Movement Disorders (revue)

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Age at Onset and Symptom Spread in Primary Adult-Onset Blepharospasm and Cervical Dystonia

Identifieur interne : 002C44 ( PascalFrancis/Curation ); précédent : 002C43; suivant : 002C45

Age at Onset and Symptom Spread in Primary Adult-Onset Blepharospasm and Cervical Dystonia

Auteurs : Davide Martino [Italie] ; Alfredo Berardelli [Italie] ; Giovanni Abbruzzese [Italie] ; Anna Rita Bentivoglio [Italie] ; Marcello Esposito [Italie] ; Giovanni Fabbrini [Italie] ; Arianna Guidubaldi [Italie] ; Paolo Girlanda [Italie] ; Rocco Liguori [Italie] ; Lucio Marinelli [Italie] ; Francesca Morgante [Italie] ; Lucio Santoro [Italie] ; Giovanni Defazio [Italie]

Source :

RBID : Pascal:12-0393102

Descripteurs français

English descriptors

Abstract

Background: The site of dystonia onset is known to affect the risk of spread in primary adult-onset focal dystonia, but other factors possibly influencing spread are unknown. This study explored the relationship between age and spread of dystonia in primary adult-onset focal dystonia. Methods: Two survival models analyzed spread of dystonia in a large cohort of patients with primary blepharospasm (BSP) and cervical dystonia. The first model was based on time interval between onset and spread of dystonia, and the second model was based on age at spread. Results: Patients presenting with BSP had a 2-fold higher rate of spread than those presenting with cervical dystonia, regardless of the survival model used. However, survival analysis, based on age at spread, showed that spread develops at a similar age period in both groups, with most spread events occurring after the age of 50. Conclusions: The convergent age of spread in BSP and cervical dystonia is a novel finding indicating age as a factor modulating spread of dystonia. These findings may assist in informing prognostication for patients with primary adult-onset focal dystonia.
pA  
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A03   1    @0 Mov. disord.
A05       @2 27
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A08 01  1  ENG  @1 Age at Onset and Symptom Spread in Primary Adult-Onset Blepharospasm and Cervical Dystonia
A11 01  1    @1 MARTINO (Davide)
A11 02  1    @1 BERARDELLI (Alfredo)
A11 03  1    @1 ABBRUZZESE (Giovanni)
A11 04  1    @1 BENTIVOGLIO (Anna Rita)
A11 05  1    @1 ESPOSITO (Marcello)
A11 06  1    @1 FABBRINI (Giovanni)
A11 07  1    @1 GUIDUBALDI (Arianna)
A11 08  1    @1 GIRLANDA (Paolo)
A11 09  1    @1 LIGUORI (Rocco)
A11 10  1    @1 MARINELLI (Lucio)
A11 11  1    @1 MORGANTE (Francesca)
A11 12  1    @1 SANTORO (Lucio)
A11 13  1    @1 DEFAZIO (Giovanni)
A14 01      @1 Department of Neurosciences and Sensory Organs and School of Motor Sciences, "Aldo Moro" University of Bari @2 Bari @3 ITA @Z 1 aut. @Z 13 aut.
A14 02      @1 Department of Neurology and Psychiatry, Sapienza University of Rome and IRCCS Neuromed Institute @2 Pozzilli @3 ITA @Z 2 aut. @Z 6 aut.
A14 03      @1 Department of Neurosciences, Ophthalmology and Genetics, University of Genoa @2 Genoa @3 ITA @Z 3 aut. @Z 10 aut.
A14 04      @1 Department of Neurosciences, Catholic University @2 Rome @3 ITA @Z 4 aut. @Z 7 aut.
A14 05      @1 Department of Neurology, Second University of Naples @2 Naples @3 ITA @Z 5 aut. @Z 12 aut.
A14 06      @1 Department of Neurosciences, Psychiatry, and Anaesthesiological Science, University of Messina @2 Messina @3 ITA @Z 8 aut. @Z 11 aut.
A14 07      @1 Department of Neurosciences, University of Bologna @2 Bologna @3 ITA @Z 9 aut.
A20       @1 1447-1450
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000502036870230
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 16 ref.
A47 01  1    @0 12-0393102
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Background: The site of dystonia onset is known to affect the risk of spread in primary adult-onset focal dystonia, but other factors possibly influencing spread are unknown. This study explored the relationship between age and spread of dystonia in primary adult-onset focal dystonia. Methods: Two survival models analyzed spread of dystonia in a large cohort of patients with primary blepharospasm (BSP) and cervical dystonia. The first model was based on time interval between onset and spread of dystonia, and the second model was based on age at spread. Results: Patients presenting with BSP had a 2-fold higher rate of spread than those presenting with cervical dystonia, regardless of the survival model used. However, survival analysis, based on age at spread, showed that spread develops at a similar age period in both groups, with most spread events occurring after the age of 50. Conclusions: The convergent age of spread in BSP and cervical dystonia is a novel finding indicating age as a factor modulating spread of dystonia. These findings may assist in informing prognostication for patients with primary adult-onset focal dystonia.
C02 01  X    @0 002B17
C02 02  X    @0 002B17H
C03 01  X  FRE  @0 Blépharospasme @5 01
C03 01  X  ENG  @0 Blepharospasm @5 01
C03 01  X  SPA  @0 Blefaroespasmo @5 01
C03 02  X  FRE  @0 Dystonie @5 02
C03 02  X  ENG  @0 Dystonia @5 02
C03 02  X  SPA  @0 Distonía @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Epidémiologie @5 09
C03 04  X  ENG  @0 Epidemiology @5 09
C03 04  X  SPA  @0 Epidemiología @5 09
C03 05  X  FRE  @0 Neurologie @5 10
C03 05  X  ENG  @0 Neurology @5 10
C03 05  X  SPA  @0 Neurología @5 10
C07 01  X  FRE  @0 Pathologie de l'oeil @5 37
C07 01  X  ENG  @0 Eye disease @5 37
C07 01  X  SPA  @0 Ojo patología @5 37
C07 02  X  FRE  @0 Pathologie de la paupière @5 38
C07 02  X  ENG  @0 Eyelid disease @5 38
C07 02  X  SPA  @0 Párpado patología @5 38
C07 03  X  FRE  @0 Syndrome extrapyramidal @5 39
C07 03  X  ENG  @0 Extrapyramidal syndrome @5 39
C07 03  X  SPA  @0 Extrapiramidal síndrome @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 Pathologie du muscle strié @5 41
C07 05  X  ENG  @0 Striated muscle disease @5 41
C07 05  X  SPA  @0 Músculo estriado patología @5 41
C07 06  X  FRE  @0 Trouble neurologique @5 43
C07 06  X  ENG  @0 Neurological disorder @5 43
C07 06  X  SPA  @0 Trastorno neurológico @5 43
C07 07  X  FRE  @0 Pathologie de l'encéphale @5 44
C07 07  X  ENG  @0 Cerebral disorder @5 44
C07 07  X  SPA  @0 Encéfalo patología @5 44
C07 08  X  FRE  @0 Pathologie du système nerveux central @5 45
C07 08  X  ENG  @0 Central nervous system disease @5 45
C07 08  X  SPA  @0 Sistema nervosio central patología @5 45
N21       @1 303
N44 01      @1 OTO
N82       @1 OTO

