Balance deficit with opened or closed eyes reveals involvement of different structures of the central nervous system in multiple sclerosis.
Identifieur interne : 000972 ( Main/Exploration ); précédent : 000971; suivant : 000973Balance deficit with opened or closed eyes reveals involvement of different structures of the central nervous system in multiple sclerosis.
Auteurs : Luca Prosperini [Italie] ; Nikolaos Petsas ; Eytan Raz ; Emilia Sbardella ; Francesca Tona ; Chiara Rosa Mancinelli ; Carlo Pozzilli ; Patrizia PantanoSource :
- Multiple sclerosis (Houndmills, Basingstoke, England) [ 1477-0970 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Atrophie (MeSH), Encéphale (anatomopathologie), Examen neurologique (méthodes), Femelle (MeSH), Humains (MeSH), Imagerie par résonance magnétique (MeSH), Interprétation d'images assistée par ordinateur (MeSH), Moelle spinale (anatomopathologie), Mâle (MeSH), Sclérose en plaques (anatomopathologie), Sclérose en plaques (complications), Troubles somatosensoriels (anatomopathologie), Troubles somatosensoriels (étiologie), Équilibre postural (physiologie).
- MESH :
- anatomopathologie : Encéphale, Moelle spinale, Sclérose en plaques, Troubles somatosensoriels.
- méthodes : Examen neurologique.
- physiologie : Équilibre postural.
- étiologie : Troubles somatosensoriels.
- complications : Adulte, Adulte d'âge moyen, Atrophie, Femelle, Humains, Imagerie par résonance magnétique, Interprétation d'images assistée par ordinateur, Mâle, Sclérose en plaques.
English descriptors
- KwdEn :
- Adult (MeSH), Atrophy (MeSH), Brain (pathology), Female (MeSH), Humans (MeSH), Image Interpretation, Computer-Assisted (MeSH), Magnetic Resonance Imaging (MeSH), Male (MeSH), Middle Aged (MeSH), Multiple Sclerosis (complications), Multiple Sclerosis (pathology), Neurologic Examination (methods), Postural Balance (physiology), Somatosensory Disorders (etiology), Somatosensory Disorders (pathology), Spinal Cord (pathology).
- MESH :
- complications : Multiple Sclerosis.
- etiology : Somatosensory Disorders.
- methods : Neurologic Examination.
- pathology : Brain, Multiple Sclerosis, Somatosensory Disorders, Spinal Cord.
- physiology : Postural Balance.
- Adult, Atrophy, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged.
Abstract
OBJECTIVE
To evaluate whether balance deficit in patients with multiple sclerosis (MS), as assessed with eyes opened (EO) and closed (EC), is associated with damage of different structures of the central nervous system (CNS).
METHODS
Fifty patients with MS and 20 healthy controls (HCs) underwent static posturography to calculate the body's center of pressure displacement (COP path) with EO and EC. They were scanned using a 3.0T magnet to obtain PD/T2 and 3D-T1-weighted images of the brain and spinal cord. We determined the mid-sagittal cerebellum area (MSCA) and upper cervical cord cross-sectional area (UCCA). We also measured the patients' lesion volumes (T2-LVs) on the whole brain and at different infratentorial levels.
RESULTS
MS patients had wider COP paths with both EO and EC (p < 0.001), and lower values in both MSCA (p = 0.01) and UCCA (p = 0.008) than HCs. The COP path with EO was associated with MSCA (Beta = -0.58; p = 0.004) and T2-LV on middle cerebellar peduncles (Beta = 0.59; p = 0.002). The COP path with EC was associated with UCCA (Beta= -22.74; p = 0.003) and brainstem T2-LV (Beta = 0.52; p = 0.01).
CONCLUSIONS
Balance deficit in MS was related to atrophy of both the cerebellum and spinal cord, but the extent of COP path under the two different conditions (EO or EC) implied different patterns of damage in the CNS.
