Pisa syndrome in Parkinson's disease: clinical, electromyographic, and radiological characterization.
Identifieur interne : 000C60 ( Main/Exploration ); précédent : 000C59; suivant : 000C61Pisa syndrome in Parkinson's disease: clinical, electromyographic, and radiological characterization.
Auteurs : Cristina Tassorelli [Italie] ; Anna Furnari ; Simona Buscone ; Enrico Alfonsi ; Claudio Pacchetti ; Roberta Zangaglia ; Anna Pichiecchio ; Stefano Bastianello ; Alessandro Lozza ; Marta Allena ; Monica Bolla ; Giorgio Sandrini ; Giuseppe Nappi ; Emilia MartignoniSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Atrophy (etiology), Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Muscle, Skeletal (physiopathology), Parkinson Disease (complications), Posture (physiology), Retrospective Studies, Spinal Cord (pathology), Spinal Cord (radiography), Tomography, X-Ray Computed, Torsion Abnormality (etiology), Torsion Abnormality (pathology), Torsion Abnormality (radiography).
- MESH :
- complications : Parkinson Disease.
- etiology : Atrophy, Torsion Abnormality.
- pathology : Spinal Cord, Torsion Abnormality.
- physiology : Posture.
- physiopathology : Muscle, Skeletal.
- radiography : Spinal Cord, Torsion Abnormality.
- Aged, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Retrospective Studies, Tomography, X-Ray Computed.
Abstract
Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD). These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane. In this study we describe clinical, electromyographic (EMG), and radiological features of PS in a group of 20 PD patients. All patients with trunk deviation underwent EMG and radiological (RX and CT scan) investigation. Clinical characteristics of patients with PS were compared with a control group of PD patients without trunk deviation. PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group. In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset. EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles. CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient. PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side. This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain.
DOI: 10.1002/mds.23930
PubMed: 21997192
Affiliations:
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Le document en format XML
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Mondino Foundation, Pavia</wicri:regionArea><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Furnari, Anna" sort="Furnari, Anna" uniqKey="Furnari A" first="Anna" last="Furnari">Anna Furnari</name></author><author><name sortKey="Buscone, Simona" sort="Buscone, Simona" uniqKey="Buscone S" first="Simona" last="Buscone">Simona Buscone</name></author><author><name sortKey="Alfonsi, Enrico" sort="Alfonsi, Enrico" uniqKey="Alfonsi E" first="Enrico" last="Alfonsi">Enrico Alfonsi</name></author><author><name sortKey="Pacchetti, Claudio" sort="Pacchetti, Claudio" uniqKey="Pacchetti C" first="Claudio" last="Pacchetti">Claudio Pacchetti</name></author><author><name sortKey="Zangaglia, Roberta" sort="Zangaglia, Roberta" uniqKey="Zangaglia R" first="Roberta" last="Zangaglia">Roberta Zangaglia</name></author><author><name sortKey="Pichiecchio, Anna" sort="Pichiecchio, Anna" uniqKey="Pichiecchio A" first="Anna" last="Pichiecchio">Anna Pichiecchio</name></author><author><name sortKey="Bastianello, Stefano" sort="Bastianello, Stefano" uniqKey="Bastianello S" first="Stefano" last="Bastianello">Stefano Bastianello</name></author><author><name sortKey="Lozza, Alessandro" sort="Lozza, Alessandro" uniqKey="Lozza A" first="Alessandro" last="Lozza">Alessandro Lozza</name></author><author><name sortKey="Allena, Marta" sort="Allena, Marta" uniqKey="Allena M" first="Marta" last="Allena">Marta Allena</name></author><author><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name></author><author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name></author><author><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1002/mds.23930</idno><idno type="RBID">pubmed:21997192</idno><idno type="pmid">21997192</idno><idno type="wicri:Area/PubMed/Corpus">001002</idno><idno type="wicri:Area/PubMed/Curation">001002</idno><idno type="wicri:Area/PubMed/Checkpoint">000C86</idno><idno type="wicri:Area/Ncbi/Merge">003428</idno><idno type="wicri:Area/Ncbi/Curation">003428</idno><idno type="wicri:Area/Ncbi/Checkpoint">003428</idno><idno type="wicri:Area/Main/Merge">000C76</idno><idno type="wicri:Area/Main/Curation">000C60</idno><idno type="wicri:Area/Main/Exploration">000C60</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pisa syndrome in Parkinson's disease: clinical, electromyographic, and radiological characterization.</title><author><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name><affiliation wicri:level="1"><nlm:affiliation>IRCCS National Neurological Institute C. Mondino Foundation, Pavia, Italy. cristina.tassorelli@mondino.