Loss of sensory function in patients with idiopathic hand dystonia
Identifieur interne : 001576 ( Main/Exploration ); précédent : 001575; suivant : 001577Loss of sensory function in patients with idiopathic hand dystonia
Auteurs : Inga Suttrup [Allemagne] ; Denise Oberdiek [Allemagne] ; Judith Suttrup [Allemagne] ; Nani Osada [Allemagne] ; Stefan Evers [Allemagne] ; Martin Marziniak [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Case-Control Studies, Dystonia, Dystonia (complications), Dystonia (pathology), Electroencephalography (methods), Evoked Potentials, Somatosensory (physiology), Evoked potential, Female, Hand, Hand (innervation), Hand (physiopathology), Hot Temperature, Human, Humans, Idiopathic, Male, Middle Aged, Nervous system diseases, Pain Measurement, Pain Threshold (physiology), Physical Stimulation (methods), Reaction Time (physiology), Sensation Disorders (etiology), Sensory disorder, Vibration, contact heat‐evoked potentials, idiopathic hand dystonia, quantitative sensory testing, sensory function.
- MESH :
- complications : Dystonia.
- etiology : Sensation Disorders.
- innervation : Hand.
- methods : Electroencephalography, Physical Stimulation.
- pathology : Dystonia.
- physiology : Evoked Potentials, Somatosensory, Pain Threshold, Reaction Time.
- physiopathology : Hand.
- Adult, Aged, Case-Control Studies, Female, Hot Temperature, Humans, Male, Middle Aged, Pain Measurement, Vibration.
Abstract
Former studies suggest an additional involvement of the sensory nervous system, beside the involuntary contractions of antagonist muscles, in idiopathic hand dystonia. We studied contact heat‐evoked potentials and quantitative sensory testing (QST) in 10 patients suffering from idiopathic hand dystonia and 10 age‐matched healthy controls. Cortical potentials recorded from the vertex (Pz) after contact heat stimulation of the volar forearm and the dorsum of the hand at a temperature of 51°C showed significantly reduced A‐δ‐amplitudes. Numerical pain ratings on the affected side in comparison to the unaffected side and to healthy controls were significantly reduced. QST results showed an impairment of the thermal detection thresholds, the mechanical pain sensitivity and the mechanical pain threshold at the affected body side of the patients. Our results suggest a loss of distinct sensory functions of the affected hand in comparison with the contralateral hand and to matched healthy subjects in patients suffering from idiopathic hand dystonia. For the first time, an extended loss of sensory function could be shown in patients suffering from idiopathic hand dystonia. © 2010 Movement Disorder Society.
Url:
DOI: 10.1002/mds.23425
Affiliations:
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Le document en format XML
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<term>Hand (physiopathology)</term>
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<term>idiopathic hand dystonia</term>
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<front><div type="abstract" xml:lang="en">Former studies suggest an additional involvement of the sensory nervous system, beside the involuntary contractions of antagonist muscles, in idiopathic hand dystonia. We studied contact heat‐evoked potentials and quantitative sensory testing (QST) in 10 patients suffering from idiopathic hand dystonia and 10 age‐matched healthy controls. Cortical potentials recorded from the vertex (Pz) after contact heat stimulation of the volar forearm and the dorsum of the hand at a temperature of 51°C showed significantly reduced A‐δ‐amplitudes. Numerical pain ratings on the affected side in comparison to the unaffected side and to healthy controls were significantly reduced. QST results showed an impairment of the thermal detection thresholds, the mechanical pain sensitivity and the mechanical pain threshold at the affected body side of the patients. Our results suggest a loss of distinct sensory functions of the affected hand in comparison with the contralateral hand and to matched healthy subjects in patients suffering from idiopathic hand dystonia. For the first time, an extended loss of sensory function could be shown in patients suffering from idiopathic hand dystonia. © 2010 Movement Disorder Society.</div>
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