Movement Disorders (revue)

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Intracortical excitability in the hand motor representation in hand dystonia and blepharospasm

Identifieur interne : 000689 ( PascalFrancis/Curation ); précédent : 000688; suivant : 000690

Intracortical excitability in the hand motor representation in hand dystonia and blepharospasm

Auteurs : Martin Sommer [Allemagne] ; Diane Ruge [Allemagne] ; Frithjof Tergau [Allemagne] ; Wolfgang Beuche [Allemagne] ; Eckart Altenmüller [Allemagne] ; Walter Paulus [Allemagne]

Source :

RBID : Pascal:02-0583929

Descripteurs français

English descriptors

Abstract

We sought to determine the activity of inhibiting and facilitating cortical circuits in areas surrounding a hand muscle motor representation in focal dystonia and in controls. In 15 patients with hand dystonia, 16 patients with blepharospasm, and age-matched controls, we applied suprathreshold transcranial magnetic stimuli with a figure-eight coil over the optimal representation of the relaxed abductor digiti minimi muscle of the dominant hand. Additional conditioning stimuli were given through a second figure-eight coil that was held either above the test coil or 2 cm or 4 cm apart in the anterior, posterior, lateral, or medial direction. We measured intracortical excitability in each of the nine positions of the conditioning coil. Intracortical inhibition was reduced in both patient groups at all conditioning coil positions. With both coils centered, the intracortical facilitation did not differ between patients and controls. After shifting the conditioning coil, the intracortical facilitation tended to be less diminished in patients than in controls, this difference between patients and controls was significant for the anterior, posterior, and medial 4-cm conditioning coil shift. Our results demonstrate decreased intracortical inhibition in the cortical hand muscle representation not only in patients with hand dystonia, but also in patients with blepharospasm. In addition, our findings in both patient groups show a trend toward a relatively increased intracortical facilitation in surrounding motor areas.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 17
A06       @2 5
A08 01  1  ENG  @1 Intracortical excitability in the hand motor representation in hand dystonia and blepharospasm
A11 01  1    @1 SOMMER (Martin)
A11 02  1    @1 RUGE (Diane)
A11 03  1    @1 TERGAU (Frithjof)
A11 04  1    @1 BEUCHE (Wolfgang)
A11 05  1    @1 ALTENMÜLLER (Eckart)
A11 06  1    @1 PAULUS (Walter)
A14 01      @1 Department of Clinical Neurophysiology, University of Göttingen @2 Göttingen @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 6 aut.
A14 02      @1 Department of Neurology, University of Göttingen @2 Göttingen @3 DEU @Z 4 aut.
A14 03      @1 Institute of Music Physiology and Performing Arts Medicine, Hannover University of Music and Drama @2 Hannover @3 DEU @Z 5 aut.
A20       @1 1017-1025
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000105152380190
A44       @0 0000 @1 © 2002 INIST-CNRS. All rights reserved.
A45       @0 29 ref.
A47 01  1    @0 02-0583929
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 We sought to determine the activity of inhibiting and facilitating cortical circuits in areas surrounding a hand muscle motor representation in focal dystonia and in controls. In 15 patients with hand dystonia, 16 patients with blepharospasm, and age-matched controls, we applied suprathreshold transcranial magnetic stimuli with a figure-eight coil over the optimal representation of the relaxed abductor digiti minimi muscle of the dominant hand. Additional conditioning stimuli were given through a second figure-eight coil that was held either above the test coil or 2 cm or 4 cm apart in the anterior, posterior, lateral, or medial direction. We measured intracortical excitability in each of the nine positions of the conditioning coil. Intracortical inhibition was reduced in both patient groups at all conditioning coil positions. With both coils centered, the intracortical facilitation did not differ between patients and controls. After shifting the conditioning coil, the intracortical facilitation tended to be less diminished in patients than in controls, this difference between patients and controls was significant for the anterior, posterior, and medial 4-cm conditioning coil shift. Our results demonstrate decreased intracortical inhibition in the cortical hand muscle representation not only in patients with hand dystonia, but also in patients with blepharospasm. In addition, our findings in both patient groups show a trend toward a relatively increased intracortical facilitation in surrounding motor areas.
C02 01  X    @0 002B17A01
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 Main @5 02
C03 02  X  ENG  @0 Hand @5 02
C03 02  X  SPA  @0 Mano @5 02
C03 03  X  FRE  @0 Blépharospasme @5 04
C03 03  X  ENG  @0 Blepharospasm @5 04
C03 03  X  SPA  @0 Blefaroespasmo @5 04
C03 04  X  FRE  @0 Stimulation @5 07
C03 04  X  ENG  @0 Stimulation @5 07
C03 04  X  SPA  @0 Estimulación @5 07
C03 05  X  FRE  @0 Magnétique @5 08
C03 05  X  ENG  @0 Magnetic @5 08
C03 05  X  SPA  @0 Magnético @5 08
C03 06  X  FRE  @0 Voie transcrânienne @5 09
C03 06  X  ENG  @0 Transcranial route @5 09
C03 06  X  SPA  @0 Vía transcraneana @5 09
C03 07  X  FRE  @0 Excitabilité @5 10
C03 07  X  ENG  @0 Excitability @5 10
C03 07  X  SPA  @0 Excitabilidad @5 10
C03 08  X  FRE  @0 Cortex cérébral @5 11
C03 08  X  ENG  @0 Cerebral cortex @5 11
C03 08  X  SPA  @0 Corteza cerebral @5 11
C03 09  X  FRE  @0 Représentation @5 13
C03 09  X  ENG  @0 Representation @5 13
C03 09  X  SPA  @0 Representación @5 13
C03 10  X  FRE  @0 Motricité @5 14
C03 10  X  ENG  @0 Motricity @5 14
C03 10  X  SPA  @0 Motricidad @5 14
C03 11  X  FRE  @0 Exploration @5 17
C03 11  X  ENG  @0 Exploration @5 17
C03 11  X  SPA  @0 Exploración @5 17
C03 12  X  FRE  @0 Homme @5 20
C03 12  X  ENG  @0 Human @5 20
C03 12  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Muscle strié pathologie @5 37
C07 01  X  ENG  @0 Striated muscle disease @5 37
C07 01  X  SPA  @0 Músculo estriado patología @5 37
C07 02  X  FRE  @0 Système nerveux pathologie @5 38
C07 02  X  ENG  @0 Nervous system diseases @5 38
C07 02  X  SPA  @0 Sistema nervioso patología @5 38
C07 03  X  FRE  @0 Trouble neurologique @5 39
C07 03  X  ENG  @0 Neurological disorder @5 39
C07 03  X  SPA  @0 Trastorno neurológico @5 39
C07 04  X  FRE  @0 Mouvement involontaire @5 40
C07 04  X  ENG  @0 Involuntary movement @5 40
C07 04  X  SPA  @0 Movimiento involuntario @5 40
C07 05  X  FRE  @0 Extrapyramidal syndrome @5 41
C07 05  X  ENG  @0 Extrapyramidal syndrome @5 41
C07 05  X  SPA  @0 Extrapiramidal síndrome @5 41
C07 06  X  FRE  @0 Oeil pathologie @5 45
C07 06  X  ENG  @0 Eye disease @5 45
C07 06  X  SPA  @0 Ojo patología @5 45
C07 07  X  FRE  @0 Paupière pathologie @5 46
C07 07  X  ENG  @0 Eyelid disease @5 46
C07 07  X  SPA  @0 Párpado patología @5 46
N21       @1 343
N82       @1 PSI

