Movement Disorders (revue)

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Set‐shifting and behavioral dysfunction in primary focal dystonia

Identifieur interne : 002632 ( Main/Curation ); précédent : 002631; suivant : 002633

Set‐shifting and behavioral dysfunction in primary focal dystonia

Auteurs : Paulo Bugalho [Portugal] ; Bernardo Corrêa [Portugal] ; João Guimarães [Portugal] ; Miguel Xavier [Portugal]

Source :

RBID : ISTEX:0D92C89C99720074C60D8B7075AB71C3EA5F1DEC

Descripteurs français

English descriptors

Abstract

The occurrence of cognitive and behavioral symptoms in patients with primary dystonia remains a matter of debate. We compared 45 patients with primary dystonia with 27 control subjects for performance on neuropsychological tasks with a load on executive‐Wisconsin Card Sorting Test (WCST) and Stroop test, and visuospatial‐Benton's visual retention test (BVRT) and Block assembly test from Wechsler Adult Intelligence Scale BAT‐functions, as well as for intensity of obsessive‐compulsive symptoms (Yale Brown Obsessive Compulsive Scale, Y‐BOCS). Correlation analysis was performed between neuropsychological performance, dystonia characteristics (duration, age of onset) and severity (Unified Dystonia Rating Scale, UDRS), and Y‐BOCS. Patients made more perseverative errors on the WCST (P = 0.042) and had a higher mean Y‐BOCS (P = 0.003) score than controls. Timed tests (BVRT, BAT, Stroop test) correlated with UDRS. Y‐BOCS, WCST, and UDRS scores were not significantly correlated with one another.These results suggest that patients with primary dystonia may have set‐shifting deficits and a higher intensity of obsessive compulsive symptoms when compared to healthy subjects. This may reflect a pattern of complex neurophysiological dysfunction involving dorsolateral, orbitofrontal, and motor frontostriatal circuits. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21784

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ISTEX:0D92C89C99720074C60D8B7075AB71C3EA5F1DEC

Le document en format XML

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<title level="a" type="main" xml:lang="en">Set‐shifting and behavioral dysfunction in primary focal dystonia</title>
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<name sortKey="Bugalho, Paulo" sort="Bugalho, Paulo" uniqKey="Bugalho P" first="Paulo" last="Bugalho">Paulo Bugalho</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Department of Neurology, Hospital Egas Moniz, Rua da Junqueira, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Correa, Bernardo" sort="Correa, Bernardo" uniqKey="Correa B" first="Bernardo" last="Corrêa">Bernardo Corrêa</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Department of Psychiatry and Mental Health, Hospital São Francisco Xavier, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Guimaraes, Joao" sort="Guimaraes, Joao" uniqKey="Guimaraes J" first="João" last="Guimarães">João Guimarães</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Department of Neurology, Hospital Egas Moniz, Rua da Junqueira, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Xavier, Miguel" sort="Xavier, Miguel" uniqKey="Xavier M" first="Miguel" last="Xavier">Miguel Xavier</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Department of Psychiatry and Mental Health, Hospital São Francisco Xavier, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<country xml:lang="fr">Portugal</country>
<wicri:regionArea>Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa</wicri:regionArea>
<wicri:noRegion>Lisboa</wicri:noRegion>
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<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="2008-01-30">2008-01-30</date>
<biblScope unit="vol">23</biblScope>
<biblScope unit="issue">2</biblScope>
<biblScope unit="page" from="200">200</biblScope>
<biblScope unit="page" to="206">206</biblScope>
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<idno type="ISSN">0885-3185</idno>
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<idno type="istex">0D92C89C99720074C60D8B7075AB71C3EA5F1DEC</idno>
<idno type="DOI">10.1002/mds.21784</idno>
<idno type="ArticleID">MDS21784</idno>
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<idno type="ISSN">0885-3185</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Attention (physiology)</term>
<term>Behavioral Symptoms (etiology)</term>
<term>Dystonic Disorders (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Set (Psychology)</term>
<term>Severity of Illness Index</term>
<term>executive dysfunction</term>
<term>frontostriatal circuits.</term>
<term>obsessive compulsive symptoms</term>
<term>primary dystonia</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Dystonic Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Behavioral Symptoms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Attention</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
<term>Set (Psychology)</term>
<term>Severity of Illness Index</term>
</keywords>
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<language ident="en">en</language>
</langUsage>
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<front>
<div type="abstract" xml:lang="en">The occurrence of cognitive and behavioral symptoms in patients with primary dystonia remains a matter of debate. We compared 45 patients with primary dystonia with 27 control subjects for performance on neuropsychological tasks with a load on executive‐Wisconsin Card Sorting Test (WCST) and Stroop test, and visuospatial‐Benton's visual retention test (BVRT) and Block assembly test from Wechsler Adult Intelligence Scale BAT‐functions, as well as for intensity of obsessive‐compulsive symptoms (Yale Brown Obsessive Compulsive Scale, Y‐BOCS). Correlation analysis was performed between neuropsychological performance, dystonia characteristics (duration, age of onset) and severity (Unified Dystonia Rating Scale, UDRS), and Y‐BOCS. Patients made more perseverative errors on the WCST (P = 0.042) and had a higher mean Y‐BOCS (P = 0.003) score than controls. Timed tests (BVRT, BAT, Stroop test) correlated with UDRS. Y‐BOCS, WCST, and UDRS scores were not significantly correlated with one another.These results suggest that patients with primary dystonia may have set‐shifting deficits and a higher intensity of obsessive compulsive symptoms when compared to healthy subjects. This may reflect a pattern of complex neurophysiological dysfunction involving dorsolateral, orbitofrontal, and motor frontostriatal circuits. © 2007 Movement Disorder Society</div>
</front>
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