Movement Disorders (revue)

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Evidence for shoulder girdle dystonia in selected patients with cervical disc prolapse

Identifieur interne : 002701 ( PascalFrancis/Corpus ); précédent : 002700; suivant : 002702

Evidence for shoulder girdle dystonia in selected patients with cervical disc prolapse

Auteurs : Georg Becker ; Daniela Berg ; Niels Kruse ; Ute Schröder ; Monika Warmuth-Metz ; Peter Rieckmann ; Markus Naumann ; Karlheinz Reiners

Source :

RBID : Pascal:02-0456856

Descripteurs français

English descriptors

Abstract

Some patients with cervical disc herniation suffer from persistent nuchal pain and muscle spasms after decompressive surgery despite the lack of clinical and radiological signs for actual spinal root compression. Sonographic examination of the brain in some of these patients showed increased echogenicity of the lentiform nuclei as described in patients with idiopathic dystonia. This has been linked to an altered Menkes protein level and copper metabolism. We suggest a relationship between persistent nuchal pain after adequate cervical disc surgery and dystonic movement disorders. Thirteen patients with persistent nonradicular nuchal pain after at least one cervical disc surgery and without evidence of continuing spinal root compression and 13 age-matched controls were included. All patients had a complete neurological examination, ultrasound, and MRI scan of the brain. In addition, Menkes protein mRNA levels of leucocytes were analyzed in patients and controls. All patients with persistent nuchal pain exhibited a constant tonic unilateral shoulder elevation associated with an ipsilateral hypertrophy of the trapezius muscle. Ultrasound examination showed an increased echogenicity of the lentiform nucleus in one patient unilaterally and in 10 patients bilaterally but in none of the controls. On MRI the T2-values of the lentiform nuclei were found to be higher in patients exhibiting a hyperechogenicity of the lentiform nuclei compared to controls (P = 0.01). In addition, Menkes protein mRNA levels were decreased in patients with cervical disc herniation (P = 0.03). Clinical, neuroimaging, and biochemical findings of this selected patient sample with chronic nuchal pain and muscle spasms after cervical disc surgery resemble alterations in patients with idiopathic cervical dystonia. This suggests a link between both disorders. A peripheral trauma to the nerve roots may precipitate dystonic movements in susceptible patients and chronic dystonic muscle contraction would account for the persistent nuchal pain.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
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A06       @2 4
A08 01  1  ENG  @1 Evidence for shoulder girdle dystonia in selected patients with cervical disc prolapse
A11 01  1    @1 BECKER (Georg)
A11 02  1    @1 BERG (Daniela)
A11 03  1    @1 KRUSE (Niels)
A11 04  1    @1 SCHRÖDER (Ute)
A11 05  1    @1 WARMUTH-METZ (Monika)
A11 06  1    @1 RIECKMANN (Peter)
A11 07  1    @1 NAUMANN (Markus)
A11 08  1    @1 REINERS (Karlheinz)
A14 01      @1 Department of Neurology, Bayerische Julius-Maximilians-Universität Würzburg @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.
A14 02      @1 Division of Neuroradiology, Bayerische Julius-Maximilians-Universität Würzburg @3 DEU @Z 5 aut.
A20       @1 710-716
A21       @1 2002
A23 01      @0 ENG
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A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 02-0456856
