Movement Disorders (revue)

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Limb Amputations in Fixed Dystonia: A Form of Body Integrity Identity Disorder?

Identifieur interne : 002805 ( PascalFrancis/Curation ); précédent : 002804; suivant : 002806

Limb Amputations in Fixed Dystonia: A Form of Body Integrity Identity Disorder?

Auteurs : Mark J. Edwards [Royaume-Uni] ; Araceli Alonso-Canovas [Royaume-Uni] ; Arnette Schrag [Royaume-Uni] ; Bastiaan R. Bloem [Pays-Bas] ; Philip D. Thompson [Australie] ; Kailash Bhatia [Royaume-Uni]

Source :

RBID : Pascal:11-0353394

Descripteurs français

English descriptors

Abstract

Fixed dystonia is a disabling disorder mainly affecting young women who develop fixed abnormal limb postures and pain after apparently minor peripheral injury. There is continued debate regarding its pathophysiology and management. We report 5 cases of fixed dystonia in patients who sought amputation of the affected limb. We place these cases in the context of previous reports of patients with healthy limbs and patients with chronic regional pain syndrome who have sought amputation. Our cases, combined with recent data regarding disorders of mental rotation in patients with fixed dystonia, as well as previous data regarding body integrity identity disorder and amputations sought by patients with chronic regional pain syndrome, raise the possibility that patients with fixed dystonia might have a deficit in body schema that predisposes them to developing fixed dystonia and drives some to seek amputation. The outcome of amputation in fixed dystonia is invariably unfavorable.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 26
A06       @2 8
A08 01  1  ENG  @1 Limb Amputations in Fixed Dystonia: A Form of Body Integrity Identity Disorder?
A11 01  1    @1 EDWARDS (Mark J.)
A11 02  1    @1 ALONSO-CANOVAS (Araceli)
A11 03  1    @1 SCHRAG (Arnette)
A11 04  1    @1 BLOEM (Bastiaan R.)
A11 05  1    @1 THOMPSON (Philip D.)
A11 06  1    @1 BHATIA (Kailash)
A14 01      @1 Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL @2 London @3 GBR @Z 1 aut. @Z 2 aut. @Z 6 aut.
A14 02      @1 Department of Clinical Neurosciences, Institute of Neurology, UCL, Royal Free Campus @2 London @3 GBR @Z 3 aut.
A14 03      @1 Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 4 aut.
A14 04      @1 Department of Neurology and University Department of Medicine, Royal Adelaide Hospital and University of Adelaide @2 Adelaide @3 AUS @Z 5 aut.
A20       @1 1410-1414
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000508552620060
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
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A47 01  1    @0 11-0353394
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 Fixed dystonia is a disabling disorder mainly affecting young women who develop fixed abnormal limb postures and pain after apparently minor peripheral injury. There is continued debate regarding its pathophysiology and management. We report 5 cases of fixed dystonia in patients who sought amputation of the affected limb. We place these cases in the context of previous reports of patients with healthy limbs and patients with chronic regional pain syndrome who have sought amputation. Our cases, combined with recent data regarding disorders of mental rotation in patients with fixed dystonia, as well as previous data regarding body integrity identity disorder and amputations sought by patients with chronic regional pain syndrome, raise the possibility that patients with fixed dystonia might have a deficit in body schema that predisposes them to developing fixed dystonia and drives some to seek amputation. The outcome of amputation in fixed dystonia is invariably unfavorable.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
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 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Amputation @5 09
C03 03  X  ENG  @0 Amputation @5 09
C03 03  X  SPA  @0 Amputación @5 09
C03 04  X  FRE  @0 Psychogène @5 10
C03 04  X  ENG  @0 Psychogenic @5 10
C03 04  X  SPA  @0 Psicógeno @5 10
C03 05  X  FRE  @0 Chronique @5 11
C03 05  X  ENG  @0 Chronic @5 11
C03 05  X  SPA  @0 Crónico @5 11
C03 06  X  FRE  @0 Douleur @5 12
C03 06  X  ENG  @0 Pain @5 12
C03 06  X  SPA  @0 Dolor @5 12
C03 07  X  FRE  @0 Trouble identitaire de l'intégrité corporelle @4 INC @5 86
C07 01  X  FRE  @0 Syndrome extrapyramidal @5 37
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 Pathologie du muscle strié @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 41
C07 04  X  ENG  @0 Neurological disorder @5 41
C07 04  X  SPA  @0 Trastorno neurológico @5 41
C07 05  X  FRE  @0 Pathologie de l'encéphale @5 42
C07 05  X  ENG  @0 Cerebral disorder @5 42
C07 05  X  SPA  @0 Encéfalo patología @5 42
C07 06  X  FRE  @0 Pathologie du système nerveux central @5 43
C07 06  X  ENG  @0 Central nervous system disease @5 43
C07 06  X  SPA  @0 Sistema nervosio central patología @5 43
N21       @1 241
N44 01      @1 OTO
N82       @1 OTO

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Pascal:11-0353394

Le document en format XML

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<div type="abstract" xml:lang="en">Fixed dystonia is a disabling disorder mainly affecting young women who develop fixed abnormal limb postures and pain after apparently minor peripheral injury. There is continued debate regarding its pathophysiology and management. We report 5 cases of fixed dystonia in patients who sought amputation of the affected limb. We place these cases in the context of previous reports of patients with healthy limbs and patients with chronic regional pain syndrome who have sought amputation. Our cases, combined with recent data regarding disorders of mental rotation in patients with fixed dystonia, as well as previous data regarding body integrity identity disorder and amputations sought by patients with chronic regional pain syndrome, raise the possibility that patients with fixed dystonia might have a deficit in body schema that predisposes them to developing fixed dystonia and drives some to seek amputation. The outcome of amputation in fixed dystonia is invariably unfavorable.</div>
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<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>Pathologie du muscle strié</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>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>43</s5>
</fC07>
<fN21>
<s1>241</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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