{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:17:20Z","timestamp":1773926240099,"version":"3.50.1"},"reference-count":92,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":163,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Transregional Collaborative Research Centre","award":["CRC TRR 295"],"award-info":[{"award-number":["CRC TRR 295"]}]},{"name":"Transregional Collaborative Research Centre","award":["4247788381"],"award-info":[{"award-number":["4247788381"]}]},{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Berlin Institute of Health Charit\u00e9 Clinician Scientist Program","award":["4247788381"],"award-info":[{"award-number":["4247788381"]}]},{"name":"DFG under Germany\u2019s Excellence Strategy"},{"DOI":"10.13039\/501100003554","name":"Lundbeck Foundation","doi-asserted-by":"publisher","award":["R336-2020-1035"],"award-info":[{"award-number":["R336-2020-1035"]}],"id":[{"id":"10.13039\/501100003554","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012681","name":"University hospital of Cologne","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000864","name":"Michael J. Fox Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000864","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dyskinetic cerebral palsy encompasses a group of predominantly perinatally acquired complex motor disorders that present with dystonia and\/or choreoathetosis and are frequently associated with brain lesions in neuroimaging. Recently, lesion network mapping provided a tool to redefine neurological disorders as circuitopathies. Elucidating the common networks impacted by lesions in this condition could pave the way to identify new targets for neuromodulatory therapeutic approaches. In this study, we aim to assess lesion distribution in dyskinetic cerebral palsy and identify a related functional network derived from lesions. Here, we review the literature of MRI findings in dyskinetic cerebral palsy and perform literature-based lesion network mapping. Articles reporting conventional MRI findings clearly attributable to affected patients were included for review. Imaging findings and their anatomical distribution were extracted and quantified according to an established MRI classification system for cerebral palsy. Reviewed articles were searched for figures depicting lesions and these were traced onto a paediatric template. Whole-brain functional connectivity from lesions causing dyskinetic cerebral palsy was calculated using a paediatric resting-state functional MRI connectome. Individual maps were thresholded and later overlapped to derive a common network map associated with dyskinetic cerebral palsy. Results were contrasted with two control datasets for spatial specificity. Review of 48 selected articles revealed that grey matter injury predominated (51%), followed by white matter injury (28%). In 16% of cases MRI was normal. Subcortical lesions affected the thalamus, pallidum and putamen in &amp;gt;40% of reported patients, respectively. Figures available from 23 literature cases were used to calculate the lesion netwok map of dyskinetic cerebral palsy. The lesion-derived map revealed functional connectivity to a wide network including the brainstem, cerebellum, basal ganglia, cingulate and sensorimotor cortices. The strongest connectivity was found for the motor thalamus. This study confirms subcortical grey matter lesions as the most common MRI finding in dyskinetic cerebral palsy. The neural network identified with lesion network mapping includes areas previously implicated in hyperkinetic disorders and highlights the motor thalamus as a common network node. These results should be validated and their therapeutic implications explored in prospective trials.<\/jats:p>","DOI":"10.1093\/braincomms\/fcaf228","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T07:49:18Z","timestamp":1749714558000},"source":"Crossref","is-referenced-by-count":3,"title":["Lesion distribution and network mapping in dyskinetic cerebral palsy"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3291-7222","authenticated-orcid":false,"given":"Ana Lu\u00edsa","family":"de Almeida Marcelino","sequence":"first","affiliation":[{"name":"Movement Disorder and Neuromodulation Unit, Department of Neurology with Experimental Neurology, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin , Berlin 10117 ,","place":["Germany"]},{"name":"Berlin Institute of Health at Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin , 10117 Berlin ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0067-6177","authenticated-orcid":false,"given":"Bassam","family":"Al-Fatly","sequence":"additional","affiliation":[{"name":"Movement Disorder and Neuromodulation Unit, Department of Neurology with Experimental Neurology, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin , Berlin 10117 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet S","family":"Tuncer","sequence":"additional","affiliation":[{"name":"Movement Disorder and Neuromodulation Unit, Department of Neurology with Experimental Neurology, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin , Berlin 10117 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingeborg","family":"Kr\u00e4geloh-Mann","sequence":"additional","affiliation":[{"name":"Department of Paediatric Neurology, University Children\u2019s Hospital T\u00fcbingen , 72076 T\u00fcbingen ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7991-4432","authenticated-orcid":false,"given":"Anne","family":"Koy","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and University Hospital Cologne, University of Cologne , 50937 Cologne ,","place":["Germany"]},{"name":"Center for Rare Diseases, Faculty of Medicine and University Hospital Cologne, University of Cologne , 50937 Cologne ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4134-9060","authenticated-orcid":false,"given":"Andrea A","family":"K\u00fchn","sequence":"additional","affiliation":[{"name":"Berlin Institute of Health at Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin , 10117 Berlin ,","place":["Germany"]},{"name":"Bernstein Center for Computational Neuroscience , Humboldt Universit\u00e4t zu Berlin, 10117 Berlin ,","place":["Germany"]},{"name":"Exzellenzcluster NeuroCure, Charit\u00e9 - Universit\u00e4tsmedizin Berlin , 10117 Berlin ,","place":["Germany"]},{"name":"Berlin School of Mind and Brain, Humboldt - Universit\u00e4t zu Berlin , 10117 Berlin ,","place":["Germany"]},{"name":"Deutsches Zentrum f\u00fcr Neurodegenerative Erkrankungen , 10117 Berlin ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"issue":"8","key":"2025062613052051700_fcaf228-B1","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1111\/j.1469-8749.2005.tb01195.x","article-title":"Proposed definition and 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The European cerebral palsy study","volume":"296","author":"Bax","year":"2006","journal-title":"J Am Med Assoc"},{"issue":"11","key":"2025062613052051700_fcaf228-B5","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1002\/mds.23088","article-title":"Definition and classification of hyperkinetic movements in childhood","volume":"25","author":"Sanger","year":"2010","journal-title":"Mov Disord"},{"issue":"9","key":"2025062613052051700_fcaf228-B6","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/S1474-4422(17)30252-1","article-title":"Clinical presentation and management of dyskinetic cerebral palsy","volume":"16","author":"Monbaliu","year":"2017","journal-title":"Lancet Neurol"},{"key":"2025062613052051700_fcaf228-B7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.pediatrneurol.2015.10.005","article-title":"Localization of basal ganglia and thalamic damage in dyskinetic cerebral 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