The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy
Identifieur interne : 001364 ( PascalFrancis/Corpus ); précédent : 001363; suivant : 001365The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy
Auteurs : Bart P. C. Van De Warrenburg ; Caria Cordivari ; Aisling M. Ryan ; Rahul Phadke ; Janice L. Holton ; Kailash P. Bhatia ; Mike G. Hanna ; Niall P. QuinnSource :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
We sought to explore the phenomenon of disproportionate antecollis in multiple system atrophy (MSA) and Parkinson's disease (PD). The etiology is much debated and the main issue is whether it represents a primary myopathy or is secondary to the underlying motor disorder. The clinical, electrophysiological, and biopsy data of MSA or PD patients with antecollis were reviewed. We reviewed 16 patients (7 MSA and 9 PD) who developed antecollis during the course of their disease. The interval between onset of motor symptoms and of antecollis was shorter in the MSA group (4.6 ± 1.7 years vs. 10.5 ± 7.0 years). In 6 patients, the antecollis developed subacutely, and in 2 the abnormal neck flexion was initially an off-period phenomenon. Two additional patients also showed some dopa-responsiveness. Clinically, the antecollis was characterized by a forward flexion and anterior shift of the neck, with prominent cervical paraspinal and levator scapulae muscles, usually without weakness of residual neck extension. Electromyography of cervical paraspinal muscles showed mixed myopathic, normal, and neurogenic units, without early recruitment. Cervical paraspinal muscle biopsy in 2 patients disclosed fibrosis and nonspecific myopathic changes. We suggest that, in the context of MSA or PD, the initiating event in antecollis could be a disproportionately increased tone in anterior neck muscles that leads to secondary fibrotic and myopathic changes. However, a primary but yet unexplained neck extensor myopathy still remains the alternative possibility and longitudinal studies are necessary to settle this issue.
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Format Inist (serveur)
NO : | PASCAL 08-0147019 INIST |
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ET : | The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy |
AU : | VAN DE WARRENBURG (Bart P. C.); CORDIVARI (Caria); RYAN (Aisling M.); PHADKE (Rahul); HOLTON (Janice L.); BHATIA (Kailash P.); HANNA (Mike G.); QUINN (Niall P.) |
AF : | Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology/London/Royaume-Uni (1 aut., 6 aut., 8 aut.); Department of Neurology, Radboud University Nijmegen Medical Centre/Nijmegen/Pays-Bas (1 aut.); Department of Neurophysiology, National Hospital of Neurology and Neurosurgery/London/Royaume-Uni (2 aut.); Centre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery/London/Royaume-Uni (3 aut.); Division of Neuropathology, Institute of Neurology/London/Royaume-Uni (4 aut., 5 aut.); Department of Molecular Neuroscience, Institute of Neurology/London/Royaume-Uni (7 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 16; Pp. 2325-2331; Bibl. 13 ref. |
LA : | Anglais |
EA : | We sought to explore the phenomenon of disproportionate antecollis in multiple system atrophy (MSA) and Parkinson's disease (PD). The etiology is much debated and the main issue is whether it represents a primary myopathy or is secondary to the underlying motor disorder. The clinical, electrophysiological, and biopsy data of MSA or PD patients with antecollis were reviewed. We reviewed 16 patients (7 MSA and 9 PD) who developed antecollis during the course of their disease. The interval between onset of motor symptoms and of antecollis was shorter in the MSA group (4.6 ± 1.7 years vs. 10.5 ± 7.0 years). In 6 patients, the antecollis developed subacutely, and in 2 the abnormal neck flexion was initially an off-period phenomenon. Two additional patients also showed some dopa-responsiveness. Clinically, the antecollis was characterized by a forward flexion and anterior shift of the neck, with prominent cervical paraspinal and levator scapulae muscles, usually without weakness of residual neck extension. Electromyography of cervical paraspinal muscles showed mixed myopathic, normal, and neurogenic units, without early recruitment. Cervical paraspinal muscle biopsy in 2 patients disclosed fibrosis and nonspecific myopathic changes. We suggest that, in the context of MSA or PD, the initiating event in antecollis could be a disproportionately increased tone in anterior neck muscles that leads to secondary fibrotic and myopathic changes. However, a primary but yet unexplained neck extensor myopathy still remains the alternative possibility and longitudinal studies are necessary to settle this issue. |
CC : | 002B17 |
FD : | Maladie de Parkinson; Atrophie multisystématisée; Myopathie; Pathologie du système nerveux; Tête |
FG : | Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central |
ED : | Parkinson disease; Multiple system atrophy; Myopathy; Nervous system diseases; Head |
EG : | Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Parkinson enfermedad; Atrofia multisistematizada; Miopatía; Sistema nervioso patología; Cabeza |
