Edentulousness and neuroleptic-induced neck and trunk dyskinesia.
Identifieur interne : 004A61 ( PubMed/Corpus ); précédent : 004A60; suivant : 004A62Edentulousness and neuroleptic-induced neck and trunk dyskinesia.
Auteurs : R. Sandyk ; S R KaySource :
- Functional neurology [ 0393-5264 ]
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Antipsychotic Agents (adverse effects), Antipsychotic Agents (therapeutic use), Dyskinesia, Drug-Induced (etiology), Dyskinesia, Drug-Induced (physiopathology), Extremities (physiology), Female, Humans, Male, Middle Aged, Mouth, Edentulous (complications), Mouth, Edentulous (physiopathology), Neck (physiology), Proprioception (physiology), Schizophrenia (complications), Schizophrenia (drug therapy), Trigeminal Nerve (physiology).
- MESH :
- chemical , adverse effects : Antipsychotic Agents.
- chemical , therapeutic use : Antipsychotic Agents.
- complications : Mouth, Edentulous, Schizophrenia.
- drug therapy : Schizophrenia.
- etiology : Dyskinesia, Drug-Induced.
- physiology : Extremities, Neck, Proprioception, Trigeminal Nerve.
- physiopathology : Dyskinesia, Drug-Induced, Mouth, Edentulous.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged.
Abstract
Edentulousness, by disrupting trigeminal propioceptive input from the oral cavity to the basal ganglia, may increase the risk for neuroleptic-induced orofacial dyskinesia. Since lesions of the globus pallidus alter trigeminal sensory-induced reflexive neck muscle activity in rats and the putamen-caudate complex regulates vestibular and propioceptive mechanisms, edentulousness could facilitate also the expression of neuroleptic-induced neck and trunk dyskinesias. In a sample of 131 neuroleptic-treated chronic schizophrenic patients, we found that edentulous patients exhibited significantly more neck and trunk dyskinesias as compared to nonedentulous patients (p less than 005). By contrast, dyskinesias of the face, tongue, and extremities did not differ between the two cohorts of patients. Our findings imply that edentulousness may increase the risk of neck and trunk dyskinesias and highlight the importance of the dental status in tardive dyskinesia.
PubMed: 1982665
Links to Exploration step
pubmed:1982665Le document en format XML
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<author><name sortKey="Sandyk, R" sort="Sandyk, R" uniqKey="Sandyk R" first="R" last="Sandyk">R. Sandyk</name>
<affiliation><nlm:affiliation>Department of Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.</nlm:affiliation>
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<author><name sortKey="Kay, S R" sort="Kay, S R" uniqKey="Kay S" first="S R" last="Kay">S R Kay</name>
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<affiliation><nlm:affiliation>Department of Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.</nlm:affiliation>
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<author><name sortKey="Kay, S R" sort="Kay, S R" uniqKey="Kay S" first="S R" last="Kay">S R Kay</name>
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<series><title level="j">Functional neurology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antipsychotic Agents (adverse effects)</term>
<term>Antipsychotic Agents (therapeutic use)</term>
<term>Dyskinesia, Drug-Induced (etiology)</term>
<term>Dyskinesia, Drug-Induced (physiopathology)</term>
<term>Extremities (physiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Neck (physiology)</term>
<term>Proprioception (physiology)</term>
<term>Schizophrenia (complications)</term>
<term>Schizophrenia (drug therapy)</term>
<term>Trigeminal Nerve (physiology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antipsychotic Agents</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antipsychotic Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Schizophrenia</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Schizophrenia</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Extremities</term>
<term>Neck</term>
<term>Proprioception</term>
<term>Trigeminal Nerve</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term>
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Edentulousness, by disrupting trigeminal propioceptive input from the oral cavity to the basal ganglia, may increase the risk for neuroleptic-induced orofacial dyskinesia. Since lesions of the globus pallidus alter trigeminal sensory-induced reflexive neck muscle activity in rats and the putamen-caudate complex regulates vestibular and propioceptive mechanisms, edentulousness could facilitate also the expression of neuroleptic-induced neck and trunk dyskinesias. In a sample of 131 neuroleptic-treated chronic schizophrenic patients, we found that edentulous patients exhibited significantly more neck and trunk dyskinesias as compared to nonedentulous patients (p less than 005). By contrast, dyskinesias of the face, tongue, and extremities did not differ between the two cohorts of patients. Our findings imply that edentulousness may increase the risk of neck and trunk dyskinesias and highlight the importance of the dental status in tardive dyskinesia.</div>
</front>
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<DateRevised><Year>2004</Year>
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<JournalIssue CitedMedium="Print"><Volume>5</Volume>
<Issue>4</Issue>
<PubDate><MedlineDate>1990 Oct-Dec</MedlineDate>
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<Title>Functional neurology</Title>
<ISOAbbreviation>Funct. Neurol.</ISOAbbreviation>
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<ArticleTitle>Edentulousness and neuroleptic-induced neck and trunk dyskinesia.</ArticleTitle>
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<Abstract><AbstractText>Edentulousness, by disrupting trigeminal propioceptive input from the oral cavity to the basal ganglia, may increase the risk for neuroleptic-induced orofacial dyskinesia. Since lesions of the globus pallidus alter trigeminal sensory-induced reflexive neck muscle activity in rats and the putamen-caudate complex regulates vestibular and propioceptive mechanisms, edentulousness could facilitate also the expression of neuroleptic-induced neck and trunk dyskinesias. In a sample of 131 neuroleptic-treated chronic schizophrenic patients, we found that edentulous patients exhibited significantly more neck and trunk dyskinesias as compared to nonedentulous patients (p less than 005). By contrast, dyskinesias of the face, tongue, and extremities did not differ between the two cohorts of patients. Our findings imply that edentulousness may increase the risk of neck and trunk dyskinesias and highlight the importance of the dental status in tardive dyskinesia.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sandyk</LastName>
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<AffiliationInfo><Affiliation>Department of Psychiatry, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.</Affiliation>
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<MeshHeading><DescriptorName UI="D004409" MajorTopicYN="N">Dyskinesia, Drug-Induced</DescriptorName>
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<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<MeshHeading><DescriptorName UI="D005121" MajorTopicYN="N">Extremities</DescriptorName>
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<MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<MeshHeading><DescriptorName UI="D011434" MajorTopicYN="N">Proprioception</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
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<MeshHeading><DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D014276" MajorTopicYN="N">Trigeminal Nerve</DescriptorName>
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