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Cuhna P, Herlin B, Vassilev K, Kas A, Lehericy S, Worbe Y, Apartis E, Vidailhet M, Dupont S. Movement disorders as a new neurological clinical picture in severe SARS-CoV-2 infection. Eur J Neurol 2020; 27:e88-e90. [PMID: 32786131 PMCID: PMC7436483 DOI: 10.1111/ene.14474] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 08/06/2020] [Indexed: 11/28/2022]
Affiliation(s)
- P Cuhna
- Rehabilitation Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
| | - B Herlin
- Rehabilitation Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
| | - K Vassilev
- Rehabilitation Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
| | - A Kas
- Nuclear Medicine Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France.,Université Paris Sorbonne, Paris, France.,Institute of Brain and Spinal Cord, Paris, France
| | - S Lehericy
- Université Paris Sorbonne, Paris, France.,Institute of Brain and Spinal Cord, Paris, France.,Neuroradiology Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
| | - Y Worbe
- Université Paris Sorbonne, Paris, France.,Neurophysiology Unit, Saint Antoine Hospital, AP-HP, Paris, France
| | - E Apartis
- Université Paris Sorbonne, Paris, France.,Institute of Brain and Spinal Cord, Paris, France.,Neurophysiology Unit, Saint Antoine Hospital, AP-HP, Paris, France
| | - M Vidailhet
- Université Paris Sorbonne, Paris, France.,Institute of Brain and Spinal Cord, Paris, France.,Movement Disorders Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
| | - S Dupont
- Rehabilitation Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France.,Université Paris Sorbonne, Paris, France.,Institute of Brain and Spinal Cord, Paris, France.,Epilepsy Unit, Pitié-Salpêtrière Hospital, AP-HP, Paris, France
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Hartmann A, Deniau E, Czernecki V, Negovanska V, d’Harcourt S, Depienne C, Klein-Koerkamp Y, Worbe Y. Tic e sindrome di Gilles de la Tourette. Neurologia 2018. [DOI: 10.1016/s1634-7072(18)89402-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Martino D, Delorme C, Pelosin E, Hartmann A, Worbe Y, Avanzino L. Abnormal lateralization of fine motor actions in Tourette syndrome persists into adulthood. PLoS One 2017; 12:e0180812. [PMID: 28708864 PMCID: PMC5510833 DOI: 10.1371/journal.pone.0180812] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Accepted: 06/21/2017] [Indexed: 12/14/2022] Open
Abstract
Youth with Tourette syndrome (TS) exhibit, compared to healthy, abnormal ability to lateralize digital sequential tasks. It is unknown whether this trait is related to inter-hemispheric connections, and whether it is preserved or lost in patients with TS persisting through adult life. We studied 13 adult TS patients and 15 age-matched healthy volunteers. All participants undertook: 1) a finger opposition task, performed with the right hand (RH) only or with both hands, using a sensor-engineered glove in synchrony with a metronome at 2 Hz; we calculated a lateralization index [(single RH-bimanual RH)/single RH X 100) for percentage of correct movements (%CORR); 2) MRI-based diffusion tensor imaging and probabilistic tractography of inter-hemispheric corpus callosum (CC) connections between supplementary motor areas (SMA) and primary motor cortices (M1). We confirmed a significant increase in the %CORR in RH in the bimanual vs. single task in TS patients (p<0.001), coupled to an abnormal ability to lateralize finger movements (significantly lower lateralization index for %CORR in TS patients, p = 0.04). The %CORR lateralization index correlated positively with tic severity measured with the Yale Global Tic Severity Scale (R = 0.55;p = 0.04). We detected a significantly higher fractional anisotropy (FA) in both the M1-M1 (p = 0.036) and the SMA-SMA (p = 0.018) callosal fibre tracts in TS patients. In healthy subjects, the %CORR lateralization index correlated positively with fractional anisotropy of SMA-SMA fibre tracts (R = 0.63, p = 0.02); this correlation was not significant in TS patients. TS patients exhibited an abnormal ability to lateralize finger movements in sequential tasks, which increased in accuracy when the task was performed bimanually. This abnormality persists throughout different age periods and appears dissociated from the transcallosal connectivity of motor cortical regions. The altered interhemispheric transfer of motor abilities in TS may be the result of compensatory processes linked to self-regulation of motor control.
