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DOI: 10.1055/s-2006-924109
Georg Thieme Verlag KG Stuttgart · New York
Functional MRI Reveals Activation of a Subcortical Network in a 5-Year-Old Girl with Genetically Confirmed Myoclonus-Dystonia
Publikationsverlauf
Received: February 6, 2006
Accepted after Revision: February 13, 2006
Publikationsdatum:
14. Juni 2006 (online)
Abstract
We investigated a five-year-old girl suffering from genetically confirmed, action-induced myoclonus-dystonia (M‐D) with functional magnetic resonance imaging (MRI). We compared the activation pattern by movements of her right hand as if drawing a picture, which elicited M‐D, with simple snapping movements (without overt M‐D). The drawing and snapping conditions resulted in activation of a motor network including the motor cortex, the putamen, and the cerebellar hemispheres. The direct comparison of the drawing condition with snapping as control revealed specific activations within the thalamus and the dentate nucleus. An age matched healthy control did not show significant activation within the thalamus or dentate nucleus.
Key words
Myoclonus-dystonia - dentate thalamus - fMRI
References
- 1 Cif L, Valente E M, Hemm S, Coubes C, Vayssiere N, Serrat S. et al . Deep brain stimulation in myoclonus-dystonia syndrome. Mov Disord. 2004; 19 724-727
- 2 Dhamala M, Pagnoni G, Wiesenfeld K, Zink C F, Martin M, Berns G S. Neural correlates of the complexity of rhythmic finger tapping. Neuroimage. 2003; 20 918-926
- 3 Kock N, Kasten M, Schule B, Hedrich K, Wiegers K, Kabakci K. et al . Clinical and genetic features of myoclonus-dystonia in 3 cases: A video presentation. Mov Dis. 2004; 19 231-234
-
4 Klein C.
Myoclonus and myoclonus-dystonias. Pulst S Genetics of Movement Disorders. San Diego, USA; Elsevier Science 2003: 451-471 - 5 Kupsch A, Trottenberg T, Meissner W, Funk T. Neurostimulation of the ventral intermediate thalamic nucleus alleviates hereditary essential myoclonus. J Neurol Neurosurg Psychiatry. 1999; 67 415-416
- 6 Lehericy S, Bardinet E, Tremblay L, Van de Moortele P F, Pochon J B, Dormont D. et al . Motor control in basal ganglia circuits using fMRI and brain atlas approaches. Cereb Cortex. 2006; 16 149-161
- 7 Liu X, Griffin I C, Parkin S G, Miall R C, Rowe J G, Gregory R P. et al . Involvement of the medial pallidum in focal myoclonic dystonia: A clinical and neurophysiological case study. Mov Disord. 2002; 17 346-353
- 8 Muller B, Hedrich K, Kock N, Dragasevic N, Svetel M, Garrels J. et al . Evidence that paternal expression of the epsilon-sarcoglycan gene accounts for reduced penetrance in myoclonus-dystonia. Am J Hum Genet. 2002; 71 1303-1311
- 9 Nitschke M F, Kruger G, Bruhn H, Klein C, Gehrking E, Wessel K. et al . Voluntary palatal tremor is associated with hyperactivation of the inferior olive - a fMRI study. Mov Disord. 2001; 16 1193-1195
- 10 Nitschke M F, Stavrou G, Melchert U H, Erdmann C, Kreuder F, Petersen D. et al . Modulation of cerebellar activation during predictive and non predictive finger movements. The Cerebellum. 2003; 2 233-240
- 11 Quinn N P, Rothwell J C, Thompson P D, Marsden C D. Hereditary myoclonic dystonia, hereditary torsion dystonia and hereditary essential myoclonus: an area of confusion. Adv Neurol. 1988; 50 391-401
- 12 Strafella A, Ashby P, Lang A E. Reflex myoclonus in cortical-basal ganglionic degeneration involves a transcortical pathway. Mov Disord. 1997; 12 360-369
- 13 Trottenberg T, Meissner W, Kabus C, Arnold G, Funk T, Einhaupl K M. et al . Neurostimulation of the ventral intermediate thalamic nucleus in inherited myoclonus-dystonia syndrome. Mov Disord. 2001; 16 769-771
- 14 Volkow N D, Mullani N, Gould L, Adler S S, Guynn R W, Overall J E. et al . Effects of acute alcohol intoxication on cerebral blood flow measured with PET. Psychiatry Res. 1988; 24 201-209
- 15 Zimprich A, Grabowski M, Asmus F, Naumann M, Berg D, Bertram M. et al . Mutations in the gene encoding epsilon-sarcoglycan cause myoclonus-dystonia syndrome. Nat Genet. 2001; 29 66-69
PD Dr. Matthias F. Nitschke
Department of Neurology
University Hospital of Schleswig-Holstein
Campus Lübeck
Ratzeburger Allee 160
23538 Lübeck
Germany
eMail: matthias.nitschke@neuro.uni-luebeck.de