Movement Disorders (revue)

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Bilateral pedunculopontine nuclei strokes presenting as freezing of gait.

Identifieur interne : 002022 ( Ncbi/Curation ); précédent : 002021; suivant : 002023

Bilateral pedunculopontine nuclei strokes presenting as freezing of gait.

Auteurs : Sheng-Han Kuo [États-Unis] ; Christopher Kenney ; Joseph Jankovic [États-Unis]

Source :

RBID : pubmed:18181207

English descriptors

Abstract

The penduculopontine nucleus (PPN) has been suggested to play an important role in locomotion, based on animal studies, but its function in humans has not been well defined. Autopsy studies have suggested that PPN pathology correlates with gait dysfunction in Parkinson's disease and in progressive supranuclear palsy but direct clinical evidence is lacking. We report a patient with bilateral PPN infarcts whose dominant clinical feature was freezing of gait, thus providing evidence that PPN is involved in human locomotion and that damage to the PPN may lead to abnormal gait.

DOI: 10.1002/mds.21917
PubMed: 18181207

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Le document en format XML

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<nlm:affiliation>Department of Neurology, Parkinson's Disease Center and Movement Disorders Clinic, Baylor College of Medicine, Houston, Texas 77030, USA.</nlm:affiliation>
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<term>Aged</term>
<term>Cognition Disorders (diagnosis)</term>
<term>Cognition Disorders (etiology)</term>
<term>Freezing Reaction, Cataleptic (physiology)</term>
<term>Functional Laterality (physiology)</term>
<term>Gait (physiology)</term>
<term>Humans</term>
<term>Locomotion (physiology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (etiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Pedunculopontine Tegmental Nucleus (blood supply)</term>
<term>Pedunculopontine Tegmental Nucleus (pathology)</term>
<term>Pedunculopontine Tegmental Nucleus (physiopathology)</term>
<term>Stroke (complications)</term>
<term>Stroke (pathology)</term>
<term>Stroke (physiopathology)</term>
<term>Supranuclear Palsy, Progressive (diagnosis)</term>
<term>Supranuclear Palsy, Progressive (etiology)</term>
<term>Supranuclear Palsy, Progressive (physiopathology)</term>
<term>Videotape Recording</term>
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<term>Pedunculopontine Tegmental Nucleus</term>
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<term>Stroke</term>
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<term>Cognition Disorders</term>
<term>Parkinson Disease</term>
<term>Supranuclear Palsy, Progressive</term>
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<term>Parkinson Disease</term>
<term>Supranuclear Palsy, Progressive</term>
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<term>Stroke</term>
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<div type="abstract" xml:lang="en">The penduculopontine nucleus (PPN) has been suggested to play an important role in locomotion, based on animal studies, but its function in humans has not been well defined. Autopsy studies have suggested that PPN pathology correlates with gait dysfunction in Parkinson's disease and in progressive supranuclear palsy but direct clinical evidence is lacking. We report a patient with bilateral PPN infarcts whose dominant clinical feature was freezing of gait, thus providing evidence that PPN is involved in human locomotion and that damage to the PPN may lead to abnormal gait.</div>
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