Phenomenology and classification of dystonia: a consensus update
Identifieur interne : 000843 ( Main/Exploration ); précédent : 000842; suivant : 000844Phenomenology and classification of dystonia: a consensus update
Auteurs : Alberto Albanese [Italie] ; Kailash Bhatia [Royaume-Uni] ; Susan B. Bressman [États-Unis] ; Mahlon R. Delong [États-Unis] ; Stanley Fahn [États-Unis] ; Victor S. C. Fung [Australie] ; Mark Hallett [États-Unis] ; Joseph Jankovic [États-Unis] ; H. A. Jinnah [États-Unis] ; Christine Klein [Allemagne] ; Anthony E. Lang [Canada] ; Jonathan W. Mink [États-Unis] ; Jan K. Teller [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- classification : Dystonia.
- etiology : Dystonia.
- pathology : Nervous System.
- physiopathology : Dystonia.
- statistics & numerical data : Databases, Factual.
- Age of Onset, Consensus, Humans, International Cooperation.
Abstract
This report describes the consensus outcome of an international panel consisting of investigators with years of experience in this field that reviewed the definition and classification of dystonia. Agreement was obtained based on a consensus development methodology during three in-person meetings and manuscript review by mail.
Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both. Dystonic movements are typically patterned and twisting, and may be tremulous. Dystonia is often initiated or worsened by voluntary action and associated with overflow muscle activation. Dystonia is classified along two axes: clinical characteristics, including age at onset, body distribution, temporal pattern and associated features (additional movement disorders or neurological features), and etiology, which includes nervous system pathology and inheritance. The clinical characteristics fall into several specific dystonia syndromes that help to guide diagnosis and treatment.
We provide here a new general definition of dystonia and propose a new classification. We encourage clinicians and researchers to use these innovative definition and classification and test them in the clinical setting on a variety of patients with dystonia.
Url:
DOI: 10.1002/mds.25475
PubMed: 23649720
PubMed Central: 3729880
Affiliations:
- Allemagne, Australie, Canada, Italie, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Illinois, Lombardie, Maryland, Ontario, Texas, État de New York
- Houston, Londres, Milan, New York, Sydney, Toronto
- Baylor College of Medicine, Université Columbia, Université de Toronto
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Le document en format XML
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Jinnah</name><affiliation wicri:level="1"><nlm:aff id="A9">Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta GA</wicri:regionArea><wicri:noRegion>Atlanta GA</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation wicri:level="1"><nlm:aff id="A10">Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name><affiliation wicri:level="4"><nlm:aff id="A11">Morton & Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital and the University of Toronto, Toronto, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Morton & Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital and the University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W." last="Mink">Jonathan W. Mink</name><affiliation wicri:level="2"><nlm:aff id="A12">Departments of Neurology, Neurobiology & Anatomy, Brain & Cognitive Sciences, and Pediatrics, University of Rochester, Rochester, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Neurology, Neurobiology & Anatomy, Brain & Cognitive Sciences, and Pediatrics, University of Rochester, Rochester, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Teller, Jan K" sort="Teller, Jan K" uniqKey="Teller J" first="Jan K." last="Teller">Jan K. Teller</name><affiliation wicri:level="2"><nlm:aff id="A13">Dystonia Medical Research Foundation, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Dystonia Medical Research Foundation, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23649720</idno><idno type="pmc">3729880</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3729880</idno><idno type="RBID">PMC:3729880</idno><idno type="doi">10.1002/mds.25475</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000326</idno><idno type="wicri:Area/Pmc/Curation">000326</idno><idno type="wicri:Area/Pmc/Checkpoint">000089</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000921</idno><idno type="wicri:Area/PubMed/Curation">000921</idno><idno type="wicri:Area/PubMed/Checkpoint">000859</idno><idno type="wicri:Area/Ncbi/Merge">003B60</idno><idno type="wicri:Area/Ncbi/Curation">003B60</idno><idno type="wicri:Area/Ncbi/Checkpoint">003B60</idno><idno type="wicri:doubleKey">0885-3185:2013:Albanese A:phenomenology:and:classification</idno><idno type="wicri:Area/Main/Merge">000843</idno><idno type="wicri:Area/Main/Curation">000843</idno><idno type="wicri:Area/Main/Exploration">000843</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Phenomenology and classification of dystonia: a consensus update</title><author><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Neurology, Catholic University and Carlo Best a National Neurological Institute, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology, Catholic University and Carlo Best a National Neurological Institute, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Bhatia, Kailash" sort="Bhatia, Kailash" uniqKey="Bhatia K" first="Kailash" last="Bhatia">Kailash Bhatia</name><affiliation wicri:level="3"><nlm:aff id="A2">Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Bressman, Susan B" sort="Bressman, Susan B" uniqKey="Bressman S" first="Susan B." last="Bressman">Susan B. Bressman</name><affiliation wicri:level="2"><nlm:aff id="A3">Departments of Neurology, Beth Israel Medical Center and Albert Einstein College of Medicine, New York, NY and Bronx, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Neurology, Beth Israel Medical Center and Albert Einstein College of Medicine, New York, NY and Bronx, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Delong, Mahlon R" sort="Delong, Mahlon R" uniqKey="Delong M" first="Mahlon R." last="Delong">Mahlon R. Delong</name><affiliation wicri:level="1"><nlm:aff id="A4">Department of Neurology, Emory, University, Atlanta GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Emory, University, Atlanta GA</wicri:regionArea><wicri:noRegion>Atlanta GA</wicri:noRegion></affiliation></author><author><name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name><affiliation