Movement Disorders (revue)

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Facilitated temporal summation of pain at spinal level in Parkinson's disease.

Identifieur interne : 001336 ( PubMed/Curation ); précédent : 001335; suivant : 001337

Facilitated temporal summation of pain at spinal level in Parkinson's disease.

Auteurs : Armando Perrotta [Italie] ; Giorgio Sandrini ; Mariano Serrao ; Simona Buscone ; Cristina Tassorelli ; Michele Tinazzi ; Roberta Zangaglia ; Claudio Pacchetti ; Michelangelo Bartolo ; Francesco Pierelli ; Emilia Martignoni

Source :

RBID : pubmed:21462260

English descriptors

Abstract

Pain is one of the major nonmotor symptoms of Parkinson's disease. We hypothesized that Parkinson's disease patients could show an early diffuse abnormal processing of the nociceptive inputs also in the absence of clinical pain syndrome and that this could represent the physiopathological substrate to explain the high incidence of diffuse pain symptoms.

DOI: 10.1002/mds.23458
PubMed: 21462260

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pubmed:21462260

Le document en format XML

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<term>Female</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
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<term>Aged</term>
<term>Disability Evaluation</term>
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<div type="abstract" xml:lang="en">Pain is one of the major nonmotor symptoms of Parkinson's disease. We hypothesized that Parkinson's disease patients could show an early diffuse abnormal processing of the nociceptive inputs also in the absence of clinical pain syndrome and that this could represent the physiopathological substrate to explain the high incidence of diffuse pain symptoms.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Facilitated temporal summation of pain at spinal level in Parkinson's disease.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Pain is one of the major nonmotor symptoms of Parkinson's disease. We hypothesized that Parkinson's disease patients could show an early diffuse abnormal processing of the nociceptive inputs also in the absence of clinical pain syndrome and that this could represent the physiopathological substrate to explain the high incidence of diffuse pain symptoms.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We used the temporal summation threshold of the nociceptive withdrawal reflex and the related pain sensation to evaluate the facilitation in pain processing at spinal level. Fifteen (7 Women; 8 Men; mean age 63.0 ± 9.1) Parkinson's disease patients without clinical pain and 12 (6 Women, 6 Men; mean age 61.2 ± 4.2) healthy subjects were recruited. Parkinson's disease group has been subdivided into two subgroups, 7 early-stage Parkinson's disease patients with unilateral signs (Hoehn and Yahr stage 1) and 8 patients in a more advanced stage of the disease showing bilateral parkinsonian signs (Hoehn and Yahr stages 2 and 2.5), both "on" and "off" treatments with levodopa.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A significant facilitation in temporal summation of pain (reduced temporal summation threshold and increased painful sensation) was found in Parkinson's disease patients when compared with controls. This facilitation is more evident in Parkinson's disease with bilateral signs and on the side more affected in Parkinson's disease with unilateral signs. Levodopa administration failed to significantly modify the neurophysiological abnormalities; however, a slight improvement has been detected.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The increased gain in pain processing at spinal level in Parkinson's disease patients could be a consequence of the degenerative phenomena involving supraspinal projections implicated in the modulation of pain processing and could make Parkinson's disease patients more predisposed to develop a pain condition.</AbstractText>
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