Click-evoked vestibulocollic reflexes in torticollis.
Identifieur interne : 004962 ( PubMed/Corpus ); précédent : 004961; suivant : 004963Click-evoked vestibulocollic reflexes in torticollis.
Auteurs : J G Colebatch ; V. Di Lazzaro ; A. Quartarone ; J C Rothwell ; M. GrestySource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1995.
English descriptors
- KwdEn :
- Acoustic Stimulation, Adult, Aged, Arousal (drug effects), Arousal (physiology), Botulinum Toxins (administration & dosage), Botulinum Toxins (adverse effects), Caloric Tests, Electromyography (drug effects), Electronystagmography (drug effects), Female, Humans, Injections, Intramuscular, Male, Middle Aged, Neck Muscles (drug effects), Neck Muscles (physiopathology), Reaction Time (drug effects), Reaction Time (physiology), Reflex, Abnormal, Reflex, Vestibulo-Ocular (drug effects), Reflex, Vestibulo-Ocular (physiology), Signal Processing, Computer-Assisted, Torticollis (diagnosis), Torticollis (drug therapy), Torticollis (physiopathology), Vestibule, Labyrinth (drug effects), Vestibule, Labyrinth (physiopathology).
- MESH :
- chemical , administration & dosage : Botulinum Toxins.
- chemical , adverse effects : Botulinum Toxins.
- diagnosis : Torticollis.
- drug effects : Arousal, Electromyography, Electronystagmography, Neck Muscles, Reaction Time, Reflex, Vestibulo-Ocular, Vestibule, Labyrinth.
- drug therapy : Torticollis.
- physiology : Arousal, Reaction Time, Reflex, Vestibulo-Ocular.
- physiopathology : Neck Muscles, Torticollis, Vestibule, Labyrinth.
- Acoustic Stimulation, Adult, Aged, Caloric Tests, Female, Humans, Injections, Intramuscular, Male, Middle Aged, Reflex, Abnormal, Signal Processing, Computer-Assisted.
Abstract
A total of 26 patients with torticollis were studied using a recently developed technique for recording vestibulocollic reflexes from the sternocleidomastoid muscles in addition to conventional caloric tests of vestibular function. Previous reports of abnormalities of vestibulo-ocular reflexes in these patients were confirmed with just fewer than half having significant canal pareses or directional preponderances (nine of 20 tested). In addition, there was a high incidence of abnormal click-evoked vestibulocollic reflexes (17 of 26 tested), which were not simply the result of prior treatment with botulinum toxin, nor due to unequal levels of muscle activation. In patients never previously treated with botulinum toxin (14 patients), the effect almost always consisted of suppressed responses in the sternocleidomastoid muscle ipsilateral to the direction of head turning. Because responses were not abnormal in all patients tested, and more commonly so in those with a history of torticollis of > or = 5 years (eight of nine patients) than in de novo patients, we suggest that the changes are more likely to be compensatory than causal.
