Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion
Identifieur interne : 000511 ( PascalFrancis/Corpus ); précédent : 000510; suivant : 000512Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion
Auteurs : Carmine Vitale ; Vincenzo Marcelli ; Teresa Furia ; Gabriella Santangelo ; Autilia Cozzolino ; Katia Longo ; Roberto Allocca ; Marianna Amboni ; Elio Marciano ; Paolo BaroneSource :
- Movement disorders [ 0885-3185 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Lateral trunk flexion is a very common clinical observation in patients affected by Parkinson's disease. Postural control is known to depend on vestibular, visual, and somatosensory information. The aim of this study was to investigate whether impairment of vestibular function can account for the postural alterations observed in parkinsonian patients with lateral trunk flexion. We evaluated vestibular function in 11 parkinsonian patients with lateral trunk flexion and in 11 age-, sex-, and disease duration-matched patients without lateral trunk flexion. The following vestibular tests were performed: infrared videonystagmography including fast and slow ocular movements, spontaneous-positional and evoked nystagmus search with and without visual fixation, fast positioning maneuvers, the bithermal caloric test, and the vibration test. A peripheral, unilateral vestibular hypofunction was identified in all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and contralateral to the most affected parkinsonian side in all patients. In the control group, 7 subjects had no vestibular signs; 4 subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and contralateral to the side most affected by Parkinson's disease. The processing of vestibular information was impaired in parkinsonian patients affected by lateral trunk flexion. The impairment was at least in part responsible for the patients' postural abnormality. We propose that the acronym PISA (Postural Imbalance Syndrome with vestibular Alterations) be used to describe the specific postural change observed in parkinsonian patients affected by a vestibular defect and lateral trunk flexion.
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Format Inist (serveur)
| NO : | PASCAL 11-0353396 INIST |
|---|---|
| ET : | Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion |
| AU : | VITALE (Carmine); MARCELLI (Vincenzo); FURIA (Teresa); SANTANGELO (Gabriella); COZZOLINO (Autilia); LONGO (Katia); ALLOCCA (Roberto); AMBONI (Marianna); MARCIANO (Elio); BARONE (Paolo) |
| AF : | Università degli studi di Napoli "Parthenope/Naples/Italie (1 aut., 8 aut.); Dipartimento di Scienze Neurologiche, Università "Federico II/Naples/Italie (1 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 10 aut.); Istituto di Diagnosi e Cura "Hermitage Capodimonte/Naples/Italie (1 aut., 4 aut., 6 aut., 8 aut., 10 aut.); Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II/Naples/Italie (2 aut., 3 aut., 9 aut.); Servizio di Audiologia e Vestibologia, ASL NA-1 Centro, DSB 50/Naples/Italie (2 aut.); Dipartimento di Psicologia, Facoltà di Psicologia, Seconda Università degli studi di Napoli/Caserta/Italie (4 aut.) |
| DT : | Publication en série; Niveau analytique |
| SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 8; Pp. 1458-1463; Bibl. 34 ref. |
| LA : | Anglais |
| EA : | Lateral trunk flexion is a very common clinical observation in patients affected by Parkinson's disease. Postural control is known to depend on vestibular, visual, and somatosensory information. The aim of this study was to investigate whether impairment of vestibular function can account for the postural alterations observed in parkinsonian patients with lateral trunk flexion. We evaluated vestibular function in 11 parkinsonian patients with lateral trunk flexion and in 11 age-, sex-, and disease duration-matched patients without lateral trunk flexion. The following vestibular tests were performed: infrared videonystagmography including fast and slow ocular movements, spontaneous-positional and evoked nystagmus search with and without visual fixation, fast positioning maneuvers, the bithermal caloric test, and the vibration test. A peripheral, unilateral vestibular hypofunction was identified in all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and contralateral to the most affected parkinsonian side in all patients. In the control group, 7 subjects had no vestibular signs; 4 subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and contralateral to the side most affected by Parkinson's disease. The processing of vestibular information was impaired in parkinsonian patients affected by lateral trunk flexion. The impairment was at least in part responsible for the patients' postural abnormality. We propose that the acronym PISA (Postural Imbalance Syndrome with vestibular Alterations) be used to describe the specific postural change observed in parkinsonian patients affected by a vestibular defect and lateral trunk flexion. |
