Premotor-motor excitability is altered in dopa-responsive dystonia
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Premotor-motor excitability is altered in dopa-responsive dystonia. / Weissbach, Anne; Bäumer, Tobias; Brüggemann, Norbert; Tadic, Vera; Zittel, Simone; Cheng, Bastian; Thomalla, Götz; Klein, Christine; Münchau, Alexander.
In: MOVEMENT DISORD, Vol. 30, No. 12, 10.2015, p. 1705-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Premotor-motor excitability is altered in dopa-responsive dystonia
AU - Weissbach, Anne
AU - Bäumer, Tobias
AU - Brüggemann, Norbert
AU - Tadic, Vera
AU - Zittel, Simone
AU - Cheng, Bastian
AU - Thomalla, Götz
AU - Klein, Christine
AU - Münchau, Alexander
N1 - © 2015 International Parkinson and Movement Disorder Society.
PY - 2015/10
Y1 - 2015/10
N2 - BACKGROUND: Dopa-responsive dystonia is clinically dominated by a combination of dystonia and parkinsonism, both known to be associated with abnormal activity in premotor-motor circuits.METHODS: To probe premotor-motor excitability, we used a transcranial magnetic stimulation dual pulse conditioning paradigm in 15 genetically confirmed dopa-responsive dystonia patients and 20 controls under different medication states. We also determined silent periods, short-latency afferent inhibition, interhemispheric inhibition, and short-interval intracortical inhibition and facilitation.RESULTS: In contrast to healthy controls, no motor cortex inhibition was seen after premotor conditioning regardless of the dopaminergic state in patients. The duration of the ipsilateral silent period was increased in the OFF state, and short-latency afferent inhibition was reduced in the ON compared with the OFF state.CONCLUSION: Premotor-motor circuits appear hyporesponsive in dopa-responsive dystonia. © 2015 International Parkinson and Movement Disorder Society.
AB - BACKGROUND: Dopa-responsive dystonia is clinically dominated by a combination of dystonia and parkinsonism, both known to be associated with abnormal activity in premotor-motor circuits.METHODS: To probe premotor-motor excitability, we used a transcranial magnetic stimulation dual pulse conditioning paradigm in 15 genetically confirmed dopa-responsive dystonia patients and 20 controls under different medication states. We also determined silent periods, short-latency afferent inhibition, interhemispheric inhibition, and short-interval intracortical inhibition and facilitation.RESULTS: In contrast to healthy controls, no motor cortex inhibition was seen after premotor conditioning regardless of the dopaminergic state in patients. The duration of the ipsilateral silent period was increased in the OFF state, and short-latency afferent inhibition was reduced in the ON compared with the OFF state.CONCLUSION: Premotor-motor circuits appear hyporesponsive in dopa-responsive dystonia. © 2015 International Parkinson and Movement Disorder Society.
U2 - 10.1002/mds.26365
DO - 10.1002/mds.26365
M3 - SCORING: Journal article
C2 - 26230973
VL - 30
SP - 1705
EP - 1709
JO - MOVEMENT DISORD
JF - MOVEMENT DISORD
SN - 0885-3185
IS - 12
ER -