Multiple System Atrophy- Parkinsonism with Slow Progression and Prolonged Survival: A Diagnostic Catch
Identifieur interne : 001110 ( Main/Merge ); précédent : 001109; suivant : 001111Multiple System Atrophy- Parkinsonism with Slow Progression and Prolonged Survival: A Diagnostic Catch
Auteurs : Igor N. Petrovic [Royaume-Uni] ; Helen Ling [Royaume-Uni, Serbie] ; Yasmine Asi [Serbie] ; Zeshan Ahmed [Serbie] ; Prashanth L. Kukkle [Canada] ; Lili-Naz Hazrati [Canada] ; Anthony E. Lang [Canada] ; Tamas Revesz [Serbie] ; Janice L. Holton [Serbie] ; Andrew Lees (neurologue) [Royaume-Uni, Serbie]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
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Abstract
Background: Multiple system atrophy (MSA) is a neurodegenerative disease leading to severe physical impairment, with a disease duration from onset to death of 6-9 years. Methods: The clinical and neuropathological features of 4 MSA cases with disease duration of 15 years or more were analyzed. Results: All patients presented with parkinsonism and had a mean latency of 11 years before the development of dysautonomia. Mean duration from onset of first symptoms to anterocollis, inspiratory stridor, and dysphagia was 9 years. Despite the limited levodopa response, all patients developed levodopa-induced dyskinesia. Conclusions: Late appearance of dysautonomia is a favorable prognostic factor in MSA-P. Greater awareness of this uncommon "benign" subgroup of MSA will improve diagnostic accuracy and help to more accurately inform treatment options.
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Kukkle</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Hazrati, Lili Naz" sort="Hazrati, Lili Naz" uniqKey="Hazrati L" first="Lili-Naz" last="Hazrati">Lili-Naz Hazrati</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></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"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Revesz, Tamas" sort="Revesz, Tamas" uniqKey="Revesz T" first="Tamas" last="Revesz">Tamas Revesz</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Holton, Janice L" sort="Holton, Janice L" uniqKey="Holton J" first="Janice L." last="Holton">Janice L. Holton</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Hospital for Neurology and Neurosurgery, Queen Square, and the Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0339928</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0339928 INIST</idno><idno type="RBID">Pascal:12-0339928</idno><idno type="wicri:Area/PascalFrancis/Corpus">000121</idno><idno type="wicri:Area/PascalFrancis/Curation">002B93</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000131</idno><idno type="wicri:doubleKey">0885-3185:2012:Petrovic I:multiple:system:atrophy</idno><idno type="wicri:Area/Main/Merge">001110</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Multiple System Atrophy- Parkinsonism with Slow Progression and Prolonged Survival: A Diagnostic Catch</title><author><name sortKey="Petrovic, Igor N" sort="Petrovic, Igor N" uniqKey="Petrovic I" first="Igor N." last="Petrovic">Igor N. Petrovic</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Hospital for Neurology and Neurosurgery, Queen Square, and the Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Queen Square Brain Bank, Department of Molecular Neuroscience, UCL Institute of Neurology</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ></inist:fA14><country>Royaume-Uni</country><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="Ling, Helen" sort="Ling, Helen" uniqKey="Ling H" first="Helen" last="Ling">Helen Ling</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Hospital for Neurology and Neurosurgery, Queen Square, and the Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Asi, Yasmine" sort="Asi, Yasmine" uniqKey="Asi Y" first="Yasmine" last="Asi">Yasmine Asi</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Ahmed, Zeshan" sort="Ahmed, Zeshan" uniqKey="Ahmed Z" first="Zeshan" last="Ahmed">Zeshan Ahmed</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Kukkle, Prashanth L" sort="Kukkle, Prashanth L" uniqKey="Kukkle P" first="Prashanth L." last="Kukkle">Prashanth L. Kukkle</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Hazrati, Lili Naz" sort="Hazrati, Lili Naz" uniqKey="Hazrati L" first="Lili-Naz" last="Hazrati">Lili-Naz Hazrati</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></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"><inist:fA14 i1="04"><s1>Toronto Western Hospital, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Revesz, Tamas" sort="Revesz, Tamas" uniqKey="Revesz T" first="Tamas" last="Revesz">Tamas Revesz</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Holton, Janice L" sort="Holton, Janice L" uniqKey="Holton J" first="Janice L." last="Holton">Janice L. Holton</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>National Hospital for Neurology and Neurosurgery, Queen Square, and the Reta Lila Weston Institute of Neurological Studies, UCL Institute of Neurology</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Neurology Clinic, CCS, University of Belgrade</s1><s2>Belgrade</s2><s3>SRB</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Serbie</country><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis</term><term>Dysfunction</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Parkinsonism</term><term>Survival</term><term>Visual hallucination</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term><term>Parkinsonisme</term><term>Hallucination visuelle</term><term>Pathologie du système nerveux</term><term>Survie</term><term>Diagnostic</term><term>Trouble fonctionnel</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Multiple system atrophy (MSA) is a neurodegenerative disease leading to severe physical impairment, with a disease duration from onset to death of 6-9 years. Methods: The clinical and neuropathological features of 4 MSA cases with disease duration of 15 years or more were analyzed. Results: All patients presented with parkinsonism and had a mean latency of 11 years before the development of dysautonomia. Mean duration from onset of first symptoms to anterocollis, inspiratory stridor, and dysphagia was 9 years. Despite the limited levodopa response, all patients developed levodopa-induced dyskinesia. Conclusions: Late appearance of dysautonomia is a favorable prognostic factor in MSA-P. Greater awareness of this uncommon "benign" subgroup of MSA will improve diagnostic accuracy and help to more accurately inform treatment options.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Royaume-Uni</li><li>Serbie</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Ontario</li></region><settlement><li>Londres</li><li>Toronto</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li><li>Université de Toronto</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Petrovic, Igor N" sort="Petrovic, Igor N" uniqKey="Petrovic I" first="Igor N." last="Petrovic">Igor N. Petrovic</name></region><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Ling, Helen" sort="Ling, Helen" uniqKey="Ling H" first="Helen" last="Ling">Helen Ling</name><name sortKey="Petrovic, Igor N" sort="Petrovic, Igor N" uniqKey="Petrovic I" first="Igor N." last="Petrovic">Igor N. Petrovic</name></country><country name="Serbie"><noRegion><name sortKey="Ling, Helen" sort="Ling, Helen" uniqKey="Ling H" first="Helen" last="Ling">Helen Ling</name></noRegion><name sortKey="Ahmed, Zeshan" sort="Ahmed, Zeshan" uniqKey="Ahmed Z" first="Zeshan" last="Ahmed">Zeshan Ahmed</name><name sortKey="Asi, Yasmine" sort="Asi, Yasmine" uniqKey="Asi Y" first="Yasmine" last="Asi">Yasmine Asi</name><name sortKey="Holton, Janice L" sort="Holton, Janice L" uniqKey="Holton J" first="Janice L." last="Holton">Janice L. Holton</name><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><name sortKey="Revesz, Tamas" sort="Revesz, Tamas" uniqKey="Revesz T" first="Tamas" last="Revesz">Tamas Revesz</name></country><country name="Canada"><region name="Ontario"><name sortKey="Kukkle, Prashanth L" sort="Kukkle, Prashanth L" uniqKey="Kukkle P" first="Prashanth L." last="Kukkle">Prashanth L. Kukkle</name></region><name sortKey="Hazrati, Lili Naz" sort="Hazrati, Lili Naz" uniqKey="Hazrati L" first="Lili-Naz" last="Hazrati">Lili-Naz Hazrati</name><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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