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Le document en format XML

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<term>Blepharospasm</term>
<term>Dystonia</term>
<term>Epidemiology</term>
<term>Nervous system diseases</term>
<term>Neurology</term>
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<term>Blépharospasme</term>
<term>Dystonie</term>
<term>Pathologie du système nerveux</term>
<term>Epidémiologie</term>
<term>Neurologie</term>
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<div type="abstract" xml:lang="en">Background: The site of dystonia onset is known to affect the risk of spread in primary adult-onset focal dystonia, but other factors possibly influencing spread are unknown. This study explored the relationship between age and spread of dystonia in primary adult-onset focal dystonia. Methods: Two survival models analyzed spread of dystonia in a large cohort of patients with primary blepharospasm (BSP) and cervical dystonia. The first model was based on time interval between onset and spread of dystonia, and the second model was based on age at spread. Results: Patients presenting with BSP had a 2-fold higher rate of spread than those presenting with cervical dystonia, regardless of the survival model used. However, survival analysis, based on age at spread, showed that spread develops at a similar age period in both groups, with most spread events occurring after the age of 50. Conclusions: The convergent age of spread in BSP and cervical dystonia is a novel finding indicating age as a factor modulating spread of dystonia. These findings may assist in informing prognostication for patients with primary adult-onset focal dystonia.</div>
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<s0>Background: The site of dystonia onset is known to affect the risk of spread in primary adult-onset focal dystonia, but other factors possibly influencing spread are unknown. This study explored the relationship between age and spread of dystonia in primary adult-onset focal dystonia. Methods: Two survival models analyzed spread of dystonia in a large cohort of patients with primary blepharospasm (BSP) and cervical dystonia. The first model was based on time interval between onset and spread of dystonia, and the second model was based on age at spread. Results: Patients presenting with BSP had a 2-fold higher rate of spread than those presenting with cervical dystonia, regardless of the survival model used. However, survival analysis, based on age at spread, showed that spread develops at a similar age period in both groups, with most spread events occurring after the age of 50. Conclusions: The convergent age of spread in BSP and cervical dystonia is a novel finding indicating age as a factor modulating spread of dystonia. These findings may assist in informing prognostication for patients with primary adult-onset focal dystonia.</s0>
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