Perverted head‐shaking and positional downbeat nystagmus in patients with multiple system atrophy
Identifieur interne : 002998 ( Main/Merge ); précédent : 002997; suivant : 002999Perverted head‐shaking and positional downbeat nystagmus in patients with multiple system atrophy
Auteurs : Jee-Young Lee [Corée du Sud] ; Woong-Woo Lee [Corée du Sud] ; Ji Soo Kim [Corée du Sud] ; Hee Jin Kim [Corée du Sud] ; Jin-Kyung Kim [Corée du Sud] ; Beom S. Jeon [Corée du Sud]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-07-15.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Disability Evaluation, Female, Gait Disorders, Neurologic (etiology), Humans, Male, Middle Aged, Multiple System Atrophy (complications), Neurologic Examination, Nystagmus, Pathologic (etiology), Nystagmus, Physiologic (physiology), Parkinson Disease (complications), Parkinson's disease, Video Recording, multiple system atrophy, perverted head‐shaking nystagmus, positional downbeat nystagmus.
- MESH :
- complications : Multiple System Atrophy, Parkinson Disease.
- etiology : Gait Disorders, Neurologic, Nystagmus, Pathologic.
- physiology : Nystagmus, Physiologic.
- Adult, Aged, Aged, 80 and over, Chi-Square Distribution, Disability Evaluation, Female, Humans, Male, Middle Aged, Neurologic Examination, Video Recording.
Abstract
The diagnosis of multiple system atrophy (MSA) is mainly based on the clinical criteria, which are often of little assistance in the early stages of the disease. Positional downbeat nystagmus (pDBN) and perverted head‐shaking nystagmus (pHSN), possible signs of cerebellar dysfunction, may be useful in differentiating MSA from other parkinsonian disorders. To investigate the occurrences of pDBN and pHSN in patients with MSA compared with those in patients with Parkinson's disease (PD). A total of 127 consecutive patients with MSA and 274 patients with PD underwent a video‐oculographic recording of head‐shaking and positional nystagmus over a year. The occurrences of pDBN and pHSN were higher in MSA than in PD. pDBN was more frequently observed in MSA with overt cerebellar signs than in those without, but the occurrence of pHSN did not differ between the MSA groups. pHSN was more frequently observed in MSA‐p without overt cerebellar signs than in PD, but there was no difference in the occurrence of pDBN between them. The presence of pHSN and pDBN may be a clue for the diagnosis of MSA, and pHSN may be helpful in differentiating MSA‐p from PD when the patients do not have overt cerebellar features. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22559
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<front><div type="abstract" xml:lang="en">The diagnosis of multiple system atrophy (MSA) is mainly based on the clinical criteria, which are often of little assistance in the early stages of the disease. Positional downbeat nystagmus (pDBN) and perverted head‐shaking nystagmus (pHSN), possible signs of cerebellar dysfunction, may be useful in differentiating MSA from other parkinsonian disorders. To investigate the occurrences of pDBN and pHSN in patients with MSA compared with those in patients with Parkinson's disease (PD). A total of 127 consecutive patients with MSA and 274 patients with PD underwent a video‐oculographic recording of head‐shaking and positional nystagmus over a year. The occurrences of pDBN and pHSN were higher in MSA than in PD. pDBN was more frequently observed in MSA with overt cerebellar signs than in those without, but the occurrence of pHSN did not differ between the MSA groups. pHSN was more frequently observed in MSA‐p without overt cerebellar signs than in PD, but there was no difference in the occurrence of pDBN between them. The presence of pHSN and pDBN may be a clue for the diagnosis of MSA, and pHSN may be helpful in differentiating MSA‐p from PD when the patients do not have overt cerebellar features. © 2009 Movement Disorder Society</div>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Perverted head-shaking and positional downbeat nystagmus in patients with multiple system atrophy.</title>
<author><name sortKey="Lee, Jee Young" sort="Lee, Jee Young" uniqKey="Lee J" first="Jee-Young" last="Lee">Jee-Young Lee</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Seoul National University Hospital, South Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Seoul National University Hospital</wicri:regionArea>
<wicri:noRegion>Seoul National University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Lee, Woong Woo" sort="Lee, Woong Woo" uniqKey="Lee W" first="Woong-Woo" last="Lee">Woong-Woo Lee</name>
</author>
<author><name sortKey="Kim, Ji Soo" sort="Kim, Ji Soo" uniqKey="Kim J" first="Ji Soo" last="Kim">Ji Soo Kim</name>
</author>
<author><name sortKey="Kim, Hee Jin" sort="Kim, Hee Jin" uniqKey="Kim H" first="Hee Jin" last="Kim">Hee Jin Kim</name>
</author>
<author><name sortKey="Kim, Jin Kyung" sort="Kim, Jin Kyung" uniqKey="Kim J" first="Jin-Kyung" last="Kim">Jin-Kyung Kim</name>
</author>
<author><name sortKey="Jeon, Beom S" sort="Jeon, Beom S" uniqKey="Jeon B" first="Beom S" last="Jeon">Beom S. Jeon</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="2009" type="published">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chi-Square Distribution</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Gait Disorders, Neurologic (etiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple System Atrophy (complications)</term>
<term>Neurologic Examination</term>
<term>Nystagmus, Pathologic (etiology)</term>
<term>Nystagmus, Physiologic (physiology)</term>
<term>Parkinson Disease (complications)</term>
<term>Video Recording</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Multiple System Atrophy</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term>
<term>Nystagmus, Pathologic</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Nystagmus, Physiologic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Chi-Square Distribution</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Video Recording</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The diagnosis of multiple system atrophy (MSA) is mainly based on the clinical criteria, which are often of little assistance in the early stages of the disease. Positional downbeat nystagmus (pDBN) and perverted head-shaking nystagmus (pHSN), possible signs of cerebellar dysfunction, may be useful in differentiating MSA from other parkinsonian disorders. To investigate the occurrences of pDBN and pHSN in patients with MSA compared with those in patients with Parkinson's disease (PD). A total of 127 consecutive patients with MSA and 274 patients with PD underwent a video-oculographic recording of head-shaking and positional nystagmus over a year. The occurrences of pDBN and pHSN were higher in MSA than in PD. pDBN was more frequently observed in MSA with overt cerebellar signs than in those without, but the occurrence of pHSN did not differ between the MSA groups. pHSN was more frequently observed in MSA-p without overt cerebellar signs than in PD, but there was no difference in the occurrence of pDBN between them. The presence of pHSN and pDBN may be a clue for the diagnosis of MSA, and pHSN may be helpful in differentiating MSA-p from PD when the patients do not have overt cerebellar features.</div>
</front>
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