Movement Disorders (revue)

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Impaired Intracortical Inhibition in the Primary Somatosensory Cortex in Focal Hand Dystonia

Identifieur interne : 001222 ( PascalFrancis/Checkpoint ); précédent : 001221; suivant : 001223

Impaired Intracortical Inhibition in the Primary Somatosensory Cortex in Focal Hand Dystonia

Auteurs : Yohei Tamura [États-Unis, Japon] ; Masao Matsuhashi [États-Unis] ; Peter Lin [États-Unis] ; BAI OU [États-Unis] ; Sherry Vorbach [États-Unis] ; Ryusuke Kakigi [Japon] ; Mark Hallett [États-Unis]

Source :

RBID : Pascal:08-0199292

Descripteurs français

English descriptors

Abstract

Somesthetic temporal discrimination (STD) is impaired in focal hand dystonia (FHD). We explored the electrophysiological correlate of the STD deficit to assess whether this is due to dysfunction of temporal inhibition in the somatosensory inhibitory pathway or due to dysfunction in structures responsible for nonmodality-specific timing integration. Eleven FHD patients and 11 healthy volunteers were studied. STD threshold was investigated as the time interval required for perceiving a pair of stimuli as two separate stimuli in time. We also examined the somatosensory-evoked potential (SEP) in a paired-pulse paradigm. We compared STD threshold and recovery function of SEP between the groups. STD thresholds were significantly greater in FHD than in healthy volunteers. The amount of P27 suppression in the 5 ms-ISI condition was significantly less in FHD. It was also found that the STD threshold and P27 suppression were significantly correlated: the greater the STD threshold, the less the P27 suppression. Significantly less suppression of P27 with a lack of significant change in N20 indicates that the impairment of somatosensory information processing in the time domain is due to dysfunction within the primary somatosensory cortex, suggesting that that the STD deficit in FHD is more attributable to dysfunction in the somatosensory pathway.


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Pascal:08-0199292

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<div type="abstract" xml:lang="en">Somesthetic temporal discrimination (STD) is impaired in focal hand dystonia (FHD). We explored the electrophysiological correlate of the STD deficit to assess whether this is due to dysfunction of temporal inhibition in the somatosensory inhibitory pathway or due to dysfunction in structures responsible for nonmodality-specific timing integration. Eleven FHD patients and 11 healthy volunteers were studied. STD threshold was investigated as the time interval required for perceiving a pair of stimuli as two separate stimuli in time. We also examined the somatosensory-evoked potential (SEP) in a paired-pulse paradigm. We compared STD threshold and recovery function of SEP between the groups. STD thresholds were significantly greater in FHD than in healthy volunteers. The amount of P27 suppression in the 5 ms-ISI condition was significantly less in FHD. It was also found that the STD threshold and P27 suppression were significantly correlated: the greater the STD threshold, the less the P27 suppression. Significantly less suppression of P27 with a lack of significant change in N20 indicates that the impairment of somatosensory information processing in the time domain is due to dysfunction within the primary somatosensory cortex, suggesting that that the STD deficit in FHD is more attributable to dysfunction in the somatosensory pathway.</div>
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<s0>Potentiel évoqué somatosensoriel</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Somatosensory evoked potential</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Potencial evocado somatosensorial</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Encephalon</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Système nerveux central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Central nervous system</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Sistema nervioso central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Voie somesthésique</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Somesthetic pathway</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Vía somestésica</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du muscle strié</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Striated muscle disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Músculo estriado patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Electrophysiologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Electrophysiology</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Electrofisiología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>47</s5>
</fC07>
<fN21>
<s1>126</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Japon</li>
<li>États-Unis</li>
</country>
<region>
<li>Maryland</li>
</region>
<settlement>
<li>Tokyo</li>
</settlement>
</list>
<tree>
<country name="États-Unis">
<region name="Maryland">
<name sortKey="Tamura, Yohei" sort="Tamura, Yohei" uniqKey="Tamura Y" first="Yohei" last="Tamura">Yohei Tamura</name>
</region>
<name sortKey="Bai Ou" sort="Bai Ou" uniqKey="Bai Ou" last="Bai Ou">BAI OU</name>
<name sortKey="Hallett, Mark" sort="Hallett, Mark" uniqKey="Hallett M" first="Mark" last="Hallett">Mark Hallett</name>
<name sortKey="Lin, Peter" sort="Lin, Peter" uniqKey="Lin P" first="Peter" last="Lin">Peter Lin</name>
<name sortKey="Matsuhashi, Masao" sort="Matsuhashi, Masao" uniqKey="Matsuhashi M" first="Masao" last="Matsuhashi">Masao Matsuhashi</name>
<name sortKey="Vorbach, Sherry" sort="Vorbach, Sherry" uniqKey="Vorbach S" first="Sherry" last="Vorbach">Sherry Vorbach</name>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Tamura, Yohei" sort="Tamura, Yohei" uniqKey="Tamura Y" first="Yohei" last="Tamura">Yohei Tamura</name>
</noRegion>
<name sortKey="Kakigi, Ryusuke" sort="Kakigi, Ryusuke" uniqKey="Kakigi R" first="Ryusuke" last="Kakigi">Ryusuke Kakigi</name>
<name sortKey="Tamura, Yohei" sort="Tamura, Yohei" uniqKey="Tamura Y" first="Yohei" last="Tamura">Yohei Tamura</name>
</country>
</tree>
</affiliations>
</record>

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