Cerebral and cerebellar activation in correlation to the action-induced dystonia in writer's cramp.
Identifieur interne : 004F66 ( Ncbi/Merge ); précédent : 004F65; suivant : 004F67Cerebral and cerebellar activation in correlation to the action-induced dystonia in writer's cramp.
Auteurs : T. Odergren [Suède] ; S. Stone-Elander ; M. IngvarSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- Adult, Brain (blood supply), Brain (physiopathology), Brain (radionuclide imaging), Cerebellum (blood supply), Cerebellum (physiopathology), Cerebellum (radionuclide imaging), Female, Functional Laterality (physiology), Handwriting, Humans, Male, Middle Aged, Motor Cortex (blood supply), Motor Cortex (physiopathology), Motor Cortex (radionuclide imaging), Motor Neurons (physiology), Muscle Cramp (physiopathology), Muscle Cramp (radionuclide imaging), Oxygen Consumption (physiology), Regional Blood Flow (physiology), Somatosensory Cortex (blood supply), Somatosensory Cortex (physiopathology), Somatosensory Cortex (radionuclide imaging), Tomography, Emission-Computed.
- MESH :
- blood supply : Brain, Cerebellum, Motor Cortex, Somatosensory Cortex.
- physiology : Functional Laterality, Motor Neurons, Oxygen Consumption, Regional Blood Flow.
- physiopathology : Brain, Cerebellum, Motor Cortex, Muscle Cramp, Somatosensory Cortex.
- radionuclide imaging : Brain, Cerebellum, Motor Cortex, Muscle Cramp, Somatosensory Cortex.
- Adult, Female, Handwriting, Humans, Male, Middle Aged, Tomography, Emission-Computed.
Abstract
The pattern of brain perfusion of four patients with writer's cramp and four control subjects were examined using positron emission tomography scans after [(15)O] butanol injections. Each subject was scanned 12 times to cover three repetitions of four different motor tasks with the right hand. Drawing of horizontal lines and variable durations of the writing of a prelearned text were performed in a pseudorandom order, the latter task commencing either simultaneously with or 30 sec or 120 sec before the tracer injection. The perceived difficulty and signs of dystonia progressed in correlation to the duration of writing. Statistical parametric maps were calculated to test hypotheses of regional specific effects dependent on the performed motor tasks. The patients with writer's cramp had progressively increased activity in the left primary sensorimotor and premotor cortices, the left thalamus, and the cerebellum with a right-side predominance in correlation to the duration of writing. The regions with activity increases thus corresponded to a cerebrocerebellar motor circuit. The duration of writing correlated to a progressive reduction of activity in the patients' left supramarginal and angular gyri (Brodmann areas 40 and 39) and an inferior part of the left temporal lobe (area 20). The control subjects had neither a significant increase or decrease of activity in correlation to the duration of writing. Group-specific differences were confirmed statistically in split-plot interaction analyses.
DOI: 10.1002/mds.870130321
PubMed: 9613744
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pubmed:9613744Le document en format XML
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<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Karolinska Hospital, Stockholm, Sweden.</nlm:affiliation>
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<wicri:regionArea>Department of Neurology, Karolinska Hospital, Stockholm</wicri:regionArea>
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<author><name sortKey="Stone Elander, S" sort="Stone Elander, S" uniqKey="Stone Elander S" first="S" last="Stone-Elander">S. Stone-Elander</name>
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<author><name sortKey="Ingvar, M" sort="Ingvar, M" uniqKey="Ingvar M" first="M" last="Ingvar">M. Ingvar</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
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<term>Brain (radionuclide imaging)</term>
<term>Cerebellum (blood supply)</term>
<term>Cerebellum (physiopathology)</term>
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<term>Tomography, Emission-Computed</term>
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<term>Motor Cortex</term>
<term>Muscle Cramp</term>
<term>Somatosensory Cortex</term>
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<term>Female</term>
<term>Handwriting</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">The pattern of brain perfusion of four patients with writer's cramp and four control subjects were examined using positron emission tomography scans after [(15)O] butanol injections. Each subject was scanned 12 times to cover three repetitions of four different motor tasks with the right hand. Drawing of horizontal lines and variable durations of the writing of a prelearned text were performed in a pseudorandom order, the latter task commencing either simultaneously with or 30 sec or 120 sec before the tracer injection. The perceived difficulty and signs of dystonia progressed in correlation to the duration of writing. Statistical parametric maps were calculated to test hypotheses of regional specific effects dependent on the performed motor tasks. The patients with writer's cramp had progressively increased activity in the left primary sensorimotor and premotor cortices, the left thalamus, and the cerebellum with a right-side predominance in correlation to the duration of writing. The regions with activity increases thus corresponded to a cerebrocerebellar motor circuit. The duration of writing correlated to a progressive reduction of activity in the patients' left supramarginal and angular gyri (Brodmann areas 40 and 39) and an inferior part of the left temporal lobe (area 20). The control subjects had neither a significant increase or decrease of activity in correlation to the duration of writing. Group-specific differences were confirmed statistically in split-plot interaction analyses.</div>
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<Abstract><AbstractText>The pattern of brain perfusion of four patients with writer's cramp and four control subjects were examined using positron emission tomography scans after [(15)O] butanol injections. Each subject was scanned 12 times to cover three repetitions of four different motor tasks with the right hand. Drawing of horizontal lines and variable durations of the writing of a prelearned text were performed in a pseudorandom order, the latter task commencing either simultaneously with or 30 sec or 120 sec before the tracer injection. The perceived difficulty and signs of dystonia progressed in correlation to the duration of writing. Statistical parametric maps were calculated to test hypotheses of regional specific effects dependent on the performed motor tasks. The patients with writer's cramp had progressively increased activity in the left primary sensorimotor and premotor cortices, the left thalamus, and the cerebellum with a right-side predominance in correlation to the duration of writing. The regions with activity increases thus corresponded to a cerebrocerebellar motor circuit. The duration of writing correlated to a progressive reduction of activity in the patients' left supramarginal and angular gyri (Brodmann areas 40 and 39) and an inferior part of the left temporal lobe (area 20). The control subjects had neither a significant increase or decrease of activity in correlation to the duration of writing. Group-specific differences were confirmed statistically in split-plot interaction analyses.</AbstractText>
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