Dystonia as a network disorder: What is the role of the cerebellum?

C. N. Prudente, E. J. Hess, H. A. Jinnah

Research output: Contribution to journalReview articlepeer-review

128 Scopus citations

Abstract

The dystonias are a group of disorders defined by sustained or intermittent muscle contractions that result in involuntary posturing or repetitive movements. There are many different clinical manifestations and causes. Although they traditionally have been ascribed to dysfunction of the basal ganglia, recent evidence has suggested dysfunction may originate from other regions, particularly the cerebellum. This recent evidence has led to an emerging view that dystonia is a network disorder that involves multiple brain regions. The new network model for the pathogenesis of dystonia has raised many questions, particularly regarding the role of the cerebellum. For example, if dystonia may arise from cerebellar dysfunction, then why are there no cerebellar signs in dystonia? Why are focal cerebellar lesions or degenerative cerebellar disorders more commonly associated with ataxia rather than dystonia? Why is dystonia more commonly associated with basal ganglia lesions rather than cerebellar lesions? Can answers obtained from animals be extrapolated to humans? Is there any evidence that the cerebellum is not involved? Finally, what is the practical value of this new model of pathogenesis for the neuroscientist and clinician? This article explores potential answers to these questions.

Original languageEnglish (US)
Pages (from-to)23-35
Number of pages13
JournalNeuroscience
Volume260
DOIs
StatePublished - Feb 28 2014

Bibliographical note

Funding Information:
This summary was supported in part by U54 NS065701 from the Office of Rare Diseases Research in the National Center for Advancing Translational Sciences and the National Institute of Neurological Disorders and Stroke at the NIH.

Keywords

  • Cerebellum
  • Dystonia
  • Network model

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