Movement Disorders (revue)

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Cortical motor activation in akinetic schizophrenic patients: A pilot functional MRI study

Identifieur interne : 001C33 ( Istex/Corpus ); précédent : 001C32; suivant : 001C34

Cortical motor activation in akinetic schizophrenic patients: A pilot functional MRI study

Auteurs : Pierre Payoux ; Kader Boulanouar ; Christine Sarramon ; Nelly Fabre ; Sylvie Descombes ; Monique Galitsky ; Claire Thalamas ; Christine Brefel-Courbon ; Umberto Sabatini ; Claude Manelfe ; François Chollet ; Laurent Schmitt ; Olivier Rascol

Source :

RBID : ISTEX:CFBE2A0D97A32DF721673F789F525393693D3DC4

English descriptors

Abstract

Akinesia is associated with supplementary motor area (SMA) dysfunction in Parkinson's disease. We looked for a similar association in patients with schizophrenia. Using functional magnetic resonance imaging (fMRI), we compared motor activation in 6 akinetic neuroleptic‐treated schizophrenic patients and 6 normal subjects. Schizophrenic patients had a defective activation in the SMA, left primary sensorimotor cortex, bilateral lateral premotor and inferior parietal cortices, whereas the right primary sensorimotor cortex and a mesial frontal area were hyperactive. SMA was hypoactive in akinetic schizophrenic patients, emphasizing the role of this area in motor slowness. Other abnormal signals likely reflect schizophrenia‐related abnormal intracortical connections. © 2003 Movement Disorder Society

Url:
DOI: 10.1002/mds.10598

Links to Exploration step

ISTEX:CFBE2A0D97A32DF721673F789F525393693D3DC4

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<div type="abstract" xml:lang="en">Akinesia is associated with supplementary motor area (SMA) dysfunction in Parkinson's disease. We looked for a similar association in patients with schizophrenia. Using functional magnetic resonance imaging (fMRI), we compared motor activation in 6 akinetic neuroleptic‐treated schizophrenic patients and 6 normal subjects. Schizophrenic patients had a defective activation in the SMA, left primary sensorimotor cortex, bilateral lateral premotor and inferior parietal cortices, whereas the right primary sensorimotor cortex and a mesial frontal area were hyperactive. SMA was hypoactive in akinetic schizophrenic patients, emphasizing the role of this area in motor slowness. Other abnormal signals likely reflect schizophrenia‐related abnormal intracortical connections. © 2003 Movement Disorder Society</div>
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