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• W2279581742 abstract "The auditory startle reaction (ASR) and startle reflex to somatosensory inputs (SSS) are stereotypical responses to sudden and unexpected stimuli, which are generated in the caudal brainstem reticular formation. Changes of ASR are relatively well known in stroke. Here, we aimed to investigate central pathways of SSS and plasticity changes of SSS circuits in different stages and localizations of stroke, by comparing with ASR. We prospectively included 39 patients with stroke between June 2009 and June 2013, and 23 age and gender-matched healthy subjects. ASR and SSS were recorded over orbicularis oculi, sternocleidomastoid, biceps brachii (BB), and abductor policis brevis muscles (APB) using surface electrodes. There were supratentorial and infratentorial lesions in both acute and chronic stages. Overall, ASR probability was similar between groups (P = 0.981). However, ASR probability was increased for BB and APB recordings on symptomatic sides of stroke patients with high amplitudes and long durations, most prominently on symptomatic sides of pontine strokes. Latencies and presence rates of SSS did not differ between any subgroups of stroke and healthy subjects. ASR is facilitated in arm and hand muscles on symptomatic sides of stroke patients, whereas SSS did not show any significant changes according to stroke. La réaction de sursaut à des stimulations auditives (RSA) ou somatosensorielles (RSS) sont des réponses stéréotypées à des stimuli soudains et inattendus, générées dans la formation réticulaire caudale du tronc cérébral. Les modifications des RSA sont relativement bien connues dans l’accident vasculaire cérébral (AVC). Dans ce travail, nous avons étudié les circuits centraux des RSS et leur plasticité selon différents stades ou localisations d’AVC, par comparaison aux RSA. Nous avons prospectivement inclus 39 patients ayant eu un AVC entre juin 2009 et juin 2013 et 23 sujets sains appariés selon l’âge et le sexe. Les RSA et RSS ont été enregistrées au niveau des muscles orbiculaire des paupières, sternocléidomastoïdien, biceps brachial (BB) et court abducteur du pouce (CAP) en utilisant des électrodes de surface. Les patients présentaient des lésions supratentorielles ou tentorielles en phase aiguë ou chronique. La probabilité globale d’obtention des RSA était similaire entre les groupes (p = 0