Evidence map›Paper›PMID 42421404›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2026

Prospective Study of Botulinum Toxin Effects on Nonmotor Symptoms and Quality of Life in Thai Patients With Craniocervical Dystonia.

Chanya Wijittongruang, Praween Lolekha

Abstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 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

2 authors.

Chanya WijittongruangNeurology Division, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.ORCID https://orcid.org/0000-0002-6429-8235
Praween LolekhaNeurology Division, Department of Internal Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand. pwlolekha@gmail.com.ORCID https://orcid.org/0000-0002-6520-3955

Funding

Thai Parkinson's Disease and Movement Disorders Society
6 · The paper itself

Abstract

background and purposeCraniocervical dystonia (CCD) comprises focal and segmental dystonia involving the cranial, facial, and cervical muscles. Beyond abnormal movements, affected patients frequently experience nonmotor symptoms (NMS) that profoundly affect their quality of life (QoL). This study aimed to determine the prevalence of NMS and the therapeutic effects of botulinum toxin (BoNT) injections on NMS and QoL in Thai patients with CCD.

methodsThis prospective cohort study included 28 patients with CCD and 29 healthy controls (HC). Demographic data, dystonia severity, NMS, and QoL were assessed before and 1 month after BoNT treatment using the Thammasat University Non-Motor Symptoms Questionnaire (TU-NMSQuest) and the Thai version of the EuroQol-5 Dimension-5 Level (EQ-5D-5L).

resultsThe reported NMS burden was significantly higher in patients with CCD than in HC (10.89±6.05 vs. 8.00±4.15, mean±standard deviation;

conclusionsNMS are common in CCD and contribute markedly to worse QoL. BoNT therapy provides benefits beyond controlling motor symptoms by alleviating NMS and improving overall well-being. Comprehensive management strategies for CCD should integrate the systematic assessment and treatment of NMS in order to optimize patient outcomes.

Indexed as

botulinum toxincraniocervical dystoniadystoniaquality of lifesigns and symptomsThailand

Identifiers

PMID42421404
PMCPMC13364535

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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.