2005
DOI: 10.1002/mds.20301
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Abnormalities of sensory processing and sensorimotor interactions in secondary dystonia: A neurophysiological study in two patients

Abstract: Experimental data suggest that abnormalities of sensory processing and sensorimotor integration may play a role in the genesis of symptoms in primary dystonia. We studied 2 patients with dystonia secondary to lesions in the somatosensory pathways. We documented sensorimotor alterations in these patients that strongly resemble those found in primary dystonia. Our data are consistent with the hypothesis that abnormalities in sensorimotor processing may contribute to the pathogenesis of dystonic conditions.

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Cited by 7 publications
(4 citation statements)
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“…However, these alterations may also in some circumstances, such as after an injury or the sustained performance of repetitive muscular activity, become maladaptive plastic changes that are thought to be responsible for initiating and perpetuating certain movement disorders and chronic pain syndromes. 24,[39][40][41][42][43][44][45][46][47][48][49][50][51] Furthermore, joint dysfunction originating from an injury may be a cause of ongoing pain and loss of function due to maladaptive sensorimotor integration from a hyperafferentiation of the CNS from the dysfunctional joints and associated structures. [52][53][54][55][56][57][58] Does Repetitive Muscular Activity and Joint Dysfunction Lead to Maladaptive Plasticity?…”
Section: Clinical and Research Implicationsmentioning
confidence: 98%
“…However, these alterations may also in some circumstances, such as after an injury or the sustained performance of repetitive muscular activity, become maladaptive plastic changes that are thought to be responsible for initiating and perpetuating certain movement disorders and chronic pain syndromes. 24,[39][40][41][42][43][44][45][46][47][48][49][50][51] Furthermore, joint dysfunction originating from an injury may be a cause of ongoing pain and loss of function due to maladaptive sensorimotor integration from a hyperafferentiation of the CNS from the dysfunctional joints and associated structures. [52][53][54][55][56][57][58] Does Repetitive Muscular Activity and Joint Dysfunction Lead to Maladaptive Plasticity?…”
Section: Clinical and Research Implicationsmentioning
confidence: 98%
“…The measures of somatosensory inhibition applied in this study have never been investigated in SD, other than in SD caused by lesions in the somatosensory pathways. 34,35 None of our patients presented with lesions involving the somatosensory system, which was functionally intact. However, the results differed from those in idiopathic dystonia, in which there is reduced PP-SEP suppression, 20,23 impaired SIR, [18][19][20] and reduced HFO.…”
Section: Discussionmentioning
confidence: 93%
“…The measures of somatosensory inhibition applied in this study have never been investigated in SD, other than in SD caused by lesions in the somatosensory pathways 34,35 . None of our patients presented with lesions involving the somatosensory system, which was functionally intact.…”
Section: Discussionmentioning
confidence: 99%
“…Von Monakow,34 Bonhoeffer,24, 35 Pineles,37 and Halban and Infeld23 had previously hypothesized that, when the mesodiencephalic targets of afferent stimuli are diminished by a lesion or irritative impulses from areas surrounding a lesion, thus inadequate corticopetal impulses reach the cortex, compensatory impulses can be produced in the corticospinal tract resulting in involuntary movements. Recent studies confirm that impaired sensory functions, sensory gating, or sensorimotor integration contribute to chorea, dystonia, and tics 38–41. On the basis of his previous animal experiments, however, CvE contested that hyperkinesias are related to impaired centripetal (sensory) functions or that lesions or compensatory mechanisms of the corticospinal tract cause hemichorea.…”
Section: Posthemiplegic Choreamentioning
confidence: 99%