Movement Disorders (revue)

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Cortical Excitability is Abnormal in Patients with the "Fixed Dystonia" Syndrome

Identifieur interne : 001297 ( PascalFrancis/Corpus ); précédent : 001296; suivant : 001298

Cortical Excitability is Abnormal in Patients with the "Fixed Dystonia" Syndrome

Auteurs : Laura Avanzino ; Davide Martino ; Bart P. C. Van De Warrenburg ; Susanne A. Schneider ; Giovanni Abbruzzese ; Giovanni Defazio ; Anette Schrag ; Kailash P. Bhatia ; John C. Rothwell

Source :

RBID : Pascal:08-0247710

Descripteurs français

English descriptors

Abstract

A form of fixed dystonia (FD) without evidence of basal ganglia lesions or neurodegeneration has been recently characterized (Schrag et al., Brain 2004; 127:2360-2372), which may overlap the clinical spectrum of either complex regional pain syndrome or psychogenic dystonia. Transcranial magnetic stimulation studies in typically mobile dystonia revealed abnormal motor cortical excitability and sensori-motor integration. We compared 12 patients with limb FD to 10 patients with primary adult-onset typically mobile dystonia and 11 age-matched healthy volunteers. Measurements at the first digital interosseus representation area on both hemispheres included: short intracortical inhibition (SICI), contralateral silent period (cSP), and short and long afferent inhibition (SAI and LAI). Repeated measure ANOVA and post-hoc t-tests were used for statistical analysis. SICI was significantly reduced in both hemispheres of patients with "typical" and FD, compared to healthy subjects. For both hemispheres, cSP duration was shorter in both fixed and "typical" dystonia patients. SAI and LAI did not significantly differ between the three groups. The abnormal cortical excitability observed in FD might represent an underlying trait predisposing to different clinical forms of dystonia.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 23
A06       @2 5
A08 01  1  ENG  @1 Cortical Excitability is Abnormal in Patients with the "Fixed Dystonia" Syndrome
A11 01  1    @1 AVANZINO (Laura)
A11 02  1    @1 MARTINO (Davide)
A11 03  1    @1 VAN DE WARRENBURG (Bart P. C.)
A11 04  1    @1 SCHNEIDER (Susanne A.)
A11 05  1    @1 ABBRUZZESE (Giovanni)
A11 06  1    @1 DEFAZIO (Giovanni)
A11 07  1    @1 SCHRAG (Anette)
A11 08  1    @1 BHATIA (Kailash P.)
A11 09  1    @1 ROTHWELL (John C.)
A14 01      @1 Sobell Department of Motor Neuroscience, Institute of Neurology, University College London @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 8 aut. @Z 9 aut.
A14 02      @1 Department of Neurosciences, Ophthalmology and Genetics, University of Genoa @3 ITA @Z 1 aut. @Z 5 aut.
A14 03      @1 Department of Neurologic and Psychiatric Sciences, University of Bari @3 ITA @Z 2 aut. @Z 6 aut.
A14 04      @1 Department of Neurology, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 3 aut.
A14 05      @1 Royal Free and University College Medical School, University College London @2 London @3 GBR @Z 7 aut.
A20       @1 646-652
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000173776990030
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 31 ref.
A47 01  1    @0 08-0247710
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 A form of fixed dystonia (FD) without evidence of basal ganglia lesions or neurodegeneration has been recently characterized (Schrag et al., Brain 2004; 127:2360-2372), which may overlap the clinical spectrum of either complex regional pain syndrome or psychogenic dystonia. Transcranial magnetic stimulation studies in typically mobile dystonia revealed abnormal motor cortical excitability and sensori-motor integration. We compared 12 patients with limb FD to 10 patients with primary adult-onset typically mobile dystonia and 11 age-matched healthy volunteers. Measurements at the first digital interosseus representation area on both hemispheres included: short intracortical inhibition (SICI), contralateral silent period (cSP), and short and long afferent inhibition (SAI and LAI). Repeated measure ANOVA and post-hoc t-tests were used for statistical analysis. SICI was significantly reduced in both hemispheres of patients with "typical" and FD, compared to healthy subjects. For both hemispheres, cSP duration was shorter in both fixed and "typical" dystonia patients. SAI and LAI did not significantly differ between the three groups. The abnormal cortical excitability observed in FD might represent an underlying trait predisposing to different clinical forms of dystonia.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Dystonie @5 01
C03 01  X  ENG  @0 Dystonia @5 01
C03 01  X  SPA  @0 Distonía @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Excitabilité @5 09
C03 03  X  ENG  @0 Excitability @5 09
C03 03  X  SPA  @0 Excitabilidad @5 09
C03 04  X  FRE  @0 Homme @5 10
C03 04  X  ENG  @0 Human @5 10
C03 04  X  SPA  @0 Hombre @5 10
C03 05  X  FRE  @0 Cortex moteur @5 11
C03 05  X  ENG  @0 Motor cortex @5 11
C03 05  X  SPA  @0 Corteza motora @5 11
C07 01  X  FRE  @0 Syndrome extrapyramidal @5 37
C07 01  X  ENG  @0 Extrapyramidal syndrome @5 37
C07 01  X  SPA  @0 Extrapiramidal síndrome @5 37
C07 02  X  FRE  @0 Mouvement involontaire @5 38
C07 02  X  ENG  @0 Involuntary movement @5 38
C07 02  X  SPA  @0 Movimiento involuntario @5 38
C07 03  X  FRE  @0 Pathologie du muscle strié @5 39
C07 03  X  ENG  @0 Striated muscle disease @5 39
C07 03  X  SPA  @0 Músculo estriado patología @5 39
C07 04  X  FRE  @0 Trouble neurologique @5 41
C07 04  X  ENG  @0 Neurological disorder @5 41
C07 04  X  SPA  @0 Trastorno neurológico @5 41
C07 05  X  FRE  @0 Encéphale @5 42
C07 05  X  ENG  @0 Encephalon @5 42
C07 05  X  SPA  @0 Encéfalo @5 42
C07 06  X  FRE  @0 Système nerveux central @5 43
C07 06  X  ENG  @0 Central nervous system @5 43
C07 06  X  SPA  @0 Sistema nervioso central @5 43
C07 07  X  FRE  @0 Voie motrice @5 44
C07 07  X  ENG  @0 Motor pathway @5 44
C07 07  X  SPA  @0 Vía motora @5 44
C07 08  X  FRE  @0 Pathologie de l'encéphale @5 45
C07 08  X  ENG  @0 Cerebral disorder @5 45
C07 08  X  SPA  @0 Encéfalo patología @5 45
C07 09  X  FRE  @0 Pathologie du système nerveux central @5 46
C07 09  X  ENG  @0 Central nervous system disease @5 46
C07 09  X  SPA  @0 Sistema nervosio central patología @5 46
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Format Inist (serveur)

