Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?

Background. The somatosensory temporal discrimination threshold (STDT) is defined as the shortest interval at which an individual recognizes two stimuli as asynchronous. Some evidence suggests that STDT depends on cortical inhibitory interneurons in the basal ganglia and in primary somatosensory cor...

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Main Authors: Antonella Conte, Gina Ferrazzano, Daniele Belvisi, Nicoletta Manzo, Antonio Suppa, Giovanni Fabbrini, Alfredo Berardelli
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2017/9848070
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author Antonella Conte
Gina Ferrazzano
Daniele Belvisi
Nicoletta Manzo
Antonio Suppa
Giovanni Fabbrini
Alfredo Berardelli
author_facet Antonella Conte
Gina Ferrazzano
Daniele Belvisi
Nicoletta Manzo
Antonio Suppa
Giovanni Fabbrini
Alfredo Berardelli
author_sort Antonella Conte
collection DOAJ
description Background. The somatosensory temporal discrimination threshold (STDT) is defined as the shortest interval at which an individual recognizes two stimuli as asynchronous. Some evidence suggests that STDT depends on cortical inhibitory interneurons in the basal ganglia and in primary somatosensory cortex. Several studies have reported that the STDT in patients with dystonia is abnormal. No longitudinal studies have yet investigated whether STDT values in different forms of focal dystonia change during the course of the disease. Methods. We designed a follow-up study on 25 patients with dystonia (15 with blepharospasm and 10 with cervical dystonia) who were tested twice: upon enrolment and 8 years later. STDT values from dystonic patients at the baseline were also compared with those from a group of 30 age-matched healthy subjects. Results. Our findings show that the abnormally high STDT values observed in patients with focal dystonia remained unchanged at the 8-year follow-up assessment whereas disease severity worsened. Conclusions. Our observation that STDT abnormalities in dystonia remain unmodified during the course of the disease suggests that the altered activity of inhibitory interneurons—either at cortical or at subcortical level—responsible for the increased STDT does not deteriorate as the disease progresses.
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spelling doaj-art-9ddf66e9757f4bd6bd7db6e22194f0292025-02-03T06:42:07ZengWileyNeural Plasticity2090-59041687-54432017-01-01201710.1155/2017/98480709848070Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?Antonella Conte0Gina Ferrazzano1Daniele Belvisi2Nicoletta Manzo3Antonio Suppa4Giovanni Fabbrini5Alfredo Berardelli6Department of Neurology and Psychiatry, Sapienza University Rome, Rome, ItalyIRCCS Neuromed, Pozzilli, ItalyIRCCS Neuromed, Pozzilli, ItalyDepartment of Neurology and Psychiatry, Sapienza University Rome, Rome, ItalyDepartment of Neurology and Psychiatry, Sapienza University Rome, Rome, ItalyDepartment of Neurology and Psychiatry, Sapienza University Rome, Rome, ItalyDepartment of Neurology and Psychiatry, Sapienza University Rome, Rome, ItalyBackground. The somatosensory temporal discrimination threshold (STDT) is defined as the shortest interval at which an individual recognizes two stimuli as asynchronous. Some evidence suggests that STDT depends on cortical inhibitory interneurons in the basal ganglia and in primary somatosensory cortex. Several studies have reported that the STDT in patients with dystonia is abnormal. No longitudinal studies have yet investigated whether STDT values in different forms of focal dystonia change during the course of the disease. Methods. We designed a follow-up study on 25 patients with dystonia (15 with blepharospasm and 10 with cervical dystonia) who were tested twice: upon enrolment and 8 years later. STDT values from dystonic patients at the baseline were also compared with those from a group of 30 age-matched healthy subjects. Results. Our findings show that the abnormally high STDT values observed in patients with focal dystonia remained unchanged at the 8-year follow-up assessment whereas disease severity worsened. Conclusions. Our observation that STDT abnormalities in dystonia remain unmodified during the course of the disease suggests that the altered activity of inhibitory interneurons—either at cortical or at subcortical level—responsible for the increased STDT does not deteriorate as the disease progresses.http://dx.doi.org/10.1155/2017/9848070
spellingShingle Antonella Conte
Gina Ferrazzano
Daniele Belvisi
Nicoletta Manzo
Antonio Suppa
Giovanni Fabbrini
Alfredo Berardelli
Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
Neural Plasticity
title Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
title_full Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
title_fullStr Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
title_full_unstemmed Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
title_short Does the Somatosensory Temporal Discrimination Threshold Change over Time in Focal Dystonia?
title_sort does the somatosensory temporal discrimination threshold change over time in focal dystonia
url http://dx.doi.org/10.1155/2017/9848070
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