Pathological laughter and crying in patients with multiple system atrophy‐cerebellar type
Identifieur interne : 002C85 ( Main/Curation ); précédent : 002C84; suivant : 002C86Pathological laughter and crying in patients with multiple system atrophy‐cerebellar type
Auteurs : Josef Parvizi [États-Unis] ; Jeffrey Joseph [États-Unis] ; Daniel Z. Press [États-Unis] ; Jeremy D. Schmahmann [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-04-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Affect, Aged, 80 and over, Behavior, Cerebellum, Crying, Crying (psychology), Emotion emotionality, Female, Human, Humans, Laughter, Laughter (psychology), Male, Mental Disorders (pathology), Mental Disorders (psychology), Middle Aged, Multiple system atrophy, Nervous system diseases, Olivopontocerebellar, Olivopontocerebellar Atrophies (pathology), Olivopontocerebellar Atrophies (psychology), Retrospective Studies, behavior, disinhibition, emotion, olivopontocerebellar atrophy, pseudobulbar affect.
- MESH :
- pathology : Mental Disorders, Olivopontocerebellar Atrophies.
- psychology : Crying, Laughter, Mental Disorders, Olivopontocerebellar Atrophies.
- Affect, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
In the cerebellar type of multiple system atrophy (MSA‐C), the burden of pathological changes involves the cerebellum and its associated brainstem structures in the basis pontis and the inferior olivary nucleus, and as a result, the clinical phenotype is dominated early on by the cerebellar dysfunction. We report our clinical and post mortem findings in a patient with MSA‐C who exhibited pathological laughter in the absence of any congruent changes of mood. A review of the clinical notes of 27 other patients with MSA‐C revealed a problem with pathological laughter, or crying, or both in 9 more patients. Our finding of about 36% occurrence suggests that the problem of dysregulation of emotional expression is more prevalent in MSA‐C than the paucity of reports in the literature suggests. Our findings are consistent with the view that the cerebellum and its interconnected structures may be involved in the regulation of emotional expression. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21348
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<author><name sortKey="Schmahmann, Jeremy D" sort="Schmahmann, Jeremy D" uniqKey="Schmahmann J" first="Jeremy D." last="Schmahmann">Jeremy D. Schmahmann</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</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="2007-04-30">2007-04-30</date>
<biblScope unit="vol">22</biblScope>
<biblScope unit="issue">6</biblScope>
<biblScope unit="page" from="798">798</biblScope>
<biblScope unit="page" to="803">803</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">7F0A8DB98A1CC4051E3E385EAC95C1B8672C9A7A</idno>
<idno type="DOI">10.1002/mds.21348</idno>
<idno type="ArticleID">MDS21348</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affect</term>
<term>Aged, 80 and over</term>
<term>Crying (psychology)</term>
<term>Female</term>
<term>Humans</term>
<term>Laughter (psychology)</term>
<term>Male</term>
<term>Mental Disorders (pathology)</term>
<term>Mental Disorders (psychology)</term>
<term>Middle Aged</term>
<term>Olivopontocerebellar Atrophies (pathology)</term>
<term>Olivopontocerebellar Atrophies (psychology)</term>
<term>Retrospective Studies</term>
<term>behavior</term>
<term>disinhibition</term>
<term>emotion</term>
<term>olivopontocerebellar atrophy</term>
<term>pseudobulbar affect</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Mental Disorders</term>
<term>Olivopontocerebellar Atrophies</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Crying</term>
<term>Laughter</term>
<term>Mental Disorders</term>
<term>Olivopontocerebellar Atrophies</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Affect</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">In the cerebellar type of multiple system atrophy (MSA‐C), the burden of pathological changes involves the cerebellum and its associated brainstem structures in the basis pontis and the inferior olivary nucleus, and as a result, the clinical phenotype is dominated early on by the cerebellar dysfunction. We report our clinical and post mortem findings in a patient with MSA‐C who exhibited pathological laughter in the absence of any congruent changes of mood. A review of the clinical notes of 27 other patients with MSA‐C revealed a problem with pathological laughter, or crying, or both in 9 more patients. Our finding of about 36% occurrence suggests that the problem of dysregulation of emotional expression is more prevalent in MSA‐C than the paucity of reports in the literature suggests. Our findings are consistent with the view that the cerebellum and its interconnected structures may be involved in the regulation of emotional expression. © 2007 Movement Disorder Society</div>
</front>
</TEI>
</ISTEX>
</double>
</record>
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