Movement Disorders (revue)

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Relative risk of spread of symptoms among the focal onset primary dystonias

Identifieur interne : 001A50 ( PascalFrancis/Corpus ); précédent : 001A49; suivant : 001A51

Relative risk of spread of symptoms among the focal onset primary dystonias

Auteurs : Elliott M. Weiss ; Tamara Hershey ; Morvarid Karimi ; Brad Racette ; Samer D. Tabbal ; Jonathan W. Mink ; Randal C. Paniello ; Joel S. Perlmutter

Source :

RBID : Pascal:06-0435088

Descripteurs français

English descriptors

Abstract

Adult-onset primary torsion dystonia (PTD) may spread to multiple body parts, but the relative risk of spread by site of onset of dystonia has not been well characterized. We retrospectively identified 602 patients with PTD out of 1,500 dystonia patients in our electronic database and extracted age at onset, site of onset, family history, and spread. Survival analyses were performed for groups based on site of onset, and hazard ratios compared relative risk of spread across groups. Patients with adult-onset blepharospasm were more likely to spread (31% past the head) than those with dystonia starting in the neck (9%), larynx (12%), or upper extremities (16%). Hazard ratios proved that the blepharospasm group had the greatest relative risk of spread. The rate of spread after onset varied significantly between the different groups. Most spread occurred in the first 1 to 2 years after onset of blepharospasm, whereas the risk of spread was relatively constant over time in cervical and laryngeal dystonia. Different sites of onset of PTD confer different risks of spread, important for clinical prognosis. Different risks of spread may provide clues about underlying pathogenesis of adult-onset primary dystonias.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 21
A06       @2 8
A08 01  1  ENG  @1 Relative risk of spread of symptoms among the focal onset primary dystonias
A11 01  1    @1 WEISS (Elliott M.)
A11 02  1    @1 HERSHEY (Tamara)
A11 03  1    @1 KARIMI (Morvarid)
A11 04  1    @1 RACETTE (Brad)
A11 05  1    @1 TABBAL (Samer D.)
A11 06  1    @1 MINK (Jonathan W.)
A11 07  1    @1 PANIELLO (Randal C.)
A11 08  1    @1 PERLMUTTER (Joel S.)
A14 01      @1 Department of Neurology, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 8 aut.
A14 02      @1 Department of Psychiatry, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 2 aut.
A14 03      @1 Department of Radiology, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 2 aut. @Z 8 aut.
A14 04      @1 Department of Neurology, University of Rochester Medical Center @2 Rochester, New York @3 USA @Z 6 aut.
A14 05      @1 Department of Neurobiology and Anatomy, University of Rochester Medical Center @2 Rochester, New York @3 USA @Z 6 aut.
A14 06      @1 Department of Pediatrics, University of Rochester Medical Center @2 Rochester, New York @3 USA @Z 6 aut.
A14 07      @1 Department of Otolaryngology, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 7 aut.
A14 08      @1 Department of Anatomy and Neurobiology, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 8 aut.
A14 09      @1 Program of Physical Therapy, Washington University School of Medicine @2 St. Louis, Missouri @3 USA @Z 8 aut.
A20       @1 1175-1181
A21       @1 2006
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A43 01      @1 INIST @2 20953 @5 354000142193570190
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 29 ref.
A47 01  1    @0 06-0435088
A60       @1 P
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A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Adult-onset primary torsion dystonia (PTD) may spread to multiple body parts, but the relative risk of spread by site of onset of dystonia has not been well characterized. We retrospectively identified 602 patients with PTD out of 1,500 dystonia patients in our electronic database and extracted age at onset, site of onset, family history, and spread. Survival analyses were performed for groups based on site of onset, and hazard ratios compared relative risk of spread across groups. Patients with adult-onset blepharospasm were more likely to spread (31% past the head) than those with dystonia starting in the neck (9%), larynx (12%), or upper extremities (16%). Hazard ratios proved that the blepharospasm group had the greatest relative risk of spread. The rate of spread after onset varied significantly between the different groups. Most spread occurred in the first 1 to 2 years after onset of blepharospasm, whereas the risk of spread was relatively constant over time in cervical and laryngeal dystonia. Different sites of onset of PTD confer different risks of spread, important for clinical prognosis. Different risks of spread may provide clues about underlying pathogenesis of adult-onset primary dystonias.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C02 03  X    @0 002B17A01
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Dystonie @5 02
C03 02  X  ENG  @0 Dystonia @5 02
C03 02  X  SPA  @0 Distonía @5 02
C03 03  X  FRE  @0 Blépharospasme @5 03
C03 03  X  ENG  @0 Blepharospasm @5 03
C03 03  X  SPA  @0 Blefaroespasmo @5 03
C03 04  X  FRE  @0 Facteur risque @5 09
C03 04  X  ENG  @0 Risk factor @5 09
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C03 05  X  SPA  @0 Pronóstico @5 10
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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 Muscle strié pathologie @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 40
C07 04  X  ENG  @0 Neurological disorder @5 40
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C07 05  X  ENG  @0 Eye disease @5 41
C07 05  X  SPA  @0 Ojo patología @5 41
C07 06  X  FRE  @0 Paupière pathologie @5 42
C07 06  X  ENG  @0 Eyelid disease @5 42
C07 06  X  SPA  @0 Párpado patología @5 42
C07 07  X  FRE  @0 Encéphale pathologie @5 43
C07 07  X  ENG  @0 Cerebral disorder @5 43
C07 07  X  SPA  @0 Encéfalo patología @5 43
C07 08  X  FRE  @0 Système nerveux central pathologie @5 44
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C07 08  X  SPA  @0 Sistema nervosio central patología @5 44
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Format Inist (serveur)

