Clinical relevance of electrophysiological tests in the assessment of patients with Huntington's disease.
Identifieur interne : 003B62 ( PubMed/Checkpoint ); précédent : 003B61; suivant : 003B63Clinical relevance of electrophysiological tests in the assessment of patients with Huntington's disease.
Auteurs : Jean-Pascal Lefaucheur [France] ; Anne-Catherine Bachoud-Levi ; Catherine Bourdet ; Thierry Grandmougin ; Philippe Hantraye ; Pierre Cesaro ; Jean-Denis Degos ; Marc Peschanski ; Fabrice LisovoskiSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Adult, Blinking (physiology), Cerebral Cortex (physiopathology), Disease Progression, Electric Stimulation, Electrodiagnosis, Electromagnetic Fields, Electromyography, Evoked Potentials, Somatosensory (physiology), Female, Follow-Up Studies, Galvanic Skin Response (physiology), Humans, Huntington Disease (diagnosis), Huntington Disease (genetics), Huntington Disease (physiopathology), Hypokinesia (diagnosis), Hypokinesia (physiopathology), Male, Middle Aged, Reaction Time (physiology), Reflex, Stretch (physiology), Sensitivity and Specificity, Sympathetic Nervous System (physiopathology).
- MESH :
- diagnosis : Huntington Disease, Hypokinesia.
- genetics : Huntington Disease.
- physiology : Blinking, Evoked Potentials, Somatosensory, Galvanic Skin Response, Reaction Time, Reflex, Stretch.
- physiopathology : Cerebral Cortex, Huntington Disease, Hypokinesia, Sympathetic Nervous System.
- Adult, Disease Progression, Electric Stimulation, Electrodiagnosis, Electromagnetic Fields, Electromyography, Female, Follow-Up Studies, Humans, Male, Middle Aged, Sensitivity and Specificity.
Abstract
Assessment programs recently designed to follow-up patients with Huntington's disease (HD) in therapeutic trials have not included electrophysiological testing in the list of mandatory examinations. This omission is likely due to the current lack of data establishing a clear correlation between the electrophysiological results and those of clinical assessment. We address this issue in a cohort of 36 patients at relatively early stages of the disease (I and II). Electrophysiological studies comprised the recording of palmar sympathetic skin responses (SSRs), blink reflexes (BRs), thenar long latency reflexes (LLRs), cortical somatosensory evoked potentials (SEPs), and electromyographic silent periods evoked by transcranial magnetic stimulation (SPs). Results were analyzed with reference to disease duration and staging and to specific cognitive, psychiatric, and motor alteration. SEPs were the most and very sensitive markers, because they were abnormal in 94% of patients. Except for LLRs, alteration of electrophysiological results increased in parallel to the evolution of the disease. Except for LLRs and SSR latency, electrophysiological results correlated with those of specific clinical examinations. In particular, an increased BR latency or a reduced amplitude of the N20 component of SEPs correlated with the extent of bradykinesia, whereas a reduced amplitude of SSRs or of the N30 component of SEPs correlated with hyperkinesia. Overall, electrophysiological tests, in particular SEPs and BRs, appeared sensitive and interesting in the follow-up of HD patients and correlated with various clinical parameters, suggesting that these easy to perform and noninvasive repeatable examinations could be added fruitfully to the assessment programs for HD.