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Pascal:02-0583929

Le document en format XML

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<div type="abstract" xml:lang="en">We sought to determine the activity of inhibiting and facilitating cortical circuits in areas surrounding a hand muscle motor representation in focal dystonia and in controls. In 15 patients with hand dystonia, 16 patients with blepharospasm, and age-matched controls, we applied suprathreshold transcranial magnetic stimuli with a figure-eight coil over the optimal representation of the relaxed abductor digiti minimi muscle of the dominant hand. Additional conditioning stimuli were given through a second figure-eight coil that was held either above the test coil or 2 cm or 4 cm apart in the anterior, posterior, lateral, or medial direction. We measured intracortical excitability in each of the nine positions of the conditioning coil. Intracortical inhibition was reduced in both patient groups at all conditioning coil positions. With both coils centered, the intracortical facilitation did not differ between patients and controls. After shifting the conditioning coil, the intracortical facilitation tended to be less diminished in patients than in controls, this difference between patients and controls was significant for the anterior, posterior, and medial 4-cm conditioning coil shift. Our results demonstrate decreased intracortical inhibition in the cortical hand muscle representation not only in patients with hand dystonia, but also in patients with blepharospasm. In addition, our findings in both patient groups show a trend toward a relatively increased intracortical facilitation in surrounding motor areas.</div>
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<s5>04</s5>
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<fC03 i1="04" i2="X" l="FRE">
<s0>Stimulation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Stimulation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Estimulación</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Magnétique</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Magnetic</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Magnético</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Voie transcrânienne</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Transcranial route</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Vía transcraneana</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Excitabilité</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Excitability</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Excitabilidad</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Cortex cérébral</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Cerebral cortex</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Corteza cerebral</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Représentation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Representation</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Representación</s0>
<s5>13</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Motricité</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Motricity</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Motricidad</s0>
<s5>14</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Exploration</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Exploration</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Exploración</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Muscle strié pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Striated muscle disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Músculo estriado patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Oeil pathologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Eye disease</s0>
<s5>45</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Ojo patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Paupière pathologie</s0>
<s5>46</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Eyelid disease</s0>
<s5>46</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Párpado patología</s0>
<s5>46</s5>
</fC07>
<fN21>
<s1>343</s1>
</fN21>
<fN82>
<s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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