Movement Disorders (revue)

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The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy

Identifieur interne : 001364 ( PascalFrancis/Corpus ); précédent : 001363; suivant : 001365

The 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. Quinn

Source :

RBID : Pascal:08-0147019

Descripteurs français

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.

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 22
A06       @2 16
A08 01  1  ENG  @1 The Phenomenon of Disproportionate Antecollis in Parkinson's Disease and Multiple System Atrophy
A11 01  1    @1 VAN DE WARRENBURG (Bart P. C.)
A11 02  1    @1 CORDIVARI (Caria)
A11 03  1    @1 RYAN (Aisling M.)
A11 04  1    @1 PHADKE (Rahul)
A11 05  1    @1 HOLTON (Janice L.)
A11 06  1    @1 BHATIA (Kailash P.)
A11 07  1    @1 HANNA (Mike G.)
A11 08  1    @1 QUINN (Niall P.)
A14 01      @1 Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology @2 London @3 GBR @Z 1 aut. @Z 6 aut. @Z 8 aut.
A14 02      @1 Department of Neurology, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 1 aut.
A14 03      @1 Department of Neurophysiology, National Hospital of Neurology and Neurosurgery @2 London @3 GBR @Z 2 aut.
A14 04      @1 Centre for Neuromuscular Disease, National Hospital of Neurology and Neurosurgery @2 London @3 GBR @Z 3 aut.
A14 05      @1 Division of Neuropathology, Institute of Neurology @2 London @3 GBR @Z 4 aut. @Z 5 aut.
A14 06      @1 Department of Molecular Neuroscience, Institute of Neurology @2 London @3 GBR @Z 7 aut.
A20       @1 2325-2331
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000162715700040
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 13 ref.
A47 01  1    @0 08-0147019
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Atrophie multisystématisée @2 NM @5 02
C03 02  X  ENG  @0 Multiple system atrophy @2 NM @5 02
C03 02  X  SPA  @0 Atrofia multisistematizada @2 NM @5 02
C03 03  X  FRE  @0 Myopathie @5 03
C03 03  X  ENG  @0 Myopathy @5 03
C03 03  X  SPA  @0 Miopatía @5 03
C03 04  X  FRE  @0 Pathologie du système nerveux @5 04
C03 04  X  ENG  @0 Nervous system diseases @5 04
C03 04  X  SPA  @0 Sistema nervioso patología @5 04
C03 05  X  FRE  @0 Tête @5 09
C03 05  X  ENG  @0 Head @5 09
C03 05  X  SPA  @0 Cabeza @5 09
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 091
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0147019 INIST
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

Links to Exploration step

Pascal:08-0147019

Le document en format XML

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<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>39</s5>
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<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>
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