Evidence map›Paper›PMID 41089379›Full record

ArticleBrain communications2025

Probabilistic mapping of the antiparkinsonian effects of pallidal deep brain stimulation.

Pavel Navratil, Ghadir Abbas, Abdullah Elmas, Hazem F E Eldebakey, Anna-Sophie Schmidt, Vincent J Odekerken, Rob M A de Bie, ChenCheng Zhang, Katsuo Kimura, Robert Peach and 4 more

Abstract read
In one paragraph

Article in Brain communications, 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

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

2 citing papers in PubMed.

  1. Probabilistic mapping of tremor control and gait ataxia risk in deep brain stimulation.Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  2. Article
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

14 authors.

Pavel NavratilDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.ORCID https://orcid.org/0009-0006-1079-9655
Ghadir AbbasDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Abdullah ElmasDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Hazem F E EldebakeyDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Anna-Sophie SchmidtDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Vincent J OdekerkenDepartment of Neurology, Amsterdam University Medical Center, Amsterdam 1105 AZ, The Netherlands.
Rob M A de BieDepartment of Neurology, Amsterdam University Medical Center, Amsterdam 1105 AZ, The Netherlands.
ChenCheng ZhangDepartment of Neurosurgery, Shanghai Jiao Tong University, Ruijin Hospital, Shanghai 200025, China.ORCID https://orcid.org/0000-0003-4472-4134
Katsuo KimuraDepartment of Neurology, Yokohama City University, Yokohama 236-0004, Japan.
Robert PeachDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Jonas RoothansDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Jens VolkmannDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.
Florian L LangeDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.ORCID https://orcid.org/0000-0001-8497-7780
Martin M ReichDepartment of Neurology, University Hospital Wuerzburg, Wuerzburg 97080, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deep brain stimulation of the internal globus pallidus effectively treats motor symptoms and drug-induced fluctuations in advanced Parkinson's disease-but is complicated by a high variability in outcomes. In a minority of patients, even stimulation-induced aggravation of akinesia has been reported. Previous works and clinical practice suppose an antiparkinsonian sweetspot in a sensorimotor segment in ventrocaudal internal globus pallidus. However, the detailed functional anatomy of the nucleus is still a matter of debate. We examined 39 patients with Parkinson's disease undergoing pallidal deep brain stimulation from two centres. Deep brain stimulation outcomes were scaled using the percentage change in the motor part of Unified Parkinson's Disease Rating Scale in MED-OFF pre- and postoperatively. The mean improvement with chronic pallidal deep brain stimulation was 16 ± 37%. Motor symptoms improved in 72% of patients. However, 10% were poor responders (<15% improvement) and 28% experienced a worsening of parkinsonism. After basic data processing, we used individual stimulation parameters to construct volumes of tissue activated and applied an established approach of voxelwise

Indexed as

deep brain stimulationdigital DBS programminginternal globus pallidusParkinson’s diseaseprobabilistic mapping

Identifiers

PMID41089379
PMCPMC12516314

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.