Evidence map›Paper›PMID 40767168›Full record

ArticleJournal of child neurology2026

Botulinum Toxin for the Treatment of Motor Tics in Children: A Case Series.

Ethan Edmondson, Mariam Hull, Sukru Aras, Mered Parnes

Abstract read
In one paragraph

Article in Journal of child neurology, 2026. 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. Tourette syndrome.Nature reviews. Disease primers · 2026
    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

4 authors.

Ethan EdmondsonPediatric Movement Disorders Clinic, Section of Pediatric Neurology and Developmental Neuroscience, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.ORCID 0009-0003-7575-1036
Mariam HullPediatric Movement Disorders Clinic, Section of Pediatric Neurology and Developmental Neuroscience, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
Sukru ArasDepartment of Pediatrics-Neurology Bioinformatics, Baylor College of Medicine, Houston, TX, USA.
Mered ParnesPediatric Movement Disorders Clinic, Section of Pediatric Neurology and Developmental Neuroscience, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tic disorders, including Tourette syndrome, are characterized by brief, repetitive, and patterned movements or vocalizations. Botulinum neurotoxin (BoNT) has emerged as a therapeutic option for motor tics, particularly when oral medications are insufficient or poorly tolerated. This retrospective cohort study evaluated the safety and effectiveness of botulinum neurotoxin injections in 50 pediatric patients (aged 7-18 years) with motor tic disorders treated at a tertiary pediatric movement disorders clinic between May 2019 and January 2024. Botulinum neurotoxin injections were tailored to individual symptomatology. Overall, 64% of patients reported improvement in tic severity, 36% noted no change, and 6% worsened. Response did not differ significantly by tic complexity, phenomenology (clonic vs dystonic), or presence of a premonitory urge. Comorbidities such as attention-deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder, autism, and intellectual disability were not predictive of outcomes. These findings support botulinum neurotoxin as a safe and potentially effective treatment for pediatric motor tics, including complex and malignant presentations.

Indexed as

Botulinum ToxinsBotulinum Toxins, Type ANeuromuscular AgentsTic DisordersTicsAdolescentChildFemaleHumansMaleRetrospective StudiesTourette SyndromeTreatment OutcomeBotulinum ToxinsBotulinum Toxins, Type ANeuromuscular Agentspediatricquality of lifeTourette syndrometreatment

Identifiers

PMID40767168
PMCPMC13018238

What OpenQuestion holds

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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.