Movement Disorders (revue)

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Reverse sensory geste in cervical dystonia

Identifieur interne : 000C77 ( Istex/Corpus ); précédent : 000C76; suivant : 000C78

Reverse sensory geste in cervical dystonia

Auteurs : Friedrich Asmus ; Rainer Von Coelln ; Axel Boertlein ; Thomas Gasser ; Joerg Mueller

Source :

RBID : ISTEX:7D60719BE2EB3D8AF2079D2052B217290895B9AC

English descriptors

Abstract

Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed “reverse” sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for “reverse” effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. Assessment of rSG should be included in the routine examination of CD patients, since BTX treatment may have to beadjusted accordingly to be efficacious. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22406

Links to Exploration step

ISTEX:7D60719BE2EB3D8AF2079D2052B217290895B9AC

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<p>Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed “reverse” sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for “reverse” effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. Assessment of rSG should be included in the routine examination of CD patients, since BTX treatment may have to beadjusted accordingly to be efficacious. © 2008 Movement Disorder Society</p>
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<p>Potential conflict of interest: Friedrich Asmus and Jörg Müller received speaker honoraria from Ipsen Pharma, Pharm‐Allergan, and Merz Pharmaceuticals. Rainer von Coelln received an honorarium from Pharm‐Allergan.</p>
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<description>Correspondence: Dystonia and Botulinumtoxin Clinic, Center of Neurology and Hertie Institute for Clinical Brain Research Otfried‐Mueller Street 27, 4th floor, D‐72076 Tuebingen, Germany</description>
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<abstract lang="en">Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed “reverse” sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for “reverse” effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. Assessment of rSG should be included in the routine examination of CD patients, since BTX treatment may have to beadjusted accordingly to be efficacious. © 2008 Movement Disorder Society</abstract>
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