Evidence map›Paper›PMID 41658798›Full record

ArticleCureus2026

Fatal Tracheostomy-Related Complications in a Pediatric Patient with DYT1 Dystonia After Delayed Deep Brain Stimulation.

Cheng-En Wang, Chih-Fen Hu, Yuan-Hao Chen, Yueh-Feng Sung

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Cheng-En WangDepartment of Neurology, Tri-Service General Hospital, National Defense Medical University, Taipei, TWN.
Chih-Fen HuDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical University, Taipei, TWN.
Yuan-Hao ChenDepartment of Neurological Surgery, Tri-Service General Hospital, National Defense Medical University, Taipei, TWN.
Yueh-Feng SungDepartment of Neurology, Tri-Service General Hospital, National Defense Medical University, Taipei, TWN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The DYT1 dystonia is a rare autosomal dominant disorder characterized by early-onset focal dystonia, which may progress to generalized dystonia. Deep brain stimulation (DBS) is often effective in severe or medically refractory cases. We report a pediatric patient with a DYT1 mutation who developed focal dystonia at age six, which progressed to generalized dystonia by age eight, and culminated in status dystonicus at age 12. After stabilization, he remained in a state of refractory, generalized dystonia and underwent DBS following a seven-month delay. Although motor symptoms improved by 47%, he developed progressive airway dysfunction necessitating tracheostomy, which ultimately led to fatal respiratory complications. This case highlights that delayed DBS intervention may fail to prevent irreversible structural and neuromuscular sequelae, including fatal airway compromise, in patients with longstanding dystonia.

Indexed as

airway compromiseclinical outcomedeep brain stimulationdyt1status dystonicus

Identifiers

PMID41658798
PMCPMC12873625

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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.