NO : PASCAL 08-0247710 INIST
ET : Cortical Excitability is Abnormal in Patients with the "Fixed Dystonia" Syndrome
AU : AVANZINO (Laura); MARTINO (Davide); VAN DE WARRENBURG (Bart P. C.); SCHNEIDER (Susanne A.); ABBRUZZESE (Giovanni); DEFAZIO (Giovanni); SCHRAG (Anette); BHATIA (Kailash P.); ROTHWELL (John C.)
AF : Sobell Department of Motor Neuroscience, Institute of Neurology, University College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 8 aut., 9 aut.); Department of Neurosciences, Ophthalmology and Genetics, University of Genoa/Italie (1 aut., 5 aut.); Department of Neurologic and Psychiatric Sciences, University of Bari/Italie (2 aut., 6 aut.); Department of Neurology, Radboud University Nijmegen Medical Centre/Nijmegen/Pays-Bas (3 aut.); Royal Free and University College Medical School, University College London/London/Royaume-Uni (7 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 5; Pp. 646-652; Bibl. 31 ref.
LA : Anglais
EA : A form of fixed dystonia (FD) without evidence of basal ganglia lesions or neurodegeneration has been recently characterized (Schrag et al., Brain 2004; 127:2360-2372), which may overlap the clinical spectrum of either complex regional pain syndrome or psychogenic dystonia. Transcranial magnetic stimulation studies in typically mobile dystonia revealed abnormal motor cortical excitability and sensori-motor integration. We compared 12 patients with limb FD to 10 patients with primary adult-onset typically mobile dystonia and 11 age-matched healthy volunteers. Measurements at the first digital interosseus representation area on both hemispheres included: short intracortical inhibition (SICI), contralateral silent period (cSP), and short and long afferent inhibition (SAI and LAI). Repeated measure ANOVA and post-hoc t-tests were used for statistical analysis. SICI was significantly reduced in both hemispheres of patients with "typical" and FD, compared to healthy subjects. For both hemispheres, cSP duration was shorter in both fixed and "typical" dystonia patients. SAI and LAI did not significantly differ between the three groups. The abnormal cortical excitability observed in FD might represent an underlying trait predisposing to different clinical forms of dystonia.
CC : 002B17; 002B17H
FD : Dystonie; Pathologie du système nerveux; Excitabilité; Homme; Cortex moteur
FG : Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Encéphale; Système nerveux central; Voie motrice; Pathologie de l'encéphale; Pathologie du système nerveux central
ED : Dystonia; Nervous system diseases; Excitability; Human; Motor cortex
EG : Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Encephalon; Central nervous system; Motor pathway; Cerebral disorder; Central nervous system disease
SD : Distonía; Sistema nervioso patología; Excitabilidad; Hombre; Corteza motora
LO : INIST-20953.354000173776990030
ID : 08-0247710

