Diagnostic potential of acoustic startle reflex, acoustic blink reflex, and electro‐oculography in progressive supranuclear palsy: A prospective study
Identifieur interne : 004128 ( Main/Exploration ); précédent : 004127; suivant : 004129Diagnostic potential of acoustic startle reflex, acoustic blink reflex, and electro‐oculography in progressive supranuclear palsy: A prospective study
Auteurs : Alexandre Gironell [Espagne] ; Jaime Kulisevsky [Espagne] ; Carles Roig [Espagne] ; Berta Pascual-Sedano [Espagne] ; Antoni Rodríguez-Fornells [Allemagne] ; Pilar Otermin [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Blinking, Blinking (physiology), Diagnosis, Electrooculography, Electrooculography (instrumentation), Female, Follow-Up Studies, Human, Humans, Male, Middle Aged, Multiple System Atrophy (diagnosis), Nystagmus, Optokinetic, Parkinsonian Disorders (diagnosis), Progressive, Prospective Studies, Reaction Time, Reflex, Acoustic (physiology), Reflex, Startle (physiology), Saccades (physiology), Severity of Illness Index, Startle reflex, Supranuclear Palsy, Progressive (diagnosis), Supranuclear ophthalmoplegia, blink reflex, electro‐oculography, multiple system atrophy, parkinsonian syndromes, progressive supranuclear palsy, startle reflex.
- MESH :
- diagnosis : Multiple System Atrophy, Parkinsonian Disorders, Supranuclear Palsy, Progressive.
- instrumentation : Electrooculography.
- physiology : Blinking, Reflex, Acoustic, Reflex, Startle, Saccades.
- Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nystagmus, Optokinetic, Prospective Studies, Reaction Time, Severity of Illness Index.
Abstract
We carried out a prospective study to analyze the diagnostic potential of acoustic startle reflex (ASR), acoustic blink reflex (ABR) and electro‐oculography (EOG) in early stages of atypical parkinsonian syndrome. The study was carried out in a consecutive series of 41 patients clinically diagnosed as atypical parkinsonism (mean time from first symptoms of 38 months and follow‐up of 26 months). The three procedures were carried out immediately after the first clinical evaluation. ASR and ABR were elicited by auditory stimuli while the patient was attending to a simple reaction time task. Outcome measures were: ASR (absence/presence, latency), ABR (absence/presence, latency) and EOG (suggestive/not suggestive of progressive supranuclear palsy [PSP]). Final clinical diagnosis was carried out by two neurologists blind to the neurophysiological results. A study of diagnostic sensitivity and odds ratio (OR) calculation for the PSP diagnosis was carried out. Neurophysiological examination showed the following sensitivity/specificity (%) for the diagnosis of PSP: ASR: 100/89; ABR 85/89; EOG 100/72. OR values were: ASR: 0.011; ABR: 0.037; EOG: 0.038. The three tests taken simultaneously showed a sensitivity of 100% and a specificity of 95%. The three neurophysiological tests investigated provided sensitive and specific measures with predictor value in early stages of atypical parkinsonian syndrome. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10529
Affiliations:
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The study was carried out in a consecutive series of 41 patients clinically diagnosed as atypical parkinsonism (mean time from first symptoms of 38 months and follow‐up of 26 months). The three procedures were carried out immediately after the first clinical evaluation. ASR and ABR were elicited by auditory stimuli while the patient was attending to a simple reaction time task. Outcome measures were: ASR (absence/presence, latency), ABR (absence/presence, latency) and EOG (suggestive/not suggestive of progressive supranuclear palsy [PSP]). Final clinical diagnosis was carried out by two neurologists blind to the neurophysiological results. A study of diagnostic sensitivity and odds ratio (OR) calculation for the PSP diagnosis was carried out. Neurophysiological examination showed the following sensitivity/specificity (%) for the diagnosis of PSP: ASR: 100/89; ABR 85/89; EOG 100/72. OR values were: ASR: 0.011; ABR: 0.037; EOG: 0.038. The three tests taken simultaneously showed a sensitivity of 100% and a specificity of 95%. The three neurophysiological tests investigated provided sensitive and specific measures with predictor value in early stages of atypical parkinsonian syndrome. © 2003 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Espagne</li></country><region><li>Saxe-Anhalt</li></region><settlement><li>Magdebourg</li></settlement></list><tree><country name="Espagne"><noRegion><name sortKey="Gironell, Alexandre" sort="Gironell, Alexandre" uniqKey="Gironell A" first="Alexandre" last="Gironell">Alexandre Gironell</name></noRegion><name sortKey="Kulisevsky, Jaime" sort="Kulisevsky, Jaime" uniqKey="Kulisevsky J" first="Jaime" last="Kulisevsky">Jaime Kulisevsky</name><name sortKey="Otermin, Pilar" sort="Otermin, Pilar" uniqKey="Otermin P" first="Pilar" last="Otermin">Pilar Otermin</name><name sortKey="Pascual Edano, Berta" sort="Pascual Edano, Berta" uniqKey="Pascual Edano B" first="Berta" last="Pascual-Sedano">Berta Pascual-Sedano</name><name sortKey="Roig, Carles" sort="Roig, Carles" uniqKey="Roig C" first="Carles" last="Roig">Carles Roig</name></country><country name="Allemagne"><region name="Saxe-Anhalt"><name sortKey="Rodriguez Ornells, Antoni" sort="Rodriguez Ornells, Antoni" uniqKey="Rodriguez Ornells A" first="Antoni" last="Rodríguez-Fornells">Antoni Rodríguez-Fornells</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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