B2 Non-refereed book chapter or chapter in a compilation book

The functional anatomy of dystonia: Recent developments




AuthorsCorp Daniel T., Morrison-Ham Jordan, Jinnah Hyder A., Joutsa Juho

EditorsAlberto Albanese, Kailash Bhatia, H.A. Jinnah

PublisherAcademic Press Inc.

Publication year2023

Book title International Review of Neurobiology: Dystonia

Journal name in sourceInternational Review of Neurobiology

Series titleInternational Review of Neurobiology

Volume169

First page 105

Last page136

ISBN978-0-323-99394-4

ISSN0074-7742

DOIhttps://doi.org/10.1016/bs.irn.2023.04.004

Web address https://doi.org/10.1016/bs.irn.2023.04.004


Abstract

While dystonia has traditionally been viewed as a disorder of the basal ganglia, the involvement of other key brain structures is now accepted. However, just what these structures are remains to be defined. Neuroimaging has been an especially valuable tool in dystonia, yet traditional cross-sectional designs have not been able to separate causal from compensatory brain activity. Therefore, this chapter discusses recent studies using causal brain lesions, and animal models, to converge upon the brain regions responsible for dystonia with increasing precision. This evidence strongly implicates the basal ganglia, thalamus, brainstem, cerebellum, and somatosensory cortex, yet shows that different types of dystonia involve different nodes of this brain network. Nearly all of these nodes fall within the recently identified two-way networks connecting the basal ganglia and cerebellum, suggesting dysfunction of these specific pathways. Localisation of the functional anatomy of dystonia has strong implications for targeted treatment options, such as deep brain stimulation, and non-invasive brain stimulation.



Last updated on 2024-26-11 at 21:35