Links to Exploration step

Pascal:08-0247710

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<term>Dystonie</term>
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<term>Excitabilité</term>
<term>Homme</term>
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<div type="abstract" xml:lang="en">A form of fixed dystonia (FD) without evidence of basal ganglia lesions or neurodegeneration has been recently characterized (Schrag et al., Brain 2004; 127:2360-2372), which may overlap the clinical spectrum of either complex regional pain syndrome or psychogenic dystonia. Transcranial magnetic stimulation studies in typically mobile dystonia revealed abnormal motor cortical excitability and sensori-motor integration. We compared 12 patients with limb FD to 10 patients with primary adult-onset typically mobile dystonia and 11 age-matched healthy volunteers. Measurements at the first digital interosseus representation area on both hemispheres included: short intracortical inhibition (SICI), contralateral silent period (cSP), and short and long afferent inhibition (SAI and LAI). Repeated measure ANOVA and post-hoc t-tests were used for statistical analysis. SICI was significantly reduced in both hemispheres of patients with "typical" and FD, compared to healthy subjects. For both hemispheres, cSP duration was shorter in both fixed and "typical" dystonia patients. SAI and LAI did not significantly differ between the three groups. The abnormal cortical excitability observed in FD might represent an underlying trait predisposing to different clinical forms of dystonia.</div>
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<ET>Cortical Excitability is Abnormal in Patients with the "Fixed Dystonia" Syndrome</ET>
<AU>AVANZINO (Laura); MARTINO (Davide); VAN DE WARRENBURG (Bart P. C.); SCHNEIDER (Susanne A.); ABBRUZZESE (Giovanni); DEFAZIO (Giovanni); SCHRAG (Anette); BHATIA (Kailash P.); ROTHWELL (John C.)</AU>
<AF>Sobell Department of Motor Neuroscience, Institute of Neurology, University College London/London/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 8 aut., 9 aut.); Department of Neurosciences, Ophthalmology and Genetics, University of Genoa/Italie (1 aut., 5 aut.); Department of Neurologic and Psychiatric Sciences, University of Bari/Italie (2 aut., 6 aut.); Department of Neurology, Radboud University Nijmegen Medical Centre/Nijmegen/Pays-Bas (3 aut.); Royal Free and University College Medical School, University College London/London/Royaume-Uni (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. 5; Pp. 646-652; Bibl. 31 ref.</SO>
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<EA>A form of fixed dystonia (FD) without evidence of basal ganglia lesions or neurodegeneration has been recently characterized (Schrag et al., Brain 2004; 127:2360-2372), which may overlap the clinical spectrum of either complex regional pain syndrome or psychogenic dystonia. Transcranial magnetic stimulation studies in typically mobile dystonia revealed abnormal motor cortical excitability and sensori-motor integration. We compared 12 patients with limb FD to 10 patients with primary adult-onset typically mobile dystonia and 11 age-matched healthy volunteers. Measurements at the first digital interosseus representation area on both hemispheres included: short intracortical inhibition (SICI), contralateral silent period (cSP), and short and long afferent inhibition (SAI and LAI). Repeated measure ANOVA and post-hoc t-tests were used for statistical analysis. SICI was significantly reduced in both hemispheres of patients with "typical" and FD, compared to healthy subjects. For both hemispheres, cSP duration was shorter in both fixed and "typical" dystonia patients. SAI and LAI did not significantly differ between the three groups. The abnormal cortical excitability observed in FD might represent an underlying trait predisposing to different clinical forms of dystonia.</EA>
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<ED>Dystonia; Nervous system diseases; Excitability; Human; Motor cortex</ED>
<EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Encephalon; Central nervous system; Motor pathway; Cerebral disorder; Central nervous system disease</EG>
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