ParkinsonV1, France, Analysis, bibRecord, 000251

Pain in multiple system atrophy

Identifieur interne : 000251 ( France/Analysis ); précédent : 000250; suivant : 000252

Pain in multiple system atrophy

Auteurs : F. Tison [France] ; K. Wenning [Autriche] ; A. Volonte [Italie] ; R. Poewe [Autriche] ; P. Henry [France] ; P. Quinn [Royaume-Uni]

Source :

Journal of Neurology [ 0340-5354 ] ; 1996-02-01.

RBID : ISTEX:CEE31C3B3B54F59DD0E8D8B5F1CB09E3FAB2C389

Abstract

Abstract: Pain is a recognized feature of idiopathic Parkinson’s disease (IPD) but has never been studied in multiple system atrophy (MSA), the commonest cause of atypical parkinsonism. We retrospectively analysed histories of pain in 100 consecutive cases of clinically probable MSA. Details were obtained from the medical records of 100 patients with MSA, comprising 82 with the striatonigral degeneration (SND) type and 18 with the olivopontocerebellar atrophy (OPCA) type of MSA. Pain was reported in 47% of the MSA patients. It was classified as rheumatic in 64% of MSA patients reporting pain, sensory in 28%, dystonic in 21%, and levodopa-related in 16%, mostly related to off-period or diphasic dystonias. There was a mixed pain syndrome in 19% of these patients. Pain was significantly more commonly reported by females (P=0.02), and by patients with levodopa-induced dyskinesias (P=0.02). No other clinical feature differentiated MSA patients who reported pain from those who did not. The mean delay between disease onset and onset of pain was 2.9 years, but pain was reported at the time of, or before, disease onset in about 30% of patients. The overall prevalence of pain in MSA was similar to that reported in IPD, but the distribution of pain categories was different.

Url:

https://api.istex.fr/document/CEE31C3B3B54F59DD0E8D8B5F1CB09E3FAB2C389/fulltext/pdf

DOI: 10.1007/BF02444007

Affiliations:

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ISTEX:CEE31C3B3B54F59DD0E8D8B5F1CB09E3FAB2C389

Le document en format XML

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<author><name sortKey="Volonte, A" sort="Volonte, A" uniqKey="Volonte A" first="A." last="Volonte">A. Volonte</name>
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<front><div type="abstract" xml:lang="en">Abstract: Pain is a recognized feature of idiopathic Parkinson’s disease (IPD) but has never been studied in multiple system atrophy (MSA), the commonest cause of atypical parkinsonism. We retrospectively analysed histories of pain in 100 consecutive cases of clinically probable MSA. Details were obtained from the medical records of 100 patients with MSA, comprising 82 with the striatonigral degeneration (SND) type and 18 with the olivopontocerebellar atrophy (OPCA) type of MSA. Pain was reported in 47% of the MSA patients. It was classified as rheumatic in 64% of MSA patients reporting pain, sensory in 28%, dystonic in 21%, and levodopa-related in 16%, mostly related to off-period or diphasic dystonias. There was a mixed pain syndrome in 19% of these patients. Pain was significantly more commonly reported by females (P=0.02), and by patients with levodopa-induced dyskinesias (P=0.02). No other clinical feature differentiated MSA patients who reported pain from those who did not. The mean delay between disease onset and onset of pain was 2.9 years, but pain was reported at the time of, or before, disease onset in about 30% of patients. The overall prevalence of pain in MSA was similar to that reported in IPD, but the distribution of pain categories was different.</div>
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Pain in multiple system atrophy

Pain in multiple system atrophy

Source :

Abstract

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