Reverse Sensory Geste in Cervical Dystonia
Identifieur interne : 000D12 ( PascalFrancis/Checkpoint ); précédent : 000D11; suivant : 000D13Reverse Sensory Geste in Cervical Dystonia
Auteurs : Friedrich Asmus [Allemagne] ; Rainer Von Coelln [Allemagne] ; Axel Boertlein [Allemagne] ; Thomas Gasser [Allemagne] ; Joerg Mueller [Autriche]Source :
- Movement disorders [ 0885-3185 ] ; 2009.
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- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed "reverse" sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for "reverse" effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. Assessment of rSG should be included in the routine examination of CD patients, since BTX treatment may have to be adjusted accordingly to be efficacious.
Affiliations:
- Allemagne, Autriche
- Bade-Wurtemberg, District de Stuttgart, District de Tübingen
- Stuttgart, Tübingen
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Reverse Sensory Geste in Cervical Dystonia</title><author><name sortKey="Asmus, Friedrich" sort="Asmus, Friedrich" uniqKey="Asmus F" first="Friedrich" last="Asmus">Friedrich Asmus</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of General Neurology, Center of Neurology</s1><s2>Tuehingen</s2><s3>DEU</s3><sZ>1 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Tuehingen</wicri:noRegion><wicri:noRegion>Center of Neurology</wicri:noRegion><wicri:noRegion>Tuehingen</wicri:noRegion></affiliation></author><author><name sortKey="Von Coelln, Rainer" sort="Von Coelln, Rainer" uniqKey="Von Coelln R" first="Rainer" last="Von Coelln">Rainer Von Coelln</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Boertlein, Axel" sort="Boertlein, Axel" uniqKey="Boertlein A" first="Axel" last="Boertlein">Axel Boertlein</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Buergerhospital, Kliniken Stuttgart</s1><s2>Stuttgart</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Stuttgart</region><settlement type="city">Stuttgart</settlement></placeName></affiliation></author><author><name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Mueller, Joerg" sort="Mueller, Joerg" uniqKey="Mueller J" first="Joerg" last="Mueller">Joerg Mueller</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Neurology, Medical University Innsbruck</s1><s2>Innsbruck</s2><s3>AUT</s3><sZ>5 aut.</sZ></inist:fA14><country>Autriche</country><wicri:noRegion>Innsbruck</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">09-0104589</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 09-0104589 INIST</idno><idno type="RBID">Pascal:09-0104589</idno><idno type="wicri:Area/PascalFrancis/Corpus">000F75</idno><idno type="wicri:Area/PascalFrancis/Curation">001D44</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000D12</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Reverse Sensory Geste in Cervical Dystonia</title><author><name sortKey="Asmus, Friedrich" sort="Asmus, Friedrich" uniqKey="Asmus F" first="Friedrich" last="Asmus">Friedrich Asmus</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of General Neurology, Center of Neurology</s1><s2>Tuehingen</s2><s3>DEU</s3><sZ>1 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Tuehingen</wicri:noRegion><wicri:noRegion>Center of Neurology</wicri:noRegion><wicri:noRegion>Tuehingen</wicri:noRegion></affiliation></author><author><name sortKey="Von Coelln, Rainer" sort="Von Coelln, Rainer" uniqKey="Von Coelln R" first="Rainer" last="Von Coelln">Rainer Von Coelln</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Boertlein, Axel" sort="Boertlein, Axel" uniqKey="Boertlein A" first="Axel" last="Boertlein">Axel Boertlein</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Buergerhospital, Kliniken Stuttgart</s1><s2>Stuttgart</s2><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Stuttgart</region><settlement type="city">Stuttgart</settlement></placeName></affiliation></author><author><name sortKey="Gasser, Thomas" sort="Gasser, Thomas" uniqKey="Gasser T" first="Thomas" last="Gasser">Thomas Gasser</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Mueller, Joerg" sort="Mueller, Joerg" uniqKey="Mueller J" first="Joerg" last="Mueller">Joerg Mueller</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Neurology, Medical University Innsbruck</s1><s2>Innsbruck</s2><s3>AUT</s3><sZ>5 aut.</sZ></inist:fA14><country>Autriche</country><wicri:noRegion>Innsbruck</wicri:noRegion></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="2009">2009</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>Bontoxilysin</term><term>Dystonia</term><term>Nervous system diseases</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term><term>Pathologie du système nerveux</term><term>Bontoxilysin</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed "reverse" sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for "reverse" effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. Assessment of rSG should be included in the routine examination of CD patients, since BTX treatment may have to be adjusted accordingly to be efficacious.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>24</s2></fA05><fA06><s2>2</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Reverse Sensory Geste in Cervical Dystonia</s1></fA08><fA11 i1="01" i2="1"><s1>ASMUS (Friedrich)</s1></fA11><fA11 i1="02" i2="1"><s1>VON COELLN (Rainer)</s1></fA11><fA11 i1="03" i2="1"><s1>BOERTLEIN (Axel)</s1></fA11><fA11 i1="04" i2="1"><s1>GASSER (Thomas)</s1></fA11><fA11 i1="05" i2="1"><s1>MUELLER (Joerg)</s1></fA11><fA14 i1="01"><s1>Department of Neurodegenerative Diseases, Center of Neurology, Hertie-Institute for Clinical Brain Research</s1><s2>Tuebingen</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="02"><s1>Department of General Neurology, Center of Neurology</s1><s2>Tuehingen</s2><s3>DEU</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Neurology, Buergerhospital, Kliniken Stuttgart</s1><s2>Stuttgart</s2><s3>DEU</s3><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Neurology, Medical University Innsbruck</s1><s2>Innsbruck</s2><s3>AUT</s3><sZ>5 aut.</sZ></fA14><fA20><s1>297-300</s1></fA20><fA21><s1>2009</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000184195990230</s5></fA43><fA44><s0>0000</s0><s1>© 2009 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>14 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>09-0104589</s0></fA47><fA60><s1>P</s1><s3>CC</s3></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Sensory gestes (SG) are a pathognomonic sign of dystonia, which can be detected in up to two thirds of patients with cervical dystonia (CD). They reduce dystonia severity markedly but transiently. We report a patient whose CD substantially worsened with sensory input to the back of the head and neck in different body postures, a phenomomen recently termed "reverse" sensory geste (rSG) in craniocervical dystonia. In a cohort of CD outpatients, screening for "reverse" effects of SG on dystonia yielded a prevalence of 12.8% (n = 6/47). The most frequent rSG pattern was increased dystonic activity in a supine, resting position while trying to fall asleep. The response to rSG persisted throughout the course of the disease arguing for an impairment of central integration of neck proprioception. 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