DOI: 10.1002/mds.10273
PubMed: 12465071
Affiliations:
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pubmed:12465071Le document en format XML
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<author><name sortKey="Degos, Jean Denis" sort="Degos, Jean Denis" uniqKey="Degos J" first="Jean-Denis" last="Degos">Jean-Denis Degos</name>
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<term>Disease Progression</term>
<term>Electric Stimulation</term>
<term>Electrodiagnosis</term>
<term>Electromagnetic Fields</term>
<term>Electromyography</term>
<term>Evoked Potentials, Somatosensory (physiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Galvanic Skin Response (physiology)</term>
<term>Humans</term>
<term>Huntington Disease (diagnosis)</term>
<term>Huntington Disease (genetics)</term>
<term>Huntington Disease (physiopathology)</term>
<term>Hypokinesia (diagnosis)</term>
<term>Hypokinesia (physiopathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reaction Time (physiology)</term>
<term>Reflex, Stretch (physiology)</term>
<term>Sensitivity and Specificity</term>
<term>Sympathetic Nervous System (physiopathology)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Huntington Disease</term>
<term>Hypokinesia</term>
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<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Huntington Disease</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blinking</term>
<term>Evoked Potentials, Somatosensory</term>
<term>Galvanic Skin Response</term>
<term>Reaction Time</term>
<term>Reflex, Stretch</term>
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<term>Huntington Disease</term>
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<term>Sympathetic Nervous System</term>
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<term>Electric Stimulation</term>
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<term>Electromagnetic Fields</term>
<term>Electromyography</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<front><div type="abstract" xml:lang="en">Assessment programs recently designed to follow-up patients with Huntington's disease (HD) in therapeutic trials have not included electrophysiological testing in the list of mandatory examinations. This omission is likely due to the current lack of data establishing a clear correlation between the electrophysiological results and those of clinical assessment. We address this issue in a cohort of 36 patients at relatively early stages of the disease (I and II). Electrophysiological studies comprised the recording of palmar sympathetic skin responses (SSRs), blink reflexes (BRs), thenar long latency reflexes (LLRs), cortical somatosensory evoked potentials (SEPs), and electromyographic silent periods evoked by transcranial magnetic stimulation (SPs). Results were analyzed with reference to disease duration and staging and to specific cognitive, psychiatric, and motor alteration. SEPs were the most and very sensitive markers, because they were abnormal in 94% of patients. Except for LLRs, alteration of electrophysiological results increased in parallel to the evolution of the disease. Except for LLRs and SSR latency, electrophysiological results correlated with those of specific clinical examinations. In particular, an increased BR latency or a reduced amplitude of the N20 component of SEPs correlated with the extent of bradykinesia, whereas a reduced amplitude of SSRs or of the N30 component of SEPs correlated with hyperkinesia. Overall, electrophysiological tests, in particular SEPs and BRs, appeared sensitive and interesting in the follow-up of HD patients and correlated with various clinical parameters, suggesting that these easy to perform and noninvasive repeatable examinations could be added fruitfully to the assessment programs for HD.</div>
</front>
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<ArticleTitle>Clinical relevance of electrophysiological tests in the assessment of patients with Huntington's disease.</ArticleTitle>
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<Abstract><AbstractText>Assessment programs recently designed to follow-up patients with Huntington's disease (HD) in therapeutic trials have not included electrophysiological testing in the list of mandatory examinations. This omission is likely due to the current lack of data establishing a clear correlation between the electrophysiological results and those of clinical assessment. We address this issue in a cohort of 36 patients at relatively early stages of the disease (I and II). Electrophysiological studies comprised the recording of palmar sympathetic skin responses (SSRs), blink reflexes (BRs), thenar long latency reflexes (LLRs), cortical somatosensory evoked potentials (SEPs), and electromyographic silent periods evoked by transcranial magnetic stimulation (SPs). Results were analyzed with reference to disease duration and staging and to specific cognitive, psychiatric, and motor alteration. SEPs were the most and very sensitive markers, because they were abnormal in 94% of patients. Except for LLRs, alteration of electrophysiological results increased in parallel to the evolution of the disease. Except for LLRs and SSR latency, electrophysiological results correlated with those of specific clinical examinations. In particular, an increased BR latency or a reduced amplitude of the N20 component of SEPs correlated with the extent of bradykinesia, whereas a reduced amplitude of SSRs or of the N30 component of SEPs correlated with hyperkinesia. Overall, electrophysiological tests, in particular SEPs and BRs, appeared sensitive and interesting in the follow-up of HD patients and correlated with various clinical parameters, suggesting that these easy to perform and noninvasive repeatable examinations could be added fruitfully to the assessment programs for HD.</AbstractText>
<CopyrightInformation>Copyright 2002 Movement Disorder Society</CopyrightInformation>
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