Sympathetic skin response and R-R interval variability in multiple system atrophy and idiopathic Parkinson's disease.
Identifieur interne : 001580 ( PubMed/Corpus ); précédent : 001579; suivant : 001581Sympathetic skin response and R-R interval variability in multiple system atrophy and idiopathic Parkinson's disease.
Auteurs : R. Bordet ; J. Benhadjali ; A. Destee ; J F Hurtevent ; J L Bourriez ; J D GuieuSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1996.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Arousal (physiology), Autonomic Nervous System Diseases (diagnosis), Autonomic Nervous System Diseases (physiopathology), Diagnosis, Differential, Electrocardiography, Female, Galvanic Skin Response (physiology), Heart Rate (physiology), Humans, Male, Middle Aged, Neurologic Examination, Olivopontocerebellar Atrophies (diagnosis), Olivopontocerebellar Atrophies (physiopathology), Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Sympathetic Nervous System (physiopathology).
- MESH :
- diagnosis : Autonomic Nervous System Diseases, Olivopontocerebellar Atrophies, Parkinson Disease.
- physiology : Arousal, Galvanic Skin Response, Heart Rate.
- physiopathology : Autonomic Nervous System Diseases, Olivopontocerebellar Atrophies, Parkinson Disease, Sympathetic Nervous System.
- Aged, Aged, 80 and over, Diagnosis, Differential, Electrocardiography, Female, Humans, Male, Middle Aged, Neurologic Examination.
Abstract
We compared autonomic function in patients with multiple system atrophy (MSA) or with idiopathic Parkinson's disease (IPD) by measuring sympathetic skin response (SSR) and R-R interval variability (RRIV). SSR was investigated in 26 patients (13 with MSA and 13 patients with IPD). RRIV during deep breathing, Valsalva maneuver, and on standing was investigated in 20 patients (nine with MSA and 11 with IPD). MSA and IPD patients had similar age, illness duration, and therapy. Abnormal SSR was more frequent in MSA (69%) than in IPD (7.7%; x2, 10.4; p < 0.002). RRIV during deep breathing and the Valsalva maneuver was lower in MSA than in IPD (p = 0.02). RRIV during standing up was not significantly different in IPD and MSA. These differences between MSA and IPD may be due to more severe and widespread autonomic disturbance in MSA, related to more severe neuropathologic involvement of the autonomic nervous system. SSR and RRIV may aid in the differential diagnosis of parkinsonism and help to exclude from clinical trials MSA patients clinically misdiagnosed as having IPD.
DOI: 10.1002/mds.870110309
PubMed: 8723143
Links to Exploration step
pubmed:8723143Le document en format XML
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<author><name sortKey="Bordet, R" sort="Bordet, R" uniqKey="Bordet R" first="R" last="Bordet">R. Bordet</name>
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<author><name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destee">A. Destee</name>
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<author><name sortKey="Hurtevent, J F" sort="Hurtevent, J F" uniqKey="Hurtevent J" first="J F" last="Hurtevent">J F Hurtevent</name>
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<author><name sortKey="Bourriez, J L" sort="Bourriez, J L" uniqKey="Bourriez J" first="J L" last="Bourriez">J L Bourriez</name>
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<author><name sortKey="Guieu, J D" sort="Guieu, J D" uniqKey="Guieu J" first="J D" last="Guieu">J D Guieu</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Sympathetic skin response and R-R interval variability in multiple system atrophy and idiopathic Parkinson's disease.</title>
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<author><name sortKey="Benhadjali, J" sort="Benhadjali, J" uniqKey="Benhadjali J" first="J" last="Benhadjali">J. Benhadjali</name>
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<author><name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destee">A. Destee</name>
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<author><name sortKey="Hurtevent, J F" sort="Hurtevent, J F" uniqKey="Hurtevent J" first="J F" last="Hurtevent">J F Hurtevent</name>
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<author><name sortKey="Bourriez, J L" sort="Bourriez, J L" uniqKey="Bourriez J" first="J L" last="Bourriez">J L Bourriez</name>
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<term>Autonomic Nervous System Diseases (physiopathology)</term>
<term>Diagnosis, Differential</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Galvanic Skin Response (physiology)</term>
<term>Heart Rate (physiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Olivopontocerebellar Atrophies (diagnosis)</term>
<term>Olivopontocerebellar Atrophies (physiopathology)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Sympathetic Nervous System (physiopathology)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Autonomic Nervous System Diseases</term>
<term>Olivopontocerebellar Atrophies</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Arousal</term>
<term>Galvanic Skin Response</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Autonomic Nervous System Diseases</term>
<term>Olivopontocerebellar Atrophies</term>
<term>Parkinson Disease</term>
<term>Sympathetic Nervous System</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Diagnosis, Differential</term>
<term>Electrocardiography</term>
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<front><div type="abstract" xml:lang="en">We compared autonomic function in patients with multiple system atrophy (MSA) or with idiopathic Parkinson's disease (IPD) by measuring sympathetic skin response (SSR) and R-R interval variability (RRIV). SSR was investigated in 26 patients (13 with MSA and 13 patients with IPD). RRIV during deep breathing, Valsalva maneuver, and on standing was investigated in 20 patients (nine with MSA and 11 with IPD). MSA and IPD patients had similar age, illness duration, and therapy. Abnormal SSR was more frequent in MSA (69%) than in IPD (7.7%; x2, 10.4; p < 0.002). RRIV during deep breathing and the Valsalva maneuver was lower in MSA than in IPD (p = 0.02). RRIV during standing up was not significantly different in IPD and MSA. These differences between MSA and IPD may be due to more severe and widespread autonomic disturbance in MSA, related to more severe neuropathologic involvement of the autonomic nervous system. SSR and RRIV may aid in the differential diagnosis of parkinsonism and help to exclude from clinical trials MSA patients clinically misdiagnosed as having IPD.</div>
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<Abstract><AbstractText>We compared autonomic function in patients with multiple system atrophy (MSA) or with idiopathic Parkinson's disease (IPD) by measuring sympathetic skin response (SSR) and R-R interval variability (RRIV). SSR was investigated in 26 patients (13 with MSA and 13 patients with IPD). RRIV during deep breathing, Valsalva maneuver, and on standing was investigated in 20 patients (nine with MSA and 11 with IPD). MSA and IPD patients had similar age, illness duration, and therapy. Abnormal SSR was more frequent in MSA (69%) than in IPD (7.7%; x2, 10.4; p < 0.002). RRIV during deep breathing and the Valsalva maneuver was lower in MSA than in IPD (p = 0.02). RRIV during standing up was not significantly different in IPD and MSA. These differences between MSA and IPD may be due to more severe and widespread autonomic disturbance in MSA, related to more severe neuropathologic involvement of the autonomic nervous system. SSR and RRIV may aid in the differential diagnosis of parkinsonism and help to exclude from clinical trials MSA patients clinically misdiagnosed as having IPD.</AbstractText>
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