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Affiliation(s)
- D. Martino
- Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada
| | - C. Delorme
- UMR S 975, CNRS UMR 7225, ICM, Sorbonne Universités, UPMC University Paris 06, Paris, France
- Department of Neurology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47–83 boulevard de l'Hôpital, Paris, France, and French National Reference Centre for Gilles de la Tourette Syndrome, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - E. Pelosin
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Child Health, University of Genoa Genoa, Italy
| | - A. Hartmann
- UMR S 975, CNRS UMR 7225, ICM, Sorbonne Universités, UPMC University Paris 06, Paris, France
- Department of Neurology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47–83 boulevard de l'Hôpital, Paris, France, and French National Reference Centre for Gilles de la Tourette Syndrome, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - Y. Worbe
- UMR S 975, CNRS UMR 7225, ICM, Sorbonne Universités, UPMC University Paris 06, Paris, France
- Department of Neurology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47–83 boulevard de l'Hôpital, Paris, France, and French National Reference Centre for Gilles de la Tourette Syndrome, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
- Department of Neurophysiology, Saint-Antoine Hospital, Paris, France
| | - L. Avanzino
- Section of Human Physiology and Centro Polifunzionale di Scienze Motorie, Department of Experimental Medicine, University of Genoa Genoa, Italy
- * E-mail:
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Mallet L, Burguière E, Worbe Y, Hartmann A. Contribution of therapeutic strategies for understanding the Tourette syndrome. Eur Psychiatry 2015. [DOI: 10.1016/j.eurpsy.2015.09.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Motion is a behavior involving a motor act programmed and executed in a particular cognitive and emotional context. Deep structures of the brain, including the basal ganglia, appear to play a crucial role in the integration of these three kinds of cortex information (motion, cognition, emotion). Through its organization, the basal ganglia system enables learning and memorization of behavioral sequences, which can then be executed as routines. Their dysfunctions seem to be associated with many psychopathological situations. Thus, tics in Tourette's syndrome (TS) can be seen as a control routines defect that may result from wiring anomaly between the cortex and the basal ganglia. By precisely targeting deep brain circuits implicated in psychiatric disorders, deep brain stimulation (DBS) offers hope for the alleviation of severe illnesses resistant to drug therapies and provides a novel tool to investigate the neuroanatomic and physiological bases of certain disorders, including Obsessive-Compulsive Disorder (OCD) and TS, for which early results indicate positive therapeutic outcomes, even during the long-term follow-up. The pathophysiologies of OCD and of TS share dysfunctions of the associative and limbic circuits running between cortical and sub-cortical structures. Recent pathophysiological hypotheses suggest that TS symptoms result from a dysfunction of the basal ganglia circuitry, notably of the ventral striatum. These data are consistent with the supposed function of cortico-basal ganglia circuits in habit learning and routine performance of habits. Based on early reports indicating that high-frequency stimulation of structures along the cortico-basal ganglia axis might be effective in alleviating TS symptoms, DBS is being tested across the world at several nodes of this circuit, including the pallidum, and thalamus. Increasing our knowledge of the functional organization of the cortico-basal ganglia circuits and of their dysfunction in pathological repetitive behaviors would certainly contribute to better define the surgical therapeutic targets, thereby improving available treatments.
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Abstract
BACKGROUND Evidence suggests some overlap between the pathological use of food and drugs, yet how impulsivity compares across these different clinical disorders remains unclear. Substance use disorders are commonly characterized by elevated impulsivity, and impulsivity subtypes may show commonalities and differences in various conditions. We hypothesized that obese subjects with binge-eating disorder (BED) and abstinent alcohol-dependent cohorts would have relatively more impulsive profiles compared to obese subjects without BED. We also predicted decision impulsivity impairment in obesity with and without BED. METHOD Thirty obese subjects with BED, 30 without BED and 30 abstinent alcohol-dependent subjects and age- and gender-matched controls were tested on delay discounting (preference for a smaller immediate reward over a larger delayed reward), reflection impulsivity (rapid decision making prior to evidence accumulation) and motor response inhibition (action cancellation of a prepotent response). RESULTS All three groups had greater delay discounting relative to healthy volunteers. Both obese subjects without BED and alcohol-dependent subjects had impaired motor response inhibition. Only obese subjects without BED had impaired integration of available information to optimize outcomes over later trials with a cost condition. CONCLUSIONS Delay discounting appears to be a common core impairment across disorders of food and drug intake. Unexpectedly, obese subjects without BED showed greater impulsivity than obese subjects with BED. We highlight the dissociability and heterogeneity of impulsivity subtypes and add to the understanding of neurocognitive profiles across disorders involving food and drugs. Our results have therapeutic implications suggesting that disorder-specific patterns of impulsivity could be targeted.
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Affiliation(s)
- T B Mole
- Department of Psychiatry,University of Cambridge,Cambridge,UK
| | - M A Irvine
- Department of Psychiatry,University of Cambridge,Cambridge,UK
| | - Y Worbe
- Behavioural and Clinical Neuroscience Institute,University of Cambridge,Cambridge,UK
| | - P Collins
- Department of Psychiatry,University of Cambridge,Cambridge,UK
| | - S P Mitchell
- Department of Psychiatry,University of Cambridge,Cambridge,UK
| | - S Bolton
- Department of Psychiatry,University of Cambridge,Cambridge,UK
| | - N A Harrison
- Brighton and Sussex Medical School,University of Sussex,Brighton,UK
| | - T W Robbins
- Behavioural and Clinical Neuroscience Institute,University of Cambridge,Cambridge,UK
| | - V Voon
- Department of Psychiatry,University of Cambridge,Cambridge,UK
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Worbe Y. The models of repetitive behaviors. Neurophysiol Clin 2012. [DOI: 10.1016/j.neucli.2011.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Meunier S, Marjanska M, Valabregue R, Traian P, Worbe Y, Russo M, Auerbach E, Grabli D, Bonnet C, Vidailhet M, Lehericy S. PTMS51 The neurochemical profile of writer's cramp and its changes after non-invasive cortical stimulation:a 3 Tesla magnetic resonance spectroscopy study. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60704-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Worbe Y, Epinat J, Feger J, Tremblay L. Discontinuous Long-Train Stimulation in the Anterior Striatum in Monkeys Induces Abnormal Behavioral States. Cereb Cortex 2011; 21:2733-41. [DOI: 10.1093/cercor/bhr063] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hartmann A, van Meerbeeck P, Deniau E, Béhar C, Czernecki V, Depienne C, Worbe Y. Tic e sindrome di Gilles de la Tourette. Neurologia 2011. [DOI: 10.1016/s1634-7072(11)70624-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Dormont D, Badinet E, Schupbach M, Galanaud D, Worbe Y, Welter M, Cornu P, Agid Y, Chiras J, Yelnik J. CO-25 - Étude à l’aide d’un atlas histologique 3D de la distribution des plots thérapeutiques de patients parkinsoniens neuro-stimulés présentant une excellente amélioration. J Neuroradiol 2006. [DOI: 10.1016/s0150-9861(06)77145-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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