LO : | INIST-20953.354000162715700040 |
ID : | 08-0147019 |
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Pascal:08-0147019Le document en format XML
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<front><div type="abstract" xml:lang="en">We sought to explore the phenomenon of disproportionate antecollis in multiple system atrophy (MSA) and Parkinson's disease (PD). The etiology is much debated and the main issue is whether it represents a primary myopathy or is secondary to the underlying motor disorder. The clinical, electrophysiological, and biopsy data of MSA or PD patients with antecollis were reviewed. We reviewed 16 patients (7 MSA and 9 PD) who developed antecollis during the course of their disease. The interval between onset of motor symptoms and of antecollis was shorter in the MSA group (4.6 ± 1.7 years vs. 10.5 ± 7.0 years). In 6 patients, the antecollis developed subacutely, and in 2 the abnormal neck flexion was initially an off-period phenomenon. Two additional patients also showed some dopa-responsiveness. Clinically, the antecollis was characterized by a forward flexion and anterior shift of the neck, with prominent cervical paraspinal and levator scapulae muscles, usually without weakness of residual neck extension. Electromyography of cervical paraspinal muscles showed mixed myopathic, normal, and neurogenic units, without early recruitment. Cervical paraspinal muscle biopsy in 2 patients disclosed fibrosis and nonspecific myopathic changes. We suggest that, in the context of MSA or PD, the initiating event in antecollis could be a disproportionately increased tone in anterior neck muscles that leads to secondary fibrotic and myopathic changes. However, a primary but yet unexplained neck extensor myopathy still remains the alternative possibility and longitudinal studies are necessary to settle this issue.</div>
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<s5>40</s5>
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<server><NO>PASCAL 08-0147019 INIST</NO>
<ET>The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy</ET>
<AU>VAN DE WARRENBURG (Bart P. C.); CORDIVARI (Caria); RYAN (Aisling M.); PHADKE (Rahul); HOLTON (Janice L.); BHATIA (Kailash P.); HANNA (Mike G.); QUINN (Niall P.)</AU>
<AF>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology/London/Royaume-Uni (1 aut., 6 aut., 8 aut.); Department of Neurology, Radboud University Nijmegen Medical Centre/Nijmegen/Pays-Bas (1 aut.); Department of Neurophysiology, National Hospital of Neurology and Neurosurgery/London/Royaume-Uni (2 aut.); Centre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery/London/Royaume-Uni (3 aut.); Division of Neuropathology, Institute of Neurology/London/Royaume-Uni (4 aut., 5 aut.); Department of Molecular Neuroscience, Institute of Neurology/London/Royaume-Uni (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 16; Pp. 2325-2331; Bibl. 13 ref.</SO>
<LA>Anglais</LA>
<EA>We sought to explore the phenomenon of disproportionate antecollis in multiple system atrophy (MSA) and Parkinson's disease (PD). The etiology is much debated and the main issue is whether it represents a primary myopathy or is secondary to the underlying motor disorder. The clinical, electrophysiological, and biopsy data of MSA or PD patients with antecollis were reviewed. We reviewed 16 patients (7 MSA and 9 PD) who developed antecollis during the course of their disease. The interval between onset of motor symptoms and of antecollis was shorter in the MSA group (4.6 ± 1.7 years vs. 10.5 ± 7.0 years). In 6 patients, the antecollis developed subacutely, and in 2 the abnormal neck flexion was initially an off-period phenomenon. Two additional patients also showed some dopa-responsiveness. Clinically, the antecollis was characterized by a forward flexion and anterior shift of the neck, with prominent cervical paraspinal and levator scapulae muscles, usually without weakness of residual neck extension. Electromyography of cervical paraspinal muscles showed mixed myopathic, normal, and neurogenic units, without early recruitment. Cervical paraspinal muscle biopsy in 2 patients disclosed fibrosis and nonspecific myopathic changes. We suggest that, in the context of MSA or PD, the initiating event in antecollis could be a disproportionately increased tone in anterior neck muscles that leads to secondary fibrotic and myopathic changes. However, a primary but yet unexplained neck extensor myopathy still remains the alternative possibility and longitudinal studies are necessary to settle this issue.</EA>
<CC>002B17</CC>
<FD>Maladie de Parkinson; Atrophie multisystématisée; Myopathie; Pathologie du système nerveux; Tête</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Parkinson disease; Multiple system atrophy; Myopathy; Nervous system diseases; Head</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Atrofia multisistematizada; Miopatía; Sistema nervioso patología; Cabeza</SD>
<LO>INIST-20953.354000162715700040</LO>
<ID>08-0147019</ID>
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