Movement Disorders (revue)

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Abnormalities of spatial and temporal sensory discrimination in writer's cramp

Identifieur interne : 004883 ( Main/Curation ); précédent : 004882; suivant : 004884

Abnormalities of spatial and temporal sensory discrimination in writer's cramp

Auteurs : Terence D. Sanger [États-Unis] ; Daniel Tarsy [États-Unis] ; Alvaro Pascual-Leone [États-Unis]

Source :

RBID : ISTEX:2E962B08067E44982C23CC6A82497350AAB44652

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English descriptors

Abstract

Clinical observations of patients with writer's cramp suggest that abnormalities of the sensory system may be a frequent finding in this disorder. Neurophysiological data from an animal model of focal dystonia have revealed cells in somatosensory cortex with enlarged and overlapping tactile receptive fields. However, psychophysical studies so far have been unable to document a clinical correlate supporting a similar enlargement of receptive fields in humans. We compared the fingertip discrimination of the orientation of fine spatial gratings between writer's cramp and control subjects and found a significant decrease in grating sensitivity in the patients, consistent with the possibility of enlarged tactile receptive fields. In addition, we duplicated previous experiments showing an abnormality of tactile temporal discrimination. The results provide psychophysical measures which may relate to the development of sensory cortical reorganization in patients with writer's cramp. Mov. Disord. 16:94–99, 2001. © 2001 Movement Disorder Society.

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DOI: 10.1002/1531-8257(200101)16:1<94::AID-MDS1020>3.0.CO;2-O

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ISTEX:2E962B08067E44982C23CC6A82497350AAB44652

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<name sortKey="Pascual Leone, A" sort="Pascual Leone, A" uniqKey="Pascual Leone A" first="A" last="Pascual-Leone">A. Pascual-Leone</name>
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<title xml:lang="en">Abnormalities of spatial and temporal sensory discrimination in writer's cramp.</title>
<author>
<name sortKey="Sanger, T D" sort="Sanger, T D" uniqKey="Sanger T" first="T D" last="Sanger">T D Sanger</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of Child Neurology and Movement Disorders, Stanford University Medical Center, California, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Child Neurology and Movement Disorders, Stanford University Medical Center, California</wicri:regionArea>
<placeName>
<region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Tarsy, D" sort="Tarsy, D" uniqKey="Tarsy D" first="D" last="Tarsy">D. Tarsy</name>
</author>
<author>
<name sortKey="Pascual Leone, A" sort="Pascual Leone, A" uniqKey="Pascual Leone A" first="A" last="Pascual-Leone">A. Pascual-Leone</name>
</author>
</analytic>
<series>
<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<imprint>
<date when="2001" type="published">2001</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Dystonic Disorders (complications)</term>
<term>Dystonic Disorders (diagnosis)</term>
<term>Dystonic Disorders (physiopathology)</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Perceptual Disorders (complications)</term>
<term>Perceptual Disorders (diagnosis)</term>
<term>Perceptual Disorders (physiopathology)</term>
<term>Severity of Illness Index</term>
<term>Space Perception (physiology)</term>
<term>Time Perception (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Dystonic Disorders</term>
<term>Perceptual Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Dystonic Disorders</term>
<term>Perceptual Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Space Perception</term>
<term>Time Perception</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Dystonic Disorders</term>
<term>Perceptual Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Severity of Illness Index</term>
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<front>
<div type="abstract" xml:lang="en">Clinical observations of patients with writer's cramp suggest that abnormalities of the sensory system may be a frequent finding in this disorder. Neurophysiological data from an animal model of focal dystonia have revealed cells in somatosensory cortex with enlarged and overlapping tactile receptive fields. However, psychophysical studies so far have been unable to document a clinical correlate supporting a similar enlargement of receptive fields in humans. We compared the fingertip discrimination of the orientation of fine spatial gratings between writer's cramp and control subjects and found a significant decrease in grating sensitivity in the patients, consistent with the possibility of enlarged tactile receptive fields. In addition, we duplicated previous experiments showing an abnormality of tactile temporal discrimination. The results provide psychophysical measures which may relate to the development of sensory cortical reorganization in patients with writer's cramp.</div>
</front>
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