MovDisordV3, PascalFrancis, Corpus, bibRecord, 002701

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 :

Movement disorders [ 0885-3185 ] ; 2002.

RBID : Pascal:02-0456856

Descripteurs français

Pascal (Inist)
- Dystonie, Epaule, Hernie, Disque intervertébral, Rachis cervical, Exérèse, Douleur, Nuque, Echographie, Voie transcrânienne, Complication, Traitement, Physiopathologie, Adulte.

English descriptors

KwdEn :
- Adult, Cervical spine, Complication, Dystonia, Echography, Exeresis, Hernia, Intervertebral disk, Nucha, Pain, Pathophysiology, Shoulder, Transcranial route, Treatment.

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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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`
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C03	`10`	`X`	`ENG`	`@0 Transcranial route @5 14`
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C03	`11`	`X`	`FRE`	`@0 Complication @5 17`
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C07	`05`	`X`	`FRE`	`@0 Mouvement involontaire @5 40`
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C07	`05`	`X`	`SPA`	`@0 Movimiento involuntario @5 40`
C07	`06`	`X`	`FRE`	`@0 Extrapyramidal syndrome @5 41`
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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

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Pascal:02-0456856

Le document en format XML

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<author><name sortKey="Reiners, Karlheinz" sort="Reiners, Karlheinz" uniqKey="Reiners K" first="Karlheinz" last="Reiners">Karlheinz Reiners</name>
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<series><title level="j" type="main">Movement disorders</title>
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<term>Cervical spine</term>
<term>Complication</term>
<term>Dystonia</term>
<term>Echography</term>
<term>Exeresis</term>
<term>Hernia</term>
<term>Intervertebral disk</term>
<term>Nucha</term>
<term>Pain</term>
<term>Pathophysiology</term>
<term>Shoulder</term>
<term>Transcranial route</term>
<term>Treatment</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Dystonie</term>
<term>Epaule</term>
<term>Hernie</term>
<term>Disque intervertébral</term>
<term>Rachis cervical</term>
<term>Exérèse</term>
<term>Douleur</term>
<term>Nuque</term>
<term>Echographie</term>
<term>Voie transcrânienne</term>
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<front><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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	Movement Disorders (revue)
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Movement Disorders (revue)

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

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

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