| CC : | 002B17; 002B17F |
| FD : | Maladie de Parkinson; Pathologie du système nerveux; Homme; Tronc; Hypovalence vestibulaire |
| FG : | Pathologie ORL; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central |
| ED : | Parkinson disease; Nervous system diseases; Human; Trunk; Vestibular hypofunction |
| EG : | ENT disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
| SD : | Parkinson enfermedad; Sistema nervioso patología; Hombre; Tronco |
| LO : | INIST-20953.354000508552620130 |
| ID : | 11-0353396 |
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aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Marciano, Elio" sort="Marciano, Elio" uniqKey="Marciano E" first="Elio" last="Marciano">Elio Marciano</name><affiliation><inist:fA14 i1="04"><s1>Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Barone, Paolo" sort="Barone, Paolo" uniqKey="Barone P" first="Paolo" last="Barone">Paolo Barone</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0353396</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0353396 INIST</idno><idno type="RBID">Pascal:11-0353396</idno><idno type="wicri:Area/PascalFrancis/Corpus">000511</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion</title><author><name sortKey="Vitale, Carmine" sort="Vitale, Carmine" uniqKey="Vitale C" first="Carmine" last="Vitale">Carmine Vitale</name><affiliation><inist:fA14 i1="01"><s1>Università degli studi di Napoli "Parthenope</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>8 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" uniqKey="Marcelli V" first="Vincenzo" last="Marcelli">Vincenzo Marcelli</name><affiliation><inist:fA14 i1="04"><s1>Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="05"><s1>Servizio di Audiologia e Vestibologia, ASL NA-1 Centro, DSB 50</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Furia, Teresa" sort="Furia, Teresa" uniqKey="Furia T" first="Teresa" last="Furia">Teresa Furia</name><affiliation><inist:fA14 i1="04"><s1>Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Santangelo, Gabriella" sort="Santangelo, Gabriella" uniqKey="Santangelo G" first="Gabriella" last="Santangelo">Gabriella Santangelo</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="06"><s1>Dipartimento di Psicologia, Facoltà di Psicologia, Seconda Università degli studi di Napoli</s1><s2>Caserta</s2><s3>ITA</s3><sZ>4 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Cozzolino, Autilia" sort="Cozzolino, Autilia" uniqKey="Cozzolino A" first="Autilia" last="Cozzolino">Autilia Cozzolino</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Longo, Katia" sort="Longo, Katia" uniqKey="Longo K" first="Katia" last="Longo">Katia Longo</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Allocca, Roberto" sort="Allocca, Roberto" uniqKey="Allocca R" first="Roberto" last="Allocca">Roberto Allocca</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Amboni, Marianna" sort="Amboni, Marianna" uniqKey="Amboni M" first="Marianna" last="Amboni">Marianna Amboni</name><affiliation><inist:fA14 i1="01"><s1>Università degli studi di Napoli "Parthenope</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>8 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Marciano, Elio" sort="Marciano, Elio" uniqKey="Marciano E" first="Elio" last="Marciano">Elio Marciano</name><affiliation><inist:fA14 i1="04"><s1>Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14></affiliation></author><author><name sortKey="Barone, Paolo" sort="Barone, Paolo" uniqKey="Barone P" first="Paolo" last="Barone">Paolo Barone</name><affiliation><inist:fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></affiliation><affiliation><inist:fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></inist:fA14></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="2011">2011</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>Human</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Trunk</term><term>Vestibular hypofunction</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Homme</term><term>Tronc</term><term>Hypovalence vestibulaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lateral trunk flexion is a very common clinical observation in patients affected by Parkinson's disease. Postural control is known to depend on vestibular, visual, and somatosensory information. The aim of this study was to investigate whether impairment of vestibular function can account for the postural alterations