DOI: 10.1002/mds.870100409
PubMed: 7565826
Links to Exploration step
pubmed:7565826Le document en format XML
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<author><name sortKey="Colebatch, J G" sort="Colebatch, J G" uniqKey="Colebatch J" first="J G" last="Colebatch">J G Colebatch</name>
<affiliation><nlm:affiliation>Department of Neurology, Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, Australia.</nlm:affiliation>
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<author><name sortKey="Di Lazzaro, V" sort="Di Lazzaro, V" uniqKey="Di Lazzaro V" first="V" last="Di Lazzaro">V. Di Lazzaro</name>
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<author><name sortKey="Quartarone, A" sort="Quartarone, A" uniqKey="Quartarone A" first="A" last="Quartarone">A. Quartarone</name>
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<author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J C" last="Rothwell">J C Rothwell</name>
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<author><name sortKey="Gresty, M" sort="Gresty, M" uniqKey="Gresty M" first="M" last="Gresty">M. Gresty</name>
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<author><name sortKey="Colebatch, J G" sort="Colebatch, J G" uniqKey="Colebatch J" first="J G" last="Colebatch">J G Colebatch</name>
<affiliation><nlm:affiliation>Department of Neurology, Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, Australia.</nlm:affiliation>
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<author><name sortKey="Di Lazzaro, V" sort="Di Lazzaro, V" uniqKey="Di Lazzaro V" first="V" last="Di Lazzaro">V. Di Lazzaro</name>
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<author><name sortKey="Quartarone, A" sort="Quartarone, A" uniqKey="Quartarone A" first="A" last="Quartarone">A. Quartarone</name>
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<author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J C" last="Rothwell">J C Rothwell</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation</term>
<term>Adult</term>
<term>Aged</term>
<term>Arousal (drug effects)</term>
<term>Arousal (physiology)</term>
<term>Botulinum Toxins (administration & dosage)</term>
<term>Botulinum Toxins (adverse effects)</term>
<term>Caloric Tests</term>
<term>Electromyography (drug effects)</term>
<term>Electronystagmography (drug effects)</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intramuscular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neck Muscles (drug effects)</term>
<term>Neck Muscles (physiopathology)</term>
<term>Reaction Time (drug effects)</term>
<term>Reaction Time (physiology)</term>
<term>Reflex, Abnormal</term>
<term>Reflex, Vestibulo-Ocular (drug effects)</term>
<term>Reflex, Vestibulo-Ocular (physiology)</term>
<term>Signal Processing, Computer-Assisted</term>
<term>Torticollis (diagnosis)</term>
<term>Torticollis (drug therapy)</term>
<term>Torticollis (physiopathology)</term>
<term>Vestibule, Labyrinth (drug effects)</term>
<term>Vestibule, Labyrinth (physiopathology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Botulinum Toxins</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Botulinum Toxins</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Torticollis</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Arousal</term>
<term>Electromyography</term>
<term>Electronystagmography</term>
<term>Neck Muscles</term>
<term>Reaction Time</term>
<term>Reflex, Vestibulo-Ocular</term>
<term>Vestibule, Labyrinth</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Torticollis</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Arousal</term>
<term>Reaction Time</term>
<term>Reflex, Vestibulo-Ocular</term>
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<term>Torticollis</term>
<term>Vestibule, Labyrinth</term>
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<keywords scheme="MESH" xml:lang="en"><term>Acoustic Stimulation</term>
<term>Adult</term>
<term>Aged</term>
<term>Caloric Tests</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intramuscular</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">A total of 26 patients with torticollis were studied using a recently developed technique for recording vestibulocollic reflexes from the sternocleidomastoid muscles in addition to conventional caloric tests of vestibular function. Previous reports of abnormalities of vestibulo-ocular reflexes in these patients were confirmed with just fewer than half having significant canal pareses or directional preponderances (nine of 20 tested). In addition, there was a high incidence of abnormal click-evoked vestibulocollic reflexes (17 of 26 tested), which were not simply the result of prior treatment with botulinum toxin, nor due to unequal levels of muscle activation. In patients never previously treated with botulinum toxin (14 patients), the effect almost always consisted of suppressed responses in the sternocleidomastoid muscle ipsilateral to the direction of head turning. Because responses were not abnormal in all patients tested, and more commonly so in those with a history of torticollis of > or = 5 years (eight of nine patients) than in de novo patients, we suggest that the changes are more likely to be compensatory than causal.</div>
</front>
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<Abstract><AbstractText>A total of 26 patients with torticollis were studied using a recently developed technique for recording vestibulocollic reflexes from the sternocleidomastoid muscles in addition to conventional caloric tests of vestibular function. Previous reports of abnormalities of vestibulo-ocular reflexes in these patients were confirmed with just fewer than half having significant canal pareses or directional preponderances (nine of 20 tested). In addition, there was a high incidence of abnormal click-evoked vestibulocollic reflexes (17 of 26 tested), which were not simply the result of prior treatment with botulinum toxin, nor due to unequal levels of muscle activation. In patients never previously treated with botulinum toxin (14 patients), the effect almost always consisted of suppressed responses in the sternocleidomastoid muscle ipsilateral to the direction of head turning. Because responses were not abnormal in all patients tested, and more commonly so in those with a history of torticollis of > or = 5 years (eight of nine patients) than in de novo patients, we suggest that the changes are more likely to be compensatory than causal.</AbstractText>
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