Psychogenic parkinsonism: A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy
Identifieur interne : 001399 ( Istex/Corpus ); précédent : 001398; suivant : 001400Psychogenic parkinsonism: A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy
Auteurs : Sandrine Benaderette ; Paolo Zanotti Fregonara ; Emmanuelle Apartis ; Charles Nguyen ; Jean-Marc Trocello ; Philippe Remy ; Jean-Yves Devaux ; Serge Askienazy ; Marie VidailhetSource :
- Movement Disorders [ 0885-3185 ] ; 2006-03.
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- KwdEn :
Abstract
We evaluated the concordance between independent clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations as a staged procedure for an accurate diagnosis in 9 patients referred with a diagnosis of suspected psychogenic parkinsonism. Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [123I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy in order to distinguish PP from PP + PD. © 2005 Movement Disorder Society
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DOI: 10.1002/mds.20720
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ISTEX:1153AF20FA3F892375912449AE16253E5B9704D3Le document en format XML
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Vidailhet</name><affiliation><mods:affiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</mods:affiliation></affiliation><affiliation><mods:affiliation>Institut National de la Santé et de la Recherche Médicale U679, Salpêtrière Hospital, Paris, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2006-03">2006-03</date><biblScope unit="vol">21</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="310">310</biblScope><biblScope unit="page" to="317">317</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">1153AF20FA3F892375912449AE16253E5B9704D3</idno><idno type="DOI">10.1002/mds.20720</idno><idno type="ArticleID">MDS20720</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ioflupane SPECT scan (DaTSCAN)</term><term>Parkinson's disease</term><term>neurophysiology</term><term>psychogenic movement disorders</term><term>psychogenic parkinsonism</term><term>psychogenic tremor</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We evaluated the concordance between independent clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations as a staged procedure for an accurate diagnosis in 9 patients referred with a diagnosis of suspected psychogenic parkinsonism. Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [123I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy in order to distinguish PP from PP + PD. © 2005 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Sandrine Benaderette MD</name><affiliations><json:string>Department of Neurology, Saint‐Antoine Hospital, Paris, France</json:string><json:string>Department of Neurophysiology, Henri Mondor Hospital, Créteil, France</json:string></affiliations></json:item><json:item><name>Paolo Zanotti Fregonara MD</name><affiliations><json:string>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Emmanuelle Apartis MD, PhD</name><affiliations><json:string>Department of Neurophysiology, Saint‐Antoine Hospital, Paris, France</json:string><json:string>Institut National de la Santé et de la Recherche Médicale U732, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Charles Nguyen MD</name><affiliations><json:string>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Jean‐Marc Trocello MD</name><affiliations><json:string>Department of Neurology, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Philippe Remy MD, PhD</name><affiliations><json:string>Department of Neurology, Henri Mondor Hospital, Créteil, France</json:string><json:string>URA CEA‐ Centre National de la Recherche Scientifique 2210, Orsay, France</json:string></affiliations></json:item><json:item><name>Jean‐Yves Devaux MD</name><affiliations><json:string>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Serge Askienazy MD</name><affiliations><json:string>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</json:string></affiliations></json:item><json:item><name>Marie Vidailhet MD</name><affiliations><json:string>Department of Neurology, Saint‐Antoine Hospital, Paris, France</json:string><json:string>Institut National de la Santé et de la Recherche Médicale U679, Salpêtrière Hospital, Paris, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>psychogenic parkinsonism</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>psychogenic movement disorders</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>psychogenic tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>neurophysiology</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Ioflupane SPECT scan (DaTSCAN)</value></json:item></subject><language><json:string>eng</json:string></language><abstract>We evaluated the concordance between independent clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations as a staged procedure for an accurate diagnosis in 9 patients referred with a diagnosis of suspected psychogenic parkinsonism. Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [123I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. 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type="first">Marie</forename><surname>Vidailhet</surname><roleName type="degree">MD</roleName></persName><note type="correspondence"><p>Correspondence: Service de Neurologie, Hôpital Saint‐Antoine, 184 rue du Faubourg Saint Antoine 75012 Paris, France</p></note><affiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</affiliation><affiliation>Institut National de la Santé et de la Recherche Médicale U679, Salpêtrière Hospital, Paris, France</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. 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Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [123I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy in order to distinguish PP from PP + PD. © 2005 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>psychogenic parkinsonism</term></item><item><term>psychogenic movement disorders</term></item><item><term>psychogenic tremor</term></item><item><term>neurophysiology</term></item><item><term>Ioflupane SPECT scan (DaTSCAN)</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-12-11">Received</change><change when="2005-07-04">Registration</change><change when="2006-03">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/1153AF20FA3F892375912449AE16253E5B9704D3/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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type="figureTotal" number="2"></count><count type="tableTotal" number="2"></count><count type="referenceTotal" number="25"></count><count type="wordTotal" number="4949"></count></countGroup><titleGroup><title type="main" xml:lang="en">Psychogenic parkinsonism: A combination of clinical, electrophysiological, and [<sup>123</sup>I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy</title><title type="short" xml:lang="en">Psychogenic Parkinsonism</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1 #af2"><personName><givenNames>Sandrine</givenNames><familyName>Benaderette</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Paolo Zanotti</givenNames><familyName>Fregonara</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af4 #af5"><personName><givenNames>Emmanuelle</givenNames><familyName>Apartis</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Charles</givenNames><familyName>Nguyen</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Jean‐Marc</givenNames><familyName>Trocello</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af6 #af7"><personName><givenNames>Philippe</givenNames><familyName>Remy</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Jean‐Yves</givenNames><familyName>Devaux</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Serge</givenNames><familyName>Askienazy</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af1 #af8" corresponding="yes"><personName><givenNames>Marie</givenNames><familyName>Vidailhet</familyName><degrees>MD</degrees></personName><contactDetails><email normalForm="marie.vidailhet@sat.ap-hop-paris.fr">marie.vidailhet@sat.ap‐hop‐paris.fr</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="FR" type="organization"><unparsedAffiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="FR" type="organization"><unparsedAffiliation>Department of Neurophysiology, Henri Mondor Hospital, Créteil, France</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="FR" type="organization"><unparsedAffiliation>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="FR" type="organization"><unparsedAffiliation>Department of Neurophysiology, Saint‐Antoine Hospital, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="FR" type="organization"><unparsedAffiliation>Institut National de la Santé et de la Recherche Médicale U732, Saint‐Antoine Hospital, Paris, France</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="FR" type="organization"><unparsedAffiliation>Department of Neurology, Henri Mondor Hospital, Créteil, France</unparsedAffiliation></affiliation><affiliation xml:id="af7" countryCode="FR" type="organization"><unparsedAffiliation>URA CEA‐ Centre National de la Recherche Scientifique 2210, Orsay, France</unparsedAffiliation></affiliation><affiliation xml:id="af8" countryCode="FR" type="organization"><unparsedAffiliation>Institut National de la Santé et de la Recherche Médicale U679, Salpêtrière Hospital, Paris, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">psychogenic parkinsonism</keyword><keyword xml:id="kwd3">psychogenic movement disorders</keyword><keyword xml:id="kwd4">psychogenic tremor</keyword><keyword xml:id="kwd5">neurophysiology</keyword><keyword xml:id="kwd6">Ioflupane SPECT scan (DaTSCAN)</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>We evaluated the concordance between independent clinical, electrophysiological, and [<sup>123</sup>I]‐FP‐CIT SPECT scan explorations as a staged procedure for an accurate diagnosis in 9 patients referred with a diagnosis of suspected psychogenic parkinsonism. Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [<sup>123</sup>I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. A combination of clinical, electrophysiological, and [<sup>123</sup>I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy in order to distinguish PP from PP + PD. © 2005 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Psychogenic parkinsonism: A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Psychogenic Parkinsonism</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Psychogenic parkinsonism: A combination of clinical, electrophysiological, and [</title></titleInfo><name type="personal"><namePart type="given">Sandrine</namePart><namePart type="family">Benaderette</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</affiliation><affiliation>Department of Neurophysiology, Henri Mondor Hospital, Créteil, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Paolo Zanotti</namePart><namePart type="family">Fregonara</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emmanuelle</namePart><namePart type="family">Apartis</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurophysiology, Saint‐Antoine Hospital, Paris, France</affiliation><affiliation>Institut National de la Santé et de la Recherche Médicale U732, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Charles</namePart><namePart type="family">Nguyen</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean‐Marc</namePart><namePart type="family">Trocello</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Remy</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, Henri Mondor Hospital, Créteil, France</affiliation><affiliation>URA CEA‐ Centre National de la Recherche Scientifique 2210, Orsay, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean‐Yves</namePart><namePart type="family">Devaux</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Serge</namePart><namePart type="family">Askienazy</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Nuclear Medicine, Saint‐Antoine Hospital, Paris, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marie</namePart><namePart type="family">Vidailhet</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Saint‐Antoine Hospital, Paris, France</affiliation><affiliation>Institut National de la Santé et de la Recherche Médicale U679, Salpêtrière Hospital, Paris, France</affiliation><description>Correspondence: Service de Neurologie, Hôpital Saint‐Antoine, 184 rue du Faubourg Saint Antoine 75012 Paris, France</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2006-03</dateIssued><dateCaptured encoding="w3cdtf">2004-12-11</dateCaptured><dateValid encoding="w3cdtf">2005-07-04</dateValid><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">2</extent><extent unit="references">25</extent><extent unit="words">4949</extent></physicalDescription><abstract lang="en">We evaluated the concordance between independent clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations as a staged procedure for an accurate diagnosis in 9 patients referred with a diagnosis of suspected psychogenic parkinsonism. Three patients were reclassified as pure psychogenic parkinsonism (PP), 6 with a form of combined psychogenic parkinsonism and Parkinson's disease (PP + PD), and none with pure Parkinson's disease (PD). Electrophysiological recordings showed the characteristics of psychogenic tremor in 5 of 7 patients with tremor. In two of these 5, PD tremor was also recorded. SPECT scan results were abnormal in five of 9 patients. In one case of clinically suspected PP + PD, SPECT scan results were normal. Long‐term follow‐up supported the final diagnosis of PP (initial clinical misdiagnosis). Electrophysiology contributes to the clinical diagnosis of psychogenic tremor and may help confirm associated organic PD tremor. [123I]‐FP‐CIT SPECT is a robust test to ascertain dopaminergic denervation and increase the confidence of the clinical and electrophysiological diagnosis of associated PD. A combination of clinical, electrophysiological, and [123I]‐FP‐CIT SPECT scan explorations improves diagnostic accuracy in order to distinguish PP from PP + PD. © 2005 Movement Disorder Society</abstract><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>psychogenic parkinsonism</topic><topic>psychogenic movement disorders</topic><topic>psychogenic tremor</topic><topic>neurophysiology</topic><topic>Ioflupane SPECT scan (DaTSCAN)</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>21</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>310</start><end>317</end><total>8</total></extent></part></relatedItem><identifier type="istex">1153AF20FA3F892375912449AE16253E5B9704D3</identifier><identifier type="DOI">10.1002/mds.20720</identifier><identifier type="ArticleID">MDS20720</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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