DOI: 10.1177/1352458513490546
PubMed: 23756679
Affiliations:
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Raz</name></author><author><name sortKey="Sbardella, Emilia" sort="Sbardella, Emilia" uniqKey="Sbardella E" first="Emilia" last="Sbardella">Emilia Sbardella</name></author><author><name sortKey="Tona, Francesca" sort="Tona, Francesca" uniqKey="Tona F" first="Francesca" last="Tona">Francesca Tona</name></author><author><name sortKey="Mancinelli, Chiara Rosa" sort="Mancinelli, Chiara Rosa" uniqKey="Mancinelli C" first="Chiara Rosa" last="Mancinelli">Chiara Rosa Mancinelli</name></author><author><name sortKey="Pozzilli, Carlo" sort="Pozzilli, Carlo" uniqKey="Pozzilli C" first="Carlo" last="Pozzilli">Carlo Pozzilli</name></author><author><name sortKey="Pantano, Patrizia" sort="Pantano, Patrizia" uniqKey="Pantano P" first="Patrizia" last="Pantano">Patrizia Pantano</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23756679</idno><idno type="pmid">23756679</idno><idno 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Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Petsas, Nikolaos" sort="Petsas, Nikolaos" uniqKey="Petsas N" first="Nikolaos" last="Petsas">Nikolaos Petsas</name></author><author><name sortKey="Raz, Eytan" sort="Raz, Eytan" uniqKey="Raz E" first="Eytan" last="Raz">Eytan Raz</name></author><author><name sortKey="Sbardella, Emilia" sort="Sbardella, Emilia" uniqKey="Sbardella E" first="Emilia" last="Sbardella">Emilia Sbardella</name></author><author><name sortKey="Tona, Francesca" sort="Tona, Francesca" uniqKey="Tona F" first="Francesca" last="Tona">Francesca Tona</name></author><author><name sortKey="Mancinelli, Chiara Rosa" sort="Mancinelli, Chiara Rosa" uniqKey="Mancinelli C" first="Chiara Rosa" last="Mancinelli">Chiara Rosa Mancinelli</name></author><author><name sortKey="Pozzilli, Carlo" sort="Pozzilli, Carlo" uniqKey="Pozzilli C" first="Carlo" last="Pozzilli">Carlo Pozzilli</name></author><author><name sortKey="Pantano, Patrizia" sort="Pantano, Patrizia" uniqKey="Pantano P" first="Patrizia" last="Pantano">Patrizia Pantano</name></author></analytic><series><title level="j">Multiple sclerosis (Houndmills, Basingstoke, England)</title><idno type="eISSN">1477-0970</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Atrophy (MeSH)</term><term>Brain (pathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Image Interpretation, Computer-Assisted (MeSH)</term><term>Magnetic Resonance Imaging (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Multiple Sclerosis (complications)</term><term>Multiple Sclerosis (pathology)</term><term>Neurologic Examination (methods)</term><term>Postural Balance (physiology)</term><term>Somatosensory Disorders (etiology)</term><term>Somatosensory Disorders (pathology)</term><term>Spinal Cord (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Atrophie (MeSH)</term><term>Encéphale (anatomopathologie)</term><term>Examen neurologique (méthodes)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie par résonance magnétique (MeSH)</term><term>Interprétation d'images assistée par ordinateur (MeSH)</term><term>Moelle spinale (anatomopathologie)</term><term>Mâle (MeSH)</term><term>Sclérose en plaques (anatomopathologie)</term><term>Sclérose en plaques (complications)</term><term>Troubles somatosensoriels (anatomopathologie)</term><term>Troubles somatosensoriels (étiologie)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Encéphale</term><term>Moelle spinale</term><term>Sclérose en plaques</term><term>Troubles somatosensoriels</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Multiple Sclerosis</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neurologic Examination</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Examen neurologique</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Multiple Sclerosis</term><term>Somatosensory Disorders</term><term>Spinal Cord</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles somatosensoriels</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Atrophy</term><term>Female</term><term>Humans</term><term>Image Interpretation, Computer-Assisted</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Interprétation d'images assistée par ordinateur</term><term>Mâle</term><term>Sclérose en plaques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate whether balance deficit in patients with multiple sclerosis (MS), as assessed with eyes opened (EO) and closed (EC), is associated with damage of different structures of the central nervous system (CNS).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Fifty patients with MS and 20 healthy controls (HCs) underwent static posturography to calculate the body's center of pressure displacement (COP path) with EO and EC. They were scanned using a 3.0T magnet to obtain PD/T2 and 3D-T1-weighted images of the brain and spinal cord. We determined the mid-sagittal cerebellum area (MSCA) and upper cervical cord cross-sectional area (UCCA). We also measured the patients' lesion volumes (T2-LVs) on the whole brain and at different infratentorial levels.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>MS patients had wider COP paths with both EO and EC (p < 0.001), and lower values in both MSCA (p = 0.01) and UCCA (p = 0.008) than HCs. The COP path with EO was associated with MSCA (Beta = -0.58; p = 0.004) and T2-LV on middle cerebellar peduncles (Beta = 0.59; p = 0.002). The COP path with EC was associated with UCCA (Beta= -22.74; p = 0.003) and brainstem T2-LV (Beta = 0.52; p = 0.01).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Balance deficit in MS was related to atrophy of both the cerebellum and spinal cord, but the extent of COP path under the two different conditions (EO or EC) implied different patterns of damage in the CNS.