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Some patients with cervical disc herniation suffer from persistent nuchal pain and muscle spasms after decompressive surgery despite the lack of clinical and radiological signs for actual spinal root compression. Sonographic examination of the brain in some of these patients showed increased echogenicity of the lentiform nuclei as described in patients with idiopathic dystonia. This has been linked to an altered Menkes protein level and copper metabolism. We suggest a relationship between persistent nuchal pain after adequate cervical disc surgery and dystonic movement disorders. Thirteen patients with persistent nonradicular nuchal pain after at least one cervical disc surgery and without evidence of continuing spinal root compression and 13 age-matched controls were included. All patients had a complete neurological examination, ultrasound, and MRI scan of the brain. In addition, Menkes protein mRNA levels of leucocytes were analyzed in patients and controls. All patients with persistent nuchal pain exhibited a constant tonic unilateral shoulder elevation associated with an ipsilateral hypertrophy of the trapezius muscle. Ultrasound examination showed an increased echogenicity of the lentiform nucleus in one patient unilaterally and in 10 patients bilaterally but in none of the controls. On MRI the T2-values of the lentiform nuclei were found to be higher in patients exhibiting a hyperechogenicity of the lentiform nuclei compared to controls (P = 0.01). In addition, Menkes protein mRNA levels were decreased in patients with cervical disc herniation (P = 0.03). Clinical, neuroimaging, and biochemical findings of this selected patient sample with chronic nuchal pain and muscle spasms after cervical disc surgery resemble alterations in patients with idiopathic cervical dystonia. This suggests a link between both disorders. A peripheral trauma to the nerve roots may precipitate dystonic movements in susceptible patients and chronic dystonic muscle contraction would account for the persistent nuchal pain.
C02 01  X    @0 002B25I
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 Epaule @5 02
C03 02  X  ENG  @0 Shoulder @5 02
C03 02  X  SPA  @0 Hombro @5 02
C03 03  X  FRE  @0 Hernie @5 04
C03 03  X  ENG  @0 Hernia @5 04
C03 03  X  SPA  @0 Hernia @5 04
C03 04  X  FRE  @0 Disque intervertébral @5 05
C03 04  X  ENG  @0 Intervertebral disk @5 05
C03 04  X  SPA  @0 Disco intervertebral @5 05
C03 05  X  FRE  @0 Rachis cervical @5 06
C03 05  X  ENG  @0 Cervical spine @5 06
C03 05  X  SPA  @0 Raquis cervical @5 06
C03 06  X  FRE  @0 Exérèse @5 07
C03 06  X  ENG  @0 Exeresis @5 07
C03 06  X  SPA  @0 Exéresis @5 07
C03 07  X  FRE  @0 Douleur @5 10
C03 07  X  ENG  @0 Pain @5 10
C03 07  X  SPA  @0 Dolor @5 10
C03 08  X  FRE  @0 Nuque @5 11
C03 08  X  ENG  @0 Nucha @5 11
C03 08  X  SPA  @0 Nuca @5 11
C03 09  X  FRE  @0 Echographie @5 13
C03 09  X  ENG  @0 Echography @5 13
C03 09  X  SPA  @0 Ecografía @5 13
C03 10  X  FRE  @0 Voie transcrânienne @5 14
C03 10  X  ENG  @0 Transcranial route @5 14
C03 10  X  SPA  @0 Vía transcraneana @5 14
C03 11  X  FRE  @0 Complication @5 17
C03 11  X  ENG  @0 Complication @5 17
C03 11  X  SPA  @0 Complicación @5 17
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C03 12  X  ENG  @0 Treatment @5 18
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C07 02  X  FRE  @0 Muscle strié pathologie @5 37
C07 02  X  ENG  @0 Striated muscle disease @5 37
C07 02  X  SPA  @0 Músculo estriado patología @5 37
C07 03  X  FRE  @0 Système nerveux pathologie @5 38
C07 03  X  ENG  @0 Nervous system diseases @5 38
C07 03  X  SPA  @0 Sistema nervioso patología @5 38
C07 04  X  FRE  @0 Trouble neurologique @5 39
C07 04  X  ENG  @0 Neurological disorder @5 39
C07 04  X  SPA  @0 Trastorno neurológico @5 39
C07 05  X  FRE  @0 Mouvement involontaire @5 40
C07 05  X  ENG  @0 Involuntary movement @5 40
C07 05  X  SPA  @0 Movimiento involuntario @5 40
C07 06  X  FRE  @0 Extrapyramidal syndrome @5 41
C07 06  X  ENG  @0 Extrapyramidal syndrome @5 41
C07 06  X  SPA  @0 Extrapiramidal síndrome @5 41
C07 07  X  FRE  @0 Système ostéoarticulaire pathologie @5 45
C07 07  X  ENG  @0 Diseases of the osteoarticular system @5 45
C07 07  X  SPA  @0 Sistema osteoarticular patología @5 45
C07 08  X  FRE  @0 Rachis pathologie @5 46
C07 08  X  ENG  @0 Spine disease @5 46
C07 08  X  SPA  @0 Raquis patología @5 46
C07 09  X  FRE  @0 Chirurgie @5 53
C07 09  X  ENG  @0 Surgery @5 53
C07 09  X  SPA  @0 Cirugía @5 53
C07 10  X  FRE  @0 Exploration ultrason @5 69
C07 10  X  ENG  @0 Sonography @5 69
C07 10  X  SPA  @0 Exploración ultrasonido @5 69
N21       @1 266
N82       @1 PSI

Format Inist (serveur)