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>IRCCS National Neurological Institute C. Mondino Foundation, Pavia</wicri:regionArea><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Furnari, Anna" sort="Furnari, Anna" uniqKey="Furnari A" first="Anna" last="Furnari">Anna Furnari</name></author><author><name sortKey="Buscone, Simona" sort="Buscone, Simona" uniqKey="Buscone S" first="Simona" last="Buscone">Simona Buscone</name></author><author><name sortKey="Alfonsi, Enrico" sort="Alfonsi, Enrico" uniqKey="Alfonsi E" first="Enrico" last="Alfonsi">Enrico Alfonsi</name></author><author><name sortKey="Pacchetti, Claudio" sort="Pacchetti, Claudio" uniqKey="Pacchetti C" first="Claudio" last="Pacchetti">Claudio Pacchetti</name></author><author><name sortKey="Zangaglia, Roberta" sort="Zangaglia, Roberta" uniqKey="Zangaglia R" first="Roberta" last="Zangaglia">Roberta Zangaglia</name></author><author><name sortKey="Pichiecchio, Anna" sort="Pichiecchio, Anna" uniqKey="Pichiecchio A" first="Anna" last="Pichiecchio">Anna Pichiecchio</name></author><author><name sortKey="Bastianello, Stefano" sort="Bastianello, Stefano" uniqKey="Bastianello S" first="Stefano" last="Bastianello">Stefano Bastianello</name></author><author><name sortKey="Lozza, Alessandro" sort="Lozza, Alessandro" uniqKey="Lozza A" first="Alessandro" last="Lozza">Alessandro Lozza</name></author><author><name sortKey="Allena, Marta" sort="Allena, Marta" uniqKey="Allena M" first="Marta" last="Allena">Marta Allena</name></author><author><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name></author><author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name></author><author><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Atrophy (etiology)</term><term>Electromyography</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Muscle, Skeletal (physiopathology)</term><term>Parkinson Disease (complications)</term><term>Posture (physiology)</term><term>Retrospective Studies</term><term>Spinal Cord (pathology)</term><term>Spinal Cord (radiography)</term><term>Tomography, X-Ray Computed</term><term>Torsion Abnormality (etiology)</term><term>Torsion Abnormality (pathology)</term><term>Torsion Abnormality (radiography)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Atrophy</term><term>Torsion Abnormality</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Spinal Cord</term><term>Torsion Abnormality</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle, Skeletal</term></keywords><keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Spinal Cord</term><term>Torsion Abnormality</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Electromyography</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Tomography, X-Ray Computed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD). These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane. In this study we describe clinical, electromyographic (EMG), and radiological features of PS in a group of 20 PD patients. All patients with trunk deviation underwent EMG and radiological (RX and CT scan) investigation. Clinical characteristics of patients with PS were compared with a control group of PD patients without trunk deviation. PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group. In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset. EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles. CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient. PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side. This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Alfonsi, Enrico" sort="Alfonsi, Enrico" uniqKey="Alfonsi E" first="Enrico" last="Alfonsi">Enrico Alfonsi</name><name sortKey="Allena, Marta" sort="Allena, Marta" uniqKey="Allena M" first="Marta" last="Allena">Marta Allena</name><name sortKey="Bastianello, Stefano" sort="Bastianello, Stefano" uniqKey="Bastianello S" first="Stefano" last="Bastianello">Stefano Bastianello</name><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name><name sortKey="Buscone, Simona" sort="Buscone, Simona" uniqKey="Buscone S" first="Simona" last="Buscone">Simona Buscone</name><name sortKey="Furnari, Anna" sort="Furnari, Anna" uniqKey="Furnari A" first="Anna" last="Furnari">Anna Furnari</name><name sortKey="Lozza, Alessandro" sort="Lozza, Alessandro" uniqKey="Lozza A" first="Alessandro" last="Lozza">Alessandro Lozza</name><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name><name sortKey="Pacchetti, Claudio" sort="Pacchetti, Claudio" uniqKey="Pacchetti C" first="Claudio" last="Pacchetti">Claudio Pacchetti</name><name sortKey="Pichiecchio, Anna" sort="Pichiecchio, Anna" uniqKey="Pichiecchio A" first="Anna" last="Pichiecchio">Anna Pichiecchio</name><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><name sortKey="Zangaglia, Roberta" sort="Zangaglia, Roberta" uniqKey="Zangaglia R" first="Roberta" last="Zangaglia">Roberta Zangaglia</name></noCountry><country name="Italie"><noRegion><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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