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23756679</PMID><DateCompleted><Year>2014</Year><Month>08</Month><Day>21</Day></DateCompleted><DateRevised><Year>2013</Year><Month>12</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1477-0970</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2014</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Multiple sclerosis (Houndmills, Basingstoke, England)</Title><ISOAbbreviation>Mult Scler</ISOAbbreviation></Journal><ArticleTitle>Balance deficit with opened or closed eyes reveals involvement of different structures of the central nervous system in multiple sclerosis.</ArticleTitle><Pagination><MedlinePgn>81-90</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1352458513490546</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate whether balance deficit in patients with multiple sclerosis (MS), as assessed with eyes opened (EO) and closed (EC), is associated with damage of different structures of the central nervous system (CNS).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Fifty patients with MS and 20 healthy controls (HCs) underwent static posturography to calculate the body's center of pressure displacement (COP path) with EO and EC. They were scanned using a 3.0T magnet to obtain PD/T2 and 3D-T1-weighted images of the brain and spinal cord. We determined the mid-sagittal cerebellum area (MSCA) and upper cervical cord cross-sectional area (UCCA). We also measured the patients' lesion volumes (T2-LVs) on the whole brain and at different infratentorial levels.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">MS patients had wider COP paths with both EO and EC (p < 0.001), and lower values in both MSCA (p = 0.01) and UCCA (p = 0.008) than HCs. The COP path with EO was associated with MSCA (Beta = -0.58; p = 0.004) and T2-LV on middle cerebellar peduncles (Beta = 0.59; p = 0.002). The COP path with EC was associated with UCCA (Beta= -22.74; p = 0.003) and brainstem T2-LV (Beta = 0.52; p = 0.01).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Balance deficit in MS was related to atrophy of both the cerebellum and spinal cord, but the extent of COP path under the two different conditions (EO or EC) implied different patterns of damage in the CNS.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Prosperini</LastName><ForeName>Luca</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Deparment of Neurology and Psychiatry, Sapienza University, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Petsas</LastName><ForeName>Nikolaos</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Raz</LastName><ForeName>Eytan</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Sbardella</LastName><ForeName>Emilia</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Tona</LastName><ForeName>Francesca</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Mancinelli</LastName><ForeName>Chiara Rosa</ForeName><Initials>CR</Initials></Author><Author ValidYN="Y"><LastName>Pozzilli</LastName><ForeName>Carlo</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Pantano</LastName><ForeName>Patrizia</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>06</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Mult Scler</MedlineTA><NlmUniqueID>9509185</NlmUniqueID><ISSNLinking>1352-4585</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001921" MajorTopicYN="N">Brain</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007090" MajorTopicYN="N">Image Interpretation, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009103" MajorTopicYN="N">Multiple Sclerosis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009460" MajorTopicYN="N">Neurologic Examination</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020886" MajorTopicYN="N">Somatosensory Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013116" MajorTopicYN="N">Spinal Cord</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Balance</Keyword><Keyword MajorTopicYN="N">center of pressure displacement</Keyword><Keyword MajorTopicYN="N">disability</Keyword><Keyword MajorTopicYN="N">lesions</Keyword><Keyword MajorTopicYN="N">magnetic resonance imaging</Keyword><Keyword MajorTopicYN="N">multiple sclerosis</Keyword><Keyword MajorTopicYN="N">posturography</Keyword><Keyword MajorTopicYN="N">vision</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>6</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>8</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23756679</ArticleId><ArticleId IdType="pii">1352458513490546</ArticleId><ArticleId IdType="doi">10.1177/1352458513490546</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><noCountry><name sortKey="Mancinelli, Chiara Rosa" sort="Mancinelli, Chiara Rosa" uniqKey="Mancinelli C" first="Chiara Rosa" last="Mancinelli">Chiara Rosa Mancinelli</name><name sortKey="Pantano, Patrizia" sort="Pantano, Patrizia" uniqKey="Pantano P" first="Patrizia" last="Pantano">Patrizia Pantano</name><name sortKey="Petsas, Nikolaos" sort="Petsas, Nikolaos" uniqKey="Petsas N" first="Nikolaos" last="Petsas">Nikolaos Petsas</name><name sortKey="Pozzilli, Carlo" sort="Pozzilli, Carlo" uniqKey="Pozzilli C" first="Carlo" last="Pozzilli">Carlo Pozzilli</name><name sortKey="Raz, Eytan" sort="Raz, Eytan" uniqKey="Raz E" first="Eytan" last="Raz">Eytan Raz</name><name sortKey="Sbardella, Emilia" sort="Sbardella, Emilia" uniqKey="Sbardella E" first="Emilia" last="Sbardella">Emilia Sbardella</name><name sortKey="Tona, Francesca" sort="Tona, Francesca" uniqKey="Tona F" first="Francesca" last="Tona">Francesca Tona</name></noCountry><country name="Italie"><region name="Latium"><name sortKey="Prosperini, Luca" sort="Prosperini, Luca" uniqKey="Prosperini L" first="Luca" last="Prosperini">Luca Prosperini</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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