NO : PASCAL 02-0456856 INIST
ET : Evidence for shoulder girdle dystonia in selected patients with cervical disc prolapse
AU : BECKER (Georg); BERG (Daniela); KRUSE (Niels); SCHRÖDER (Ute); WARMUTH-METZ (Monika); RIECKMANN (Peter); NAUMANN (Markus); REINERS (Karlheinz)
AF : Department of Neurology, Bayerische Julius-Maximilians-Universität Würzburg/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 6 aut., 7 aut., 8 aut.); Division of Neuroradiology, Bayerische Julius-Maximilians-Universität Würzburg/Allemagne (5 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 4; Pp. 710-716; Bibl. 21 ref.
LA : Anglais
EA : Some patients with cervical disc herniation suffer from persistent nuchal pain and muscle spasms after decompressive surgery despite the lack of clinical and radiological signs for actual spinal root compression. Sonographic examination of the brain in some of these patients showed increased echogenicity of the lentiform nuclei as described in patients with idiopathic dystonia. This has been linked to an altered Menkes protein level and copper metabolism. We suggest a relationship between persistent nuchal pain after adequate cervical disc surgery and dystonic movement disorders. Thirteen patients with persistent nonradicular nuchal pain after at least one cervical disc surgery and without evidence of continuing spinal root compression and 13 age-matched controls were included. All patients had a complete neurological examination, ultrasound, and MRI scan of the brain. In addition, Menkes protein mRNA levels of leucocytes were analyzed in patients and controls. All patients with persistent nuchal pain exhibited a constant tonic unilateral shoulder elevation associated with an ipsilateral hypertrophy of the trapezius muscle. Ultrasound examination showed an increased echogenicity of the lentiform nucleus in one patient unilaterally and in 10 patients bilaterally but in none of the controls. On MRI the T2-values of the lentiform nuclei were found to be higher in patients exhibiting a hyperechogenicity of the lentiform nuclei compared to controls (P = 0.01). In addition, Menkes protein mRNA levels were decreased in patients with cervical disc herniation (P = 0.03). Clinical, neuroimaging, and biochemical findings of this selected patient sample with chronic nuchal pain and muscle spasms after cervical disc surgery resemble alterations in patients with idiopathic cervical dystonia. This suggests a link between both disorders. A peripheral trauma to the nerve roots may precipitate dystonic movements in susceptible patients and chronic dystonic muscle contraction would account for the persistent nuchal pain.
CC : 002B25I
FD : Dystonie; Epaule; Hernie; Disque intervertébral; Rachis cervical; Exérèse; Douleur; Nuque; Echographie; Voie transcrânienne; Complication; Traitement; Physiopathologie; Adulte
FG : Homme; Muscle strié pathologie; Système nerveux pathologie; Trouble neurologique; Mouvement involontaire; Extrapyramidal syndrome; Système ostéoarticulaire pathologie; Rachis pathologie; Chirurgie; Exploration ultrason
ED : Dystonia; Shoulder; Hernia; Intervertebral disk; Cervical spine; Exeresis; Pain; Nucha; Echography; Transcranial route; Complication; Treatment; Pathophysiology; Adult
EG : Human; Striated muscle disease; Nervous system diseases; Neurological disorder; Involuntary movement; Extrapyramidal syndrome; Diseases of the osteoarticular system; Spine disease; Surgery; Sonography
SD : Distonía; Hombro; Hernia; Disco intervertebral; Raquis cervical; Exéresis; Dolor; Nuca; Ecografía; Vía transcraneana; Complicación; Tratamiento; Fisiopatología; Adulto
LO : INIST-20953.354000108922560110
ID : 02-0456856

