Pathological laughter and crying in patients with multiple system atrophy-cerebellar type.
Identifieur interne : 001B10 ( Ncbi/Curation ); précédent : 001B09; suivant : 001B11Pathological laughter and crying in patients with multiple system atrophy-cerebellar type.
Auteurs : Josef Parvizi [États-Unis] ; Jeffrey Joseph ; Daniel Z. Press ; Jeremy D. SchmahmannSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- MESH :
- pathology : Mental Disorders, Olivopontocerebellar Atrophies.
- psychology : Crying, Laughter, Mental Disorders, Olivopontocerebellar Atrophies.
- Affect, Aged, 80 and over, Female, Humans, Male, Middle Aged, Retrospective Studies.
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.
DOI: 10.1002/mds.21348
PubMed: 17290465
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pubmed:17290465Le document en format XML
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<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. jparvizi@ucla.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
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<author><name sortKey="Joseph, Jeffrey" sort="Joseph, Jeffrey" uniqKey="Joseph J" first="Jeffrey" last="Joseph">Jeffrey Joseph</name>
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<author><name sortKey="Schmahmann, Jeremy D" sort="Schmahmann, Jeremy D" uniqKey="Schmahmann J" first="Jeremy D" last="Schmahmann">Jeremy D. Schmahmann</name>
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<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. jparvizi@ucla.edu</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Humans</term>
<term>Laughter (psychology)</term>
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<term>Mental Disorders (pathology)</term>
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<term>Middle Aged</term>
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<term>Olivopontocerebellar Atrophies (psychology)</term>
<term>Retrospective Studies</term>
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<term>Olivopontocerebellar Atrophies</term>
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<term>Aged, 80 and over</term>
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<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>
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