsdeep brain stimulationincidenceintensive care unitstatus dystonicus

Identifiers

PMID40384399
PMCPMC12528951

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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.