Pallidal stimulation affects speech fluency in dystonia
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21230%2F16%3A00305789" target="_blank" >RIV/68407700:21230/16:00305789 - isvavai.cz</a>
Result on the web
<a href="http://www.sciencedirect.com/science/article/pii/S1388245716302607" target="_blank" >http://www.sciencedirect.com/science/article/pii/S1388245716302607</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.clinph.2016.05.204" target="_blank" >10.1016/j.clinph.2016.05.204</a>
Alternative languages
Result language
angličtina
Original language name
Pallidal stimulation affects speech fluency in dystonia
Original language description
Introduction Deep brain stimulation (DBS) of the globus pallidus interna (GPi) used in treatment of pharmacoresistant dystonic syndromes is potentially accompanied by several side effects including disorders of speech. Stuttering-like dysfluencies appeared with basal ganglia dysfunction and were occasionally reported as a consequence of GPi DBS in a few cases with dystonia. Objectives To study possible deterioration of speech fluency after GPi DBS. Patients and methods Speech fluency was systematically evaluated in 19 patients (12 women, 7 men, aged 48 ± (SD)18 years) with dystonia of various origin (14 idiopathic, 2 DYT-1, 2 with parkinsonism, 1 post-anoxic) and distribution (11 generalized and 8 cervical) treated with GPi DBS bilaterally (disease duration 14 ± 6 years, 10–81 months after implantation). Each patient was tested in two conditions within the same day: in the DBS chronically switched on (ON condition) and two hours after switching the DBS off (OFF condition). All patients performed monologue for approximately 90 sec on a given topic. Analysis of dysfluency was performed according to the behavioral taxonomy of stuttering, where the percentage of dysfluent words was calculated as the number of dysfluent events normalized by the total number of words within entire monologue. Results Analysis revealed significant decrease of dysfluent words in OFF condition (3.4 ± 1.7%) to ON condition (2.3 ± 1.6%) in dystonia patients (p < 0.001). However, only three dystonia patients in ON condition exhibited abnormal level of dysfluency, i.e. more than 5% of dysfluent words. Conclusion These findings emphasize a role of the GPi in regulating speech fluency and generally support the view of stuttering as a speech disorder of basal ganglia origin. Whether this side effect of GPi DBS in dystonia may compromise quality of verbal communication it remains to be specified.
Czech name
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Czech description
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Classification
Type
O - Miscellaneous
CEP classification
FH - Neurology, neuro-surgery, nuero-sciences
OECD FORD branch
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Result continuities
Project
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Continuities
S - Specificky vyzkum na vysokych skolach
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů