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The value of external anal sphincter electromyography for the diagnosis of multiple system atrophy.

Identifieur interne : 001288 ( PubMed/Corpus ); précédent : 001287; suivant : 001289

The value of external anal sphincter electromyography for the diagnosis of multiple system atrophy.

Auteurs : F. Tison ; P. Arne ; C. Sourgen ; V. Chrysostome ; F. Yeklef

Source :

RBID : pubmed:11104199

English descriptors

Abstract

To assess the value of external anal sphincter electromyography (ASEMG) for the diagnosis of multiple system atrophy (MSA) among various causes of parkinsonism. ASEMG denervation profiles have previously been proposed as a diagnosis test for MSA, but their specificity is disputed.

PubMed: 11104199

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pubmed:11104199

Le document en format XML

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<title xml:lang="en">The value of external anal sphincter electromyography for the diagnosis of multiple system atrophy.</title>
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<name sortKey="Tison, F" sort="Tison, F" uniqKey="Tison F" first="F" last="Tison">F. Tison</name>
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<nlm:affiliation>Service de Neurologie, INSERM U-330, Centre Hospitalier Universitaire, Bordeaux, France.</nlm:affiliation>
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<name sortKey="Arne, P" sort="Arne, P" uniqKey="Arne P" first="P" last="Arne">P. Arne</name>
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<name sortKey="Sourgen, C" sort="Sourgen, C" uniqKey="Sourgen C" first="C" last="Sourgen">C. Sourgen</name>
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<name sortKey="Chrysostome, V" sort="Chrysostome, V" uniqKey="Chrysostome V" first="V" last="Chrysostome">V. Chrysostome</name>
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<name sortKey="Yeklef, F" sort="Yeklef, F" uniqKey="Yeklef F" first="F" last="Yeklef">F. Yeklef</name>
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<title xml:lang="en">The value of external anal sphincter electromyography for the diagnosis of multiple system atrophy.</title>
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<name sortKey="Tison, F" sort="Tison, F" uniqKey="Tison F" first="F" last="Tison">F. Tison</name>
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<nlm:affiliation>Service de Neurologie, INSERM U-330, Centre Hospitalier Universitaire, Bordeaux, France.</nlm:affiliation>
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<name sortKey="Arne, P" sort="Arne, P" uniqKey="Arne P" first="P" last="Arne">P. Arne</name>
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<name sortKey="Sourgen, C" sort="Sourgen, C" uniqKey="Sourgen C" first="C" last="Sourgen">C. Sourgen</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Adult</term>
<term>Aged</term>
<term>Anal Canal (physiopathology)</term>
<term>Diagnosis, Differential</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple System Atrophy (complications)</term>
<term>Multiple System Atrophy (diagnosis)</term>
<term>Multiple System Atrophy (physiopathology)</term>
<term>Parkinson Disease, Secondary (etiology)</term>
<term>Parkinson Disease, Secondary (physiopathology)</term>
<term>Predictive Value of Tests</term>
<term>Retrospective Studies</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Multiple System Atrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Anal Canal</term>
<term>Multiple System Atrophy</term>
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Diagnosis, Differential</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>Retrospective Studies</term>
<term>Sensitivity and Specificity</term>
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<front>
<div type="abstract" xml:lang="en">To assess the value of external anal sphincter electromyography (ASEMG) for the diagnosis of multiple system atrophy (MSA) among various causes of parkinsonism. ASEMG denervation profiles have previously been proposed as a diagnosis test for MSA, but their specificity is disputed.</div>
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<PMID Version="1">11104199</PMID>
<DateCreated>
<Year>2001</Year>
<Month>03</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted>
<Year>2001</Year>
<Month>05</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0885-3185</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>15</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2000</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
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<ArticleTitle>The value of external anal sphincter electromyography for the diagnosis of multiple system atrophy.</ArticleTitle>
<Pagination>
<MedlinePgn>1148-57</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the value of external anal sphincter electromyography (ASEMG) for the diagnosis of multiple system atrophy (MSA) among various causes of parkinsonism. ASEMG denervation profiles have previously been proposed as a diagnosis test for MSA, but their specificity is disputed.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">ASEMG variables of 52 parkinsonian patients were analyzed according to the clinical diagnosis: MSA (n = 31) or no MSA (n = 21). Mean motor unit potential duration, percentage of polyphasicity, and the electromyographer's interpretation were analyzed according to clinical diagnosis, disease duration, genitourinary symptoms, gender, parity, and history of pelvic surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients with MSA showed ASEMG denervation. Mean motor unit potential duration was the most discriminant variable. No patient with MSA had a mean duration less than 12 ms and no patient without MSA had one greater than 16 ms. ASEMG discriminates between patients with MSA and Parkinson's disease. Using a threshold of 13 ms, the sensitivity was 80% and specificity was almost 70% (positive predictive value, 80%) for the diagnosis of MSA. Age, history of pelvic surgery, and to a lesser extent, female gender, parity, disease duration, and presence of urinary symptoms increased the likelihood of abnormal ASEMG.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">ASEMG was highly sensitive and rather specific for the diagnosis of MSA.</AbstractText>
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