B2 Non-refereed book chapter or chapter in a compilation book
The functional anatomy of dystonia: Recent developments
Authors: Corp Daniel T., Morrison-Ham Jordan, Jinnah Hyder A., Joutsa Juho
Editors: Alberto Albanese, Kailash Bhatia, H.A. Jinnah
Publisher: Academic Press Inc.
Publication year: 2023
Book title : International Review of Neurobiology: Dystonia
Journal name in source: International Review of Neurobiology
Series title: International Review of Neurobiology
Volume: 169
First page : 105
Last page: 136
ISBN: 978-0-323-99394-4
ISSN: 0074-7742
DOI: https://doi.org/10.1016/bs.irn.2023.04.004
Web address : https://doi.org/10.1016/bs.irn.2023.04.004
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.