observed in parkinsonian patients with lateral trunk flexion. We evaluated vestibular function in 11 parkinsonian patients with lateral trunk flexion and in 11 age-, sex-, and disease duration-matched patients without lateral trunk flexion. The following vestibular tests were performed: infrared videonystagmography including fast and slow ocular movements, spontaneous-positional and evoked nystagmus search with and without visual fixation, fast positioning maneuvers, the bithermal caloric test, and the vibration test. A peripheral, unilateral vestibular hypofunction was identified in all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and contralateral to the most affected parkinsonian side in all patients. In the control group, 7 subjects had no vestibular signs; 4 subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and contralateral to the side most affected by Parkinson's disease. The processing of vestibular information was impaired in parkinsonian patients affected by lateral trunk flexion. The impairment was at least in part responsible for the patients' postural abnormality. We propose that the acronym PISA (Postural Imbalance Syndrome with vestibular Alterations) be used to describe the specific postural change observed in parkinsonian patients affected by a vestibular defect and lateral trunk flexion.</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>26</s2></fA05><fA06><s2>8</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion</s1></fA08><fA11 i1="01" i2="1"><s1>VITALE (Carmine)</s1></fA11><fA11 i1="02" i2="1"><s1>MARCELLI (Vincenzo)</s1></fA11><fA11 i1="03" i2="1"><s1>FURIA (Teresa)</s1></fA11><fA11 i1="04" i2="1"><s1>SANTANGELO (Gabriella)</s1></fA11><fA11 i1="05" i2="1"><s1>COZZOLINO (Autilia)</s1></fA11><fA11 i1="06" i2="1"><s1>LONGO (Katia)</s1></fA11><fA11 i1="07" i2="1"><s1>ALLOCCA (Roberto)</s1></fA11><fA11 i1="08" i2="1"><s1>AMBONI (Marianna)</s1></fA11><fA11 i1="09" i2="1"><s1>MARCIANO (Elio)</s1></fA11><fA11 i1="10" i2="1"><s1>BARONE (Paolo)</s1></fA11><fA14 i1="01"><s1>Università degli studi di Napoli "Parthenope</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="02"><s1>Dipartimento di Scienze Neurologiche, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></fA14><fA14 i1="03"><s1>Istituto di Diagnosi e Cura "Hermitage Capodimonte</s1><s2>Naples</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ><sZ>10 aut.</sZ></fA14><fA14 i1="04"><s1>Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>9 aut.</sZ></fA14><fA14 i1="05"><s1>Servizio di Audiologia e Vestibologia, ASL NA-1 Centro, DSB 50</s1><s2>Naples</s2><s3>ITA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="06"><s1>Dipartimento di Psicologia, Facoltà di Psicologia, Seconda Università degli studi di Napoli</s1><s2>Caserta</s2><s3>ITA</s3><sZ>4 aut.</sZ></fA14><fA20><s1>1458-1463</s1></fA20><fA21><s1>2011</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000508552620130</s5></fA43><fA44><s0>0000</s0><s1>© 2011 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>34 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>11-0353396</s0></fA47><fA60><s1>P</s1></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>Lateral trunk flexion is a very common clinical observation in patients affected by Parkinson's disease. Postural control is known to depend on vestibular, visual, and somatosensory information. The aim of this study was to investigate whether impairment of vestibular function can account for the postural alterations observed in parkinsonian patients with lateral trunk flexion. We evaluated vestibular function in 11 parkinsonian patients with lateral trunk flexion and in 11 age-, sex-, and disease duration-matched patients without lateral trunk flexion. The following vestibular tests were performed: infrared videonystagmography including fast and slow ocular movements, spontaneous-positional and evoked nystagmus search with and without visual fixation, fast positioning maneuvers, the bithermal caloric test, and the vibration test. A peripheral, unilateral vestibular hypofunction was identified in all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and contralateral to the most affected parkinsonian side in all patients. In the control group, 7 subjects had no vestibular signs; 4 subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and contralateral to the side most affected by Parkinson's disease. The processing of vestibular information was impaired in parkinsonian patients affected by lateral trunk flexion. The impairment was at least in part responsible for the patients' postural abnormality. We propose that the acronym PISA (Postural Imbalance Syndrome with vestibular Alterations) be used to describe the specific postural change observed in parkinsonian patients affected by a vestibular defect and lateral trunk flexion.