Limb amputations in fixed dystonia: a form of body integrity identity disorder?
Identifieur interne : 001293 ( PubMed/Curation ); précédent : 001292; suivant : 001294Limb amputations in fixed dystonia: a form of body integrity identity disorder?
Auteurs : Mark J. Edwards [Royaume-Uni] ; Araceli Alonso-Canovas ; Arnette Schrag ; Bastiaan R. Bloem ; Philip D. Thompson ; Kailash BhatiaSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.
English descriptors
- KwdEn :
- Adult, Amputation (adverse effects), Amputation (methods), Discrimination (Psychology) (physiology), Dystonia (psychology), Dystonia (surgery), Extremities (surgery), Female, Humans, Male, Middle Aged, Pain (complications), Perceptual Disorders (etiology), Wounds and Injuries (complications), Wounds and Injuries (physiopathology).
- MESH :
- adverse effects : Amputation.
- complications : Pain, Wounds and Injuries.
- etiology : Perceptual Disorders.
- methods : Amputation.
- physiology : Discrimination (Psychology).
- physiopathology : Wounds and Injuries.
- psychology : Dystonia.
- surgery : Dystonia, Extremities.
- Adult, Female, Humans, Male, Middle Aged.
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.
DOI: 10.1002/mds.23671
PubMed: 21484872
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Edwards</name><affiliation wicri:level="1"><nlm:affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London</wicri:regionArea></affiliation></author><author><name sortKey="Alonso Canovas, Araceli" sort="Alonso Canovas, Araceli" uniqKey="Alonso Canovas A" first="Araceli" last="Alonso-Canovas">Araceli Alonso-Canovas</name></author><author><name sortKey="Schrag, Arnette" sort="Schrag, Arnette" uniqKey="Schrag A" first="Arnette" last="Schrag">Arnette Schrag</name></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name></author><author><name sortKey="Thompson, Philip D" sort="Thompson, Philip D" uniqKey="Thompson P" first="Philip D" last="Thompson">Philip D. Thompson</name></author><author><name sortKey="Bhatia, Kailash" sort="Bhatia, Kailash" uniqKey="Bhatia K" first="Kailash" last="Bhatia">Kailash Bhatia</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="doi">10.1002/mds.23671</idno><idno type="RBID">pubmed:21484872</idno><idno type="pmid">21484872</idno><idno type="wicri:Area/PubMed/Corpus">001293</idno><idno type="wicri:Area/PubMed/Curation">001293</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Limb amputations in fixed dystonia: a form of body integrity identity disorder?</title><author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J" last="Edwards">Mark J. Edwards</name><affiliation wicri:level="1"><nlm:affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London</wicri:regionArea></affiliation></author><author><name sortKey="Alonso Canovas, Araceli" sort="Alonso Canovas, Araceli" uniqKey="Alonso Canovas A" first="Araceli" last="Alonso-Canovas">Araceli Alonso-Canovas</name></author><author><name sortKey="Schrag, Arnette" sort="Schrag, Arnette" uniqKey="Schrag A" first="Arnette" last="Schrag">Arnette Schrag</name></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name></author><author><name sortKey="Thompson, Philip D" sort="Thompson, Philip D" uniqKey="Thompson P" first="Philip D" last="Thompson">Philip D. Thompson</name></author><author><name sortKey="Bhatia, Kailash" sort="Bhatia, Kailash" uniqKey="Bhatia K" first="Kailash" last="Bhatia">Kailash Bhatia</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Amputation (adverse effects)</term><term>Amputation (methods)</term><term>Discrimination (Psychology) (physiology)</term><term>Dystonia (psychology)</term><term>Dystonia (surgery)</term><term>Extremities (surgery)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain (complications)</term><term>Perceptual Disorders (etiology)</term><term>Wounds and Injuries (complications)</term><term>Wounds and Injuries (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Amputation</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Pain</term><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Perceptual Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Amputation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Discrimination (Psychology)</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Dystonia</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Dystonia</term><term>Extremities</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><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></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21484872</PMID><DateCreated><Year>2011</Year><Month>11</Month><Day>04</Day></DateCreated><DateCompleted><Year>2012</Year><Month>02</Month><Day>29</Day></DateCompleted><DateRevised><Year>2014</Year><Month>08</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>8</Issue><PubDate><Year>2011</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Limb amputations in fixed dystonia: a form of body integrity identity disorder?</ArticleTitle><Pagination><MedlinePgn>1410-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.23671</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Edwards</LastName><ForeName>Mark J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alonso-Canovas</LastName><ForeName>Araceli</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Schrag</LastName><ForeName>Arnette</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Bloem</LastName><ForeName>Bastiaan R</ForeName><Initials>BR</Initials></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Philip D</ForeName><Initials>PD</Initials></Author><Author ValidYN="Y"><LastName>Bhatia</LastName><ForeName>Kailash</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>089698</GrantID><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>04</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Exp Brain Res. 2003 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Version="1">19662952</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Brain. 2009 Oct;132(Pt 10):2871-7</RefSource><PMID Version="1">19690095</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Exp Brain Res. 2010 Jan;200(1):25-35</RefSource><PMID Version="1">19690846</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Neurology. 2004 Jun 22;62(12):2182-6</RefSource><PMID Version="1">15210879</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000671">Amputation</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000009">adverse effects</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004192">Discrimination (Psychology)</DescriptorName><QualifierName 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UI="Q000150">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010468">Perceptual Disorders</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014947">Wounds and Injuries</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3664409</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>11</Month><Day>9</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>1</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>1</Month><Day>13</Day></PubMedPubDate><PubMedPubDate 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