NO : PASCAL 06-0435088 INIST
ET : Relative risk of spread of symptoms among the focal onset primary dystonias
AU : WEISS (Elliott M.); HERSHEY (Tamara); KARIMI (Morvarid); RACETTE (Brad); TABBAL (Samer D.); MINK (Jonathan W.); PANIELLO (Randal C.); PERLMUTTER (Joel S.)
AF : Department of Neurology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 8 aut.); Department of Psychiatry, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (2 aut.); Department of Radiology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (2 aut., 8 aut.); Department of Neurology, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Neurobiology and Anatomy, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Pediatrics, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Otolaryngology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (7 aut.); Department of Anatomy and Neurobiology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (8 aut.); Program of Physical Therapy, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (8 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 8; Pp. 1175-1181; Bibl. 29 ref.
LA : Anglais
EA : Adult-onset primary torsion dystonia (PTD) may spread to multiple body parts, but the relative risk of spread by site of onset of dystonia has not been well characterized. We retrospectively identified 602 patients with PTD out of 1,500 dystonia patients in our electronic database and extracted age at onset, site of onset, family history, and spread. Survival analyses were performed for groups based on site of onset, and hazard ratios compared relative risk of spread across groups. Patients with adult-onset blepharospasm were more likely to spread (31% past the head) than those with dystonia starting in the neck (9%), larynx (12%), or upper extremities (16%). Hazard ratios proved that the blepharospasm group had the greatest relative risk of spread. The rate of spread after onset varied significantly between the different groups. Most spread occurred in the first 1 to 2 years after onset of blepharospasm, whereas the risk of spread was relatively constant over time in cervical and laryngeal dystonia. Different sites of onset of PTD confer different risks of spread, important for clinical prognosis. Different risks of spread may provide clues about underlying pathogenesis of adult-onset primary dystonias.
CC : 002B17; 002B17H; 002B17A01
FD : Système nerveux pathologie; Dystonie; Blépharospasme; Facteur risque; Pronostic
FG : Extrapyramidal syndrome; Mouvement involontaire; Muscle strié pathologie; Trouble neurologique; Oeil pathologie; Paupière pathologie; Encéphale pathologie; Système nerveux central pathologie
ED : Nervous system diseases; Dystonia; Blepharospasm; Risk factor; Prognosis
EG : Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Eye disease; Eyelid disease; Cerebral disorder; Central nervous system disease
SD : Sistema nervioso patología; Distonía; Blefaroespasmo; Factor riesgo; Pronóstico
LO : INIST-20953.354000142193570190
ID : 06-0435088

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Pascal:06-0435088

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<div type="abstract" xml:lang="en">Adult-onset primary torsion dystonia (PTD) may spread to multiple body parts, but the relative risk of spread by site of onset of dystonia has not been well characterized. We retrospectively identified 602 patients with PTD out of 1,500 dystonia patients in our electronic database and extracted age at onset, site of onset, family history, and spread. Survival analyses were performed for groups based on site of onset, and hazard ratios compared relative risk of spread across groups. Patients with adult-onset blepharospasm were more likely to spread (31% past the head) than those with dystonia starting in the neck (9%), larynx (12%), or upper extremities (16%). Hazard ratios proved that the blepharospasm group had the greatest relative risk of spread. The rate of spread after onset varied significantly between the different groups. Most spread occurred in the first 1 to 2 years after onset of blepharospasm, whereas the risk of spread was relatively constant over time in cervical and laryngeal dystonia. Different sites of onset of PTD confer different risks of spread, important for clinical prognosis. Different risks of spread may provide clues about underlying pathogenesis of adult-onset primary dystonias.</div>
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<AF>Department of Neurology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 8 aut.); Department of Psychiatry, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (2 aut.); Department of Radiology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (2 aut., 8 aut.); Department of Neurology, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Neurobiology and Anatomy, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Pediatrics, University of Rochester Medical Center/Rochester, New York/Etats-Unis (6 aut.); Department of Otolaryngology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (7 aut.); Department of Anatomy and Neurobiology, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (8 aut.); Program of Physical Therapy, Washington University School of Medicine/St. Louis, Missouri/Etats-Unis (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
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<EA>Adult-onset primary torsion dystonia (PTD) may spread to multiple body parts, but the relative risk of spread by site of onset of dystonia has not been well characterized. We retrospectively identified 602 patients with PTD out of 1,500 dystonia patients in our electronic database and extracted age at onset, site of onset, family history, and spread. Survival analyses were performed for groups based on site of onset, and hazard ratios compared relative risk of spread across groups. Patients with adult-onset blepharospasm were more likely to spread (31% past the head) than those with dystonia starting in the neck (9%), larynx (12%), or upper extremities (16%). Hazard ratios proved that the blepharospasm group had the greatest relative risk of spread. The rate of spread after onset varied significantly between the different groups. Most spread occurred in the first 1 to 2 years after onset of blepharospasm, whereas the risk of spread was relatively constant over time in cervical and laryngeal dystonia. Different sites of onset of PTD confer different risks of spread, important for clinical prognosis. Different risks of spread may provide clues about underlying pathogenesis of adult-onset primary dystonias.</EA>
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