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17F</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Maladie de Parkinson</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Parkinson disease</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s2>NM</s2><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Homme</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Human</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Hombre</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Tronc</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Trunk</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Tronco</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Hypovalence vestibulaire</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Vestibular hypofunction</s0><s4>CD</s4><s5>96</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie ORL</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>ENT disease</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>ORL patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>41</s5></fC07><fN21><s1>241</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard><server><NO>PASCAL 11-0353396 INIST</NO><ET>Vestibular Impairment and Adaptive Postural Imbalance in Parkinsonian Patients with Lateral Trunk Flexion</ET><AU>VITALE (Carmine); MARCELLI (Vincenzo); FURIA (Teresa); SANTANGELO (Gabriella); COZZOLINO (Autilia); LONGO (Katia); ALLOCCA (Roberto); AMBONI (Marianna); MARCIANO (Elio); BARONE (Paolo)</AU><AF>Università degli studi di Napoli "Parthenope/Naples/Italie (1 aut., 8 aut.); Dipartimento di Scienze Neurologiche, Università "Federico II/Naples/Italie (1 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 10 aut.); Istituto di Diagnosi e Cura "Hermitage Capodimonte/Naples/Italie (1 aut., 4 aut., 6 aut., 8 aut., 10 aut.); Servizio di Audiologia e Vestibologia, Dipartimento di Neuroscienze, Università "Federico II/Naples/Italie (2 aut., 3 aut., 9 aut.); Servizio di Audiologia e Vestibologia, ASL NA-1 Centro, DSB 50/Naples/Italie (2 aut.); Dipartimento di Psicologia, Facoltà di Psicologia, Seconda Università degli studi di Napoli/Caserta/Italie (4 aut.)</AF><DT>Publication en série; Niveau analytique</DT><SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2011; Vol. 26; No. 8; Pp. 1458-1463; Bibl. 34 ref.</SO><LA>Anglais</LA><EA>Lateral trunk flexion is a very common clinical observation in patients affected by Parkinson's disease. Postural control is known to depend on vestibular, visual, and somatosensory information. The aim of this study was to investigate whether impairment of vestibular function can account for the postural alterations observed in parkinsonian patients with lateral trunk flexion. We evaluated vestibular function in 11 parkinsonian patients with lateral trunk flexion and in 11 age-, sex-, and disease duration-matched patients without lateral trunk flexion. The following vestibular tests were performed: infrared videonystagmography including fast and slow ocular movements, spontaneous-positional and evoked nystagmus search with and without visual fixation, fast positioning maneuvers, the bithermal caloric test, and the vibration test. A peripheral, unilateral vestibular hypofunction was identified in all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and contralateral to the most affected parkinsonian side in all patients. In the control group, 7 subjects had no vestibular signs; 4 subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and contralateral to the side most affected by Parkinson's disease. The processing of vestibular information was impaired in parkinsonian patients affected by lateral trunk flexion. The impairment was at least in part responsible for the patients' postural abnormality. We propose that the acronym PISA (Postural Imbalance Syndrome with vestibular Alterations) be used to describe the specific postural change observed in parkinsonian patients affected by a vestibular defect and lateral trunk flexion.</EA><CC>002B17; 002B17F</CC><FD>Maladie de Parkinson; Pathologie du système nerveux; Homme; Tronc; Hypovalence vestibulaire</FD><FG>Pathologie ORL; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG><ED>Parkinson disease; Nervous system diseases; Human; Trunk; Vestibular hypofunction</ED><EG>ENT disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG><SD>Parkinson enfermedad; Sistema nervioso patología; Hombre; Tronco</SD><LO>INIST-20953.354000508552620130</LO><ID>11-0353396</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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