Evidence map›Paper›PMID 40404653›Full record

ArticleNature communications2025

Convergent mapping of a tremor treatment network.

Lukas L Goede, Bassam Al-Fatly, Ningfei Li, Leon K Sobesky, Bahne H Bahners, Patricia Zvarova, Clemens Neudorfer, Martin Reich, Jens Volkmann, Chencheng Zhang and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Neuroimaging in Tremor.Seminars in neurology · 2026
    Review
  2. Orofacial Drinking Tremor: A Case Series and Literature Review.Movement disorders clinical practice · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. The methodological foundations of lesion network mapping remain sound.bioRxiv : the preprint server for biology · 2026
    Article
  7. Review
  8. Brain Network Signature of Autoscopic Phenomena in Humans.CNS neuroscience & therapeutics · 2025
    Article
  9. Review
  10. 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

22 authors.

Lukas L GoedeCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA. goede.lukas@gmail.com.ORCID http://orcid.org/0000-0001-6026-185X
Bassam Al-FatlyDepartment of Neurology with Experimental Neurology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-0067-6177
Ningfei LiDepartment of Neurology with Experimental Neurology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-3315-3591
Leon K SobeskyDepartment of Pediatric Neurology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Berlin, Germany.
Bahne H BahnersCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1963-9798
Patricia ZvarovaCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0004-7831-8796
Clemens NeudorferCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3153-1045
Martin ReichDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0001-9115-5136
Jens VolkmannDepartment of Neurology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-9570-593X
Chencheng ZhangDepartment of Neurosurgery, Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0003-4472-4134
Vincent J J OdekerkenDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Rob M A de BieDepartment of Neurology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-5267-0784
Ellen F P YoungerCognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC, Australia.
Daniel T CorpCognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC, Australia.
Erik H MiddlebrooksDepartment of Radiology, Mayo Clinic, Jacksonville, FL, USA.
Juho JoutsaTurku Brain and Mind Center, Clinical Neurosciences, University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-3457-9415
Michiel DirkxDepartment of Neurology, Center of Expertise for Parkinson and Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-8763-8071
Günther DeuschlDepartment of Neurology, UKSH, Christian-Albrechts-University Kiel, Kiel, Germany.
Rick C HelmichDepartment of Neurology, Center of Expertise for Parkinson and Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
Andrea A KühnDepartment of Neurology with Experimental Neurology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-4134-9060
Michael D FoxCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8848-6399
Andreas HornCenter for Brain Circuit Therapeutics, Department of Neurology, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-0695-6025

Funding

Mapping the Human Connectome: Structure, Function, and HeritabilityU54MH091657 · NIMH · WASHINGTON UNIVERSITY · PI UGURBIL, KAMIL, VAN ESSEN, DAVID C · 2010 to 2014
$34.7M
BRAIN CONNECTS: The center for Large-scale Imaging of Neural Circuits (LINC)UM1NS132358 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Suzanne N Haber, Elizabeth M. C. Hillman · 2023 to 2026
$17.5M
Using human brain connectivity to identify the causal neuroanatomical substrate of depression symptomsR01MH113929 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2017 to 2026
$6.9M
Toward Connectomic Deep Brain Stimulation in Obsessive Compulsive DisorderR01MH130666 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.9M
Using Brain Lesions and Deep Brain Stimulation to Identify an Epilepsy CircuitR01NS127892 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.4M
Transdiagnostic memory, mood and motor circuits in Alzheimer's and neurodegenerative diseaseR56AG069086 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI FOX, MICHAEL D · 2021 to 2021
$873k
Targeted modulation of symptom-specific brain circuits with transcranial magnetic stimulationR21MH126271 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI FOX, MICHAEL D · 2021 to 2022
$492k
Identifying neuromodulation targets for pain in the human brainR21NS123813 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI FOX, MICHAEL D · 2022 to 2023
$492k
NIA NIH HHS R56 AG069086NIMH NIH HHS R01 MH113929NIMH NIH HHS R01 MH130666NIMH NIH HHS R21 MH126271NIMH NIH HHS U54 MH091657NINDS NIH HHS R01 NS127892NINDS NIH HHS R21 NS123813NINDS NIH HHS UM1 NS132358
6 · The paper itself

Abstract

Tremor occurs in various forms across diverse neurological disorders, including Parkinson's disease and essential tremor. While clinically heterogeneous, converging evidence suggests a shared brain network may underlie tremor across conditions. Here, we empirically define such a network using four modalities: lesion locations, atrophy patterns, EMG-fMRI, and deep brain stimulation outcomes. We show that network connectivity robustly explains clinical outcomes in independent cohorts undergoing deep brain stimulation of the subthalamic nucleus for Parkinson's disease and the ventral intermediate nucleus for essential tremor. Maps from each cohort accounted for outcomes in the respective other, supporting a disorder-independent tremor network. A multimodal agreement map revealed consistent substrates in the primary motor cortex and motor cerebellum. To validate the network, we test its predictive power in a third, independent cohort treated with pallidal stimulation for Parkinson's disease. Our findings define a robust, cross-condition tremor network that may guide both invasive and noninvasive neuromodulation strategies.

Indexed as

Essential TremorNerve NetParkinson DiseaseTremorAgedBrainBrain MappingCerebellumDeep Brain StimulationElectromyographyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMotor Cortex

Identifiers

PMID40404653
PMCPMC12098757

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.