Links to Exploration step

Pascal:02-0456856

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<term>Exeresis</term>
<term>Hernia</term>
<term>Intervertebral disk</term>
<term>Nucha</term>
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<term>Transcranial route</term>
<term>Treatment</term>
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<term>Douleur</term>
<term>Nuque</term>
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<term>Voie transcrânienne</term>
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<div type="abstract" xml:lang="en">Some patients with cervical disc herniation suffer from persistent nuchal pain and muscle spasms after decompressive surgery despite the lack of clinical and radiological signs for actual spinal root compression. Sonographic examination of the brain in some of these patients showed increased echogenicity of the lentiform nuclei as described in patients with idiopathic dystonia. This has been linked to an altered Menkes protein level and copper metabolism. We suggest a relationship between persistent nuchal pain after adequate cervical disc surgery and dystonic movement disorders. Thirteen patients with persistent nonradicular nuchal pain after at least one cervical disc surgery and without evidence of continuing spinal root compression and 13 age-matched controls were included. All patients had a complete neurological examination, ultrasound, and MRI scan of the brain. In addition, Menkes protein mRNA levels of leucocytes were analyzed in patients and controls. All patients with persistent nuchal pain exhibited a constant tonic unilateral shoulder elevation associated with an ipsilateral hypertrophy of the trapezius muscle. Ultrasound examination showed an increased echogenicity of the lentiform nucleus in one patient unilaterally and in 10 patients bilaterally but in none of the controls. On MRI the T2-values of the lentiform nuclei were found to be higher in patients exhibiting a hyperechogenicity of the lentiform nuclei compared to controls (P = 0.01). In addition, Menkes protein mRNA levels were decreased in patients with cervical disc herniation (P = 0.03). Clinical, neuroimaging, and biochemical findings of this selected patient sample with chronic nuchal pain and muscle spasms after cervical disc surgery resemble alterations in patients with idiopathic cervical dystonia. This suggests a link between both disorders. A peripheral trauma to the nerve roots may precipitate dystonic movements in susceptible patients and chronic dystonic muscle contraction would account for the persistent nuchal pain.</div>
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<server>
<NO>PASCAL 02-0456856 INIST</NO>
<ET>Evidence for shoulder girdle dystonia in selected patients with cervical disc prolapse</ET>
<AU>BECKER (Georg); BERG (Daniela); KRUSE (Niels); SCHRÖDER (Ute); WARMUTH-METZ (Monika); RIECKMANN (Peter); NAUMANN (Markus); REINERS (Karlheinz)</AU>
<AF>Department of Neurology, Bayerische Julius-Maximilians-Universität Würzburg/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 6 aut., 7 aut., 8 aut.); Division of Neuroradiology, Bayerische Julius-Maximilians-Universität Würzburg/Allemagne (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 4; Pp. 710-716; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>Some patients with cervical disc herniation suffer from persistent nuchal pain and muscle spasms after decompressive surgery despite the lack of clinical and radiological signs for actual spinal root compression. Sonographic examination of the brain in some of these patients showed increased echogenicity of the lentiform nuclei as described in patients with idiopathic dystonia. This has been linked to an altered Menkes protein level and copper metabolism. We suggest a relationship between persistent nuchal pain after adequate cervical disc surgery and dystonic movement disorders. Thirteen patients with persistent nonradicular nuchal pain after at least one cervical disc surgery and without evidence of continuing spinal root compression and 13 age-matched controls were included. All patients had a complete neurological examination, ultrasound, and MRI scan of the brain. In addition, Menkes protein mRNA levels of leucocytes were analyzed in patients and controls. All patients with persistent nuchal pain exhibited a constant tonic unilateral shoulder elevation associated with an ipsilateral hypertrophy of the trapezius muscle. Ultrasound examination showed an increased echogenicity of the lentiform nucleus in one patient unilaterally and in 10 patients bilaterally but in none of the controls. On MRI the T2-values of the lentiform nuclei were found to be higher in patients exhibiting a hyperechogenicity of the lentiform nuclei compared to controls (P = 0.01). In addition, Menkes protein mRNA levels were decreased in patients with cervical disc herniation (P = 0.03). Clinical, neuroimaging, and biochemical findings of this selected patient sample with chronic nuchal pain and muscle spasms after cervical disc surgery resemble alterations in patients with idiopathic cervical dystonia. This suggests a link between both disorders. A peripheral trauma to the nerve roots may precipitate dystonic movements in susceptible patients and chronic dystonic muscle contraction would account for the persistent nuchal pain.</EA>
<CC>002B25I</CC>
<FD>Dystonie; Epaule; Hernie; Disque intervertébral; Rachis cervical; Exérèse; Douleur; Nuque; Echographie; Voie transcrânienne; Complication; Traitement; Physiopathologie; Adulte</FD>
<FG>Homme; Muscle strié pathologie; Système nerveux pathologie; Trouble neurologique; Mouvement involontaire; Extrapyramidal syndrome; Système ostéoarticulaire pathologie; Rachis pathologie; Chirurgie; Exploration ultrason</FG>
<ED>Dystonia; Shoulder; Hernia; Intervertebral disk; Cervical spine; Exeresis; Pain; Nucha; Echography; Transcranial route; Complication; Treatment; Pathophysiology; Adult</ED>
<EG>Human; Striated muscle disease; Nervous system diseases; Neurological disorder; Involuntary movement; Extrapyramidal syndrome; Diseases of the osteoarticular system; Spine disease; Surgery; Sonography</EG>
<SD>Distonía; Hombro; Hernia; Disco intervertebral; Raquis cervical; Exéresis; Dolor; Nuca; Ecografía; Vía transcraneana; Complicación; Tratamiento; Fisiopatología; Adulto</SD>
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