About: Cortical pattern of complex but not simple movements is affected in writer's cramp: A parametric event-related fMRI study     Goto   Sponge   NotDistinct   Permalink

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Description
  • Objective: Patients with writer's cramp (WC) were studied for differences in cortical activation during movements likely to induce WC (complex movements) and movements which rarely lead to dystonia (simple movements). Methods: Eleven WC patients (10 F, 1 M, mean age 41.5 +/- (SD) 7.2 years) and eleven age matched controls were examined for Blood oxygenation-level dependent (BOLD) 1.5 T fMRI. The complex task consisted of writing a single letter or random drawing using an especially adapted joystick with the line of trajectory visualized or hidden. The simple task consisted of self-initiated fingers flexion/extension using the affected hand. Results: Unlike the controls, WC patients performing complex movements exhibited a lower BOLD signal in the primary sensorimotor cortex and in the posterior parietal cortex bilaterally. A hypoactivation was also observed in the right secondary somatosensory area, in the right anterior insula and in the left premotor cortex (p < 0.05 corrected). No significant inter-group differences were found for simple movements. Conclusions: Although WC patients' complex movements during fMRI were never associated with dystonic cramp, they exhibited an abnormally low cortical activity. This phenomenon was not observed in simple movements and was unrelated to the character of handwriting or to visual feedback. Significance: Our results support the dualistic behavior in the sensorimotor system in WC. (C) 2011 International Federation of Clinical Neurophysiology.
  • Objective: Patients with writer's cramp (WC) were studied for differences in cortical activation during movements likely to induce WC (complex movements) and movements which rarely lead to dystonia (simple movements). Methods: Eleven WC patients (10 F, 1 M, mean age 41.5 +/- (SD) 7.2 years) and eleven age matched controls were examined for Blood oxygenation-level dependent (BOLD) 1.5 T fMRI. The complex task consisted of writing a single letter or random drawing using an especially adapted joystick with the line of trajectory visualized or hidden. The simple task consisted of self-initiated fingers flexion/extension using the affected hand. Results: Unlike the controls, WC patients performing complex movements exhibited a lower BOLD signal in the primary sensorimotor cortex and in the posterior parietal cortex bilaterally. A hypoactivation was also observed in the right secondary somatosensory area, in the right anterior insula and in the left premotor cortex (p < 0.05 corrected). No significant inter-group differences were found for simple movements. Conclusions: Although WC patients' complex movements during fMRI were never associated with dystonic cramp, they exhibited an abnormally low cortical activity. This phenomenon was not observed in simple movements and was unrelated to the character of handwriting or to visual feedback. Significance: Our results support the dualistic behavior in the sensorimotor system in WC. (C) 2011 International Federation of Clinical Neurophysiology. (en)
Title
  • Cortical pattern of complex but not simple movements is affected in writer's cramp: A parametric event-related fMRI study
  • Cortical pattern of complex but not simple movements is affected in writer's cramp: A parametric event-related fMRI study (en)
skos:prefLabel
  • Cortical pattern of complex but not simple movements is affected in writer's cramp: A parametric event-related fMRI study
  • Cortical pattern of complex but not simple movements is affected in writer's cramp: A parametric event-related fMRI study (en)
skos:notation
  • RIV/00216208:11110/12:11514!RIV13-MZ0-11110___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(GA309/09/1145), P(NT12282), Z(MSM0021620849)
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 128885
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/12:11514
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Writer's cramp; Graphospasm; Task-specific; Focal dystonia; Event-related; fMRI; focal hand dystonia; transcranial magnetic stimulation; somatosensory cortex; sensorimotor integration; sensory discrimination; functional mri; motor areas; activation; task; abnormalities (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • IE - Irsko
http://linked.open...ontrolniKodProRIV
  • [7E64C273B9EC]
http://linked.open...i/riv/nazevZdroje
  • Clinical Neurophysiology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 123
http://linked.open...iv/tvurceVysledku
  • Sieger, Tomáš
  • Jech, Robert
  • Vymazal, Josef
  • Havránková, Petra
  • Operto, G.
  • Walker, ND
http://linked.open...ain/vavai/riv/wos
  • 000301190800018
http://linked.open...n/vavai/riv/zamer
issn
  • 1388-2457
number of pages
http://localhost/t...ganizacniJednotka
  • 11110
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