wicri:level="4"><nlm:aff id="A5">Department of Neurology, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Fung, Victor S C" sort="Fung, Victor S C" uniqKey="Fung V" first="Victor S. C." last="Fung">Victor S. C. Fung</name><affiliation wicri:level="3"><nlm:aff id="A6">Movement Disorders Unit, Department of Neurology, Westmead Hospital & Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Movement Disorders Unit, Department of Neurology, Westmead Hospital & Sydney Medical School, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement></placeName></affiliation></author><author><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><affiliation wicri:level="2"><nlm:aff id="A7">Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><affiliation wicri:level="2"><nlm:aff id="A8">Parkinson’s Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson’s Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university" n="3">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Jinnah, H A" sort="Jinnah, H A" uniqKey="Jinnah H" first="H. A." last="Jinnah">H. A. Jinnah</name><affiliation wicri:level="1"><nlm:aff id="A9">Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Neurology, Human Genetics and Pediatrics, Emory University, Atlanta GA</wicri:regionArea><wicri:noRegion>Atlanta GA</wicri:noRegion></affiliation></author><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation wicri:level="1"><nlm:aff id="A10">Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name><affiliation wicri:level="4"><nlm:aff id="A11">Morton & Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital and the University of Toronto, Toronto, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Morton & Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Toronto Western Hospital and the University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W." last="Mink">Jonathan W. Mink</name><affiliation wicri:level="2"><nlm:aff id="A12">Departments of Neurology, Neurobiology & Anatomy, Brain & Cognitive Sciences, and Pediatrics, University of Rochester, Rochester, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Neurology, Neurobiology & Anatomy, Brain & Cognitive Sciences, and Pediatrics, University of Rochester, Rochester, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Teller, Jan K" sort="Teller, Jan K" uniqKey="Teller J" first="Jan K." last="Teller">Jan K. Teller</name><affiliation wicri:level="2"><nlm:aff id="A13">Dystonia Medical Research Foundation, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Dystonia Medical Research Foundation, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age of Onset</term><term>Consensus</term><term>Databases, Factual (statistics & numerical data)</term><term>Dystonia (classification)</term><term>Dystonia (etiology)</term><term>Dystonia (physiopathology)</term><term>Humans</term><term>International Cooperation</term><term>Nervous System (pathology)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Nervous System</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Databases, Factual</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age of Onset</term><term>Consensus</term><term>Humans</term><term>International Cooperation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">This report describes the consensus outcome of an international panel consisting of investigators with years of experience in this field that reviewed the definition and classification of dystonia. Agreement was obtained based on a consensus development methodology during three in-person meetings and manuscript review by mail.</p><p id="P2">Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both. Dystonic movements are typically patterned and twisting, and may be tremulous. Dystonia is often initiated or worsened by voluntary action and associated with overflow muscle activation. Dystonia is classified along two axes: clinical characteristics, including age at onset, body distribution, temporal pattern and associated features (additional movement disorders or neurological features), and etiology, which includes nervous system pathology and inheritance. The clinical characteristics fall into several specific dystonia syndromes that help to guide diagnosis and treatment.</p><p id="P3">We provide here a new general definition of dystonia and propose a new classification. We encourage clinicians and researchers to use these innovative definition and classification and test them in the clinical setting on a variety of patients with dystonia.</p></div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>Italie</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Illinois</li><li>Lombardie</li><li>Maryland</li><li>Ontario</li><li>Texas</li><li>État de New York</li></region><settlement><li>Houston</li><li>Londres</li><li>Milan</li><li>New York</li><li>Sydney</li><li>Toronto</li></settlement><orgName><li>Baylor College of Medicine</li><li>Université Columbia</li><li>Université de Toronto</li></orgName></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Bhatia, Kailash" sort="Bhatia, Kailash" uniqKey="Bhatia K" first="Kailash" last="Bhatia">Kailash Bhatia</name></region></country><country name="États-Unis"><region name="État de New York"><name sortKey="Bressman, Susan B" sort="Bressman, Susan B" uniqKey="Bressman S" first="Susan B." last="Bressman">Susan B. Bressman</name></region><name sortKey="Delong, Mahlon R" sort="Delong, Mahlon R" uniqKey="Delong M" first="Mahlon R." last="Delong">Mahlon R. Delong</name><name sortKey="Fahn, Stanley" sort="Fahn, Stanley" uniqKey="Fahn S" first="Stanley" last="Fahn">Stanley Fahn</name><name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><name sortKey="Jinnah, H A" sort="Jinnah, H A" uniqKey="Jinnah H" first="H. A." last="Jinnah">H. A. Jinnah</name><name sortKey="Mink, Jonathan W" sort="Mink, Jonathan W" uniqKey="Mink J" first="Jonathan W." last="Mink">Jonathan W. Mink</name><name sortKey="Teller, Jan K" sort="Teller, Jan K" uniqKey="Teller J" first="Jan K." last="Teller">Jan K. Teller</name></country><country name="Australie"><noRegion><name sortKey="Fung, Victor S C" sort="Fung, Victor S C" uniqKey="Fung V" first="Victor S. C." last="Fung">Victor S. C. Fung</name></noRegion></country><country name="Allemagne"><noRegion><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name></noRegion></country><country name="Canada"><region name="Ontario"><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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