Movement Disorders (revue)

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Pallidal stimulation for cervical dystonia does not correct abnormal temporal discrimination.

Identifieur interne : 000835 ( PubMed/Corpus ); précédent : 000834; suivant : 000836

Pallidal stimulation for cervical dystonia does not correct abnormal temporal discrimination.

Auteurs : Anna Sadnicka ; Okka Kimmich ; Claudia Pisarek ; Diane Ruge ; Joe Galea ; Panagiotis Kassavetis ; Isabel Pareés ; Tabish Saifee ; Anna Molloy ; David Bradley ; Sean O'Riordan ; Ludvic Zrinzo ; Marwan Hariz ; Kailash P. Bhatia ; Patricia Limousin ; Thomas Foltynie ; John C. Rothwell ; Michael Hutchinson ; Mark J. Edwards

Source :

RBID : pubmed:23853089

English descriptors

Abstract

We investigated whether clinical improvement observed after deep brain stimulation (DBS) of the globus pallidus internus (GPi) in cervical dystonia (CD) is paralleled by the normalisation of temporal discrimination thresholds (TDTs), a marker of abnormal sensory processing in CD.

DOI: 10.1002/mds.25581
PubMed: 23853089

Links to Exploration step

pubmed:23853089

Le document en format XML

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<div type="abstract" xml:lang="en">We investigated whether clinical improvement observed after deep brain stimulation (DBS) of the globus pallidus internus (GPi) in cervical dystonia (CD) is paralleled by the normalisation of temporal discrimination thresholds (TDTs), a marker of abnormal sensory processing in CD.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We investigated whether clinical improvement observed after deep brain stimulation (DBS) of the globus pallidus internus (GPi) in cervical dystonia (CD) is paralleled by the normalisation of temporal discrimination thresholds (TDTs), a marker of abnormal sensory processing in CD.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">TDT was tested in 11 patients with CD after they received DBS and was compared with TDT scores from 24 patients with CD and a group of 61 controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A clear clinical response to GPi-DBS was demonstrated (total Toronto Western Spasmodic Torticollis Rating Scale scores fell from 50 to 18; P < 0.001). In contrast, TDT remained abnormal in the CD-DBS group (P < 0.001) and was not significantly different from the abnormal TDT range observed in CD.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Underlying sensory abnormalities in temporal discrimination observed in dystonia do not seem to be corrected by successful GPi-DBS. This adds further data to the ongoing debate regarding which pathophysiological abnormalities observed in dystonia are likely to be causal in the genesis of the disease rather than epiphenomena observed secondary to abnormal motor activity.</AbstractText>
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