Relative risk of spread of symptoms among the focal onset primary dystonias
Identifieur interne : 001A50 ( PascalFrancis/Corpus ); précédent : 001A49; suivant : 001A51Relative 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. PerlmutterSource :
- Movement disorders [ 0885-3185 ] ; 2006.
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- Pascal (Inist)
English descriptors
- KwdEn :
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.
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Format Inist (serveur)
NO : | PASCAL 06-0435088 INIST |
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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:06-0435088Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Blepharospasm</term>
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<term>Risk factor</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
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<front><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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<fA14 i1="06"><s1>Department of Pediatrics, University of Rochester Medical Center</s1>
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<fA14 i1="08"><s1>Department of Anatomy and Neurobiology, Washington University School of Medicine</s1>
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<fA61><s0>A</s0>
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<fA64 i1="01" i2="1"><s0>Movement disorders</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B17H</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>002B17A01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Dystonie</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Dystonia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Distonía</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Blépharospasme</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Blepharospasm</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Blefaroespasmo</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Facteur risque</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Risk factor</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Factor riesgo</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Pronostic</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Prognosis</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Pronóstico</s0>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Muscle strié pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Striated muscle disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Músculo estriado patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Oeil pathologie</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Eye disease</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Ojo patología</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Paupière pathologie</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Eyelid disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Párpado patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>43</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>44</s5>
</fC07>
<fN21><s1>289</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 06-0435088 INIST</NO>
<ET>Relative risk of spread of symptoms among the focal onset primary dystonias</ET>
<AU>WEISS (Elliott M.); HERSHEY (Tamara); KARIMI (Morvarid); RACETTE (Brad); TABBAL (Samer D.); MINK (Jonathan W.); PANIELLO (Randal C.); PERLMUTTER (Joel S.)</AU>
<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>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 8; Pp. 1175-1181; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<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>
<CC>002B17; 002B17H; 002B17A01</CC>
<FD>Système nerveux pathologie; Dystonie; Blépharospasme; Facteur risque; Pronostic</FD>
<FG>Extrapyramidal syndrome; Mouvement involontaire; Muscle strié pathologie; Trouble neurologique; Oeil pathologie; Paupière pathologie; Encéphale pathologie; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Dystonia; Blepharospasm; Risk factor; Prognosis</ED>
<EG>Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Eye disease; Eyelid disease; Cerebral disorder; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Distonía; Blefaroespasmo; Factor riesgo; Pronóstico</SD>
<LO>INIST-20953.354000142193570190</LO>
<ID>06-0435088</ID>
</server>
</inist>
</record>
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