Pathological laughter and crying in patients with multiple system atrophy-cerebellar type
Identifieur interne : 004134 ( Main/Merge ); précédent : 004133; suivant : 004135Pathological laughter and crying in patients with multiple system atrophy-cerebellar type
Auteurs : Josef Parvizi [États-Unis] ; Jeffrey Joseph [États-Unis] ; Daniel Z. Press [États-Unis] ; Jeremy D. Schmahmann [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
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- Pascal (Inist)
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- topic : Homme.
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Abstract
In the cerebellar type of multiple system atrophy (MSA-C), the burden of pathological changes involves the cerebellum and its associated brainstem structures in the basis pontis and the inferior olivary nucleus, and as a result, the clinical phenotype is dominated early on by the cerebellar dysfunction. We report our clinical and post mortem findings in a patient with MSA-C who exhibited pathological laughter in the absence of any congruent changes of mood. A review of the clinical notes of 27 other patients with MSA-C revealed a problem with pathological laughter, or crying, or both in 9 more patients. Our finding of about 36% occurrence suggests that the problem of dysregulation of emotional expression is more prevalent in MSA-C than the paucity of reports in the literature suggests. Our findings are consistent with the view that the cerebellum and its interconnected structures may be involved in the regulation of emotional expression.
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Pascal:07-0263055Le document en format XML
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Press</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Schmahmann, Jeremy D" sort="Schmahmann, Jeremy D" uniqKey="Schmahmann J" first="Jeremy D." last="Schmahmann">Jeremy D. Schmahmann</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Neurology, Massachusetts General Hospital, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0263055</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0263055 INIST</idno><idno type="RBID">Pascal:07-0263055</idno><idno type="wicri:Area/PascalFrancis/Corpus">001702</idno><idno type="wicri:Area/PascalFrancis/Curation">001619</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001544</idno><idno type="wicri:doubleKey">0885-3185:2007:Parvizi J:pathological:laughter:and</idno><idno type="wicri:Area/Main/Merge">004134</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Pathological laughter and crying in patients with multiple system atrophy-cerebellar type</title><author><name sortKey="Parvizi, Josef" sort="Parvizi, Josef" uniqKey="Parvizi J" first="Josef" last="Parvizi">Josef Parvizi</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Joseph, Jeffrey" sort="Joseph, Jeffrey" uniqKey="Joseph J" first="Jeffrey" last="Joseph">Jeffrey Joseph</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Press, Daniel Z" sort="Press, Daniel Z" uniqKey="Press D" first="Daniel Z." last="Press">Daniel Z. Press</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Schmahmann, Jeremy D" sort="Schmahmann, Jeremy D" uniqKey="Schmahmann J" first="Jeremy D." last="Schmahmann">Jeremy D. Schmahmann</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Neurology, Massachusetts General Hospital, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></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="2007">2007</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>Behavior</term><term>Cerebellum</term><term>Crying</term><term>Emotion emotionality</term><term>Human</term><term>Laughter</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Olivopontocerebellar</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Atrophie multisystématisée</term><term>Rire</term><term>Pleur</term><term>Homme</term><term>Cervelet</term><term>Olivopontocérébelleux</term><term>Emotion émotivité</term><term>Comportement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In the cerebellar type of multiple system atrophy (MSA-C), the burden of pathological changes involves the cerebellum and its associated brainstem structures in the basis pontis and the inferior olivary nucleus, and as a result, the clinical phenotype is dominated early on by the cerebellar dysfunction. We report our clinical and post mortem findings in a patient with MSA-C who exhibited pathological laughter in the absence of any congruent changes of mood. A review of the clinical notes of 27 other patients with MSA-C revealed a problem with pathological laughter, or crying, or both in 9 more patients. Our finding of about 36% occurrence suggests that the problem of dysregulation of emotional expression is more prevalent in MSA-C than the paucity of reports in the literature suggests. Our findings are consistent with the view that the cerebellum and its interconnected structures may be involved in the regulation of emotional expression.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Parvizi, Josef" sort="Parvizi, Josef" uniqKey="Parvizi J" first="Josef" last="Parvizi">Josef Parvizi</name></region><name sortKey="Joseph, Jeffrey" sort="Joseph, Jeffrey" uniqKey="Joseph J" first="Jeffrey" last="Joseph">Jeffrey Joseph</name><name sortKey="Press, Daniel Z" sort="Press, Daniel Z" uniqKey="Press D" first="Daniel Z." last="Press">Daniel Z. Press</name><name sortKey="Schmahmann, Jeremy D" sort="Schmahmann, Jeremy D" uniqKey="Schmahmann J" first="Jeremy D." last="Schmahmann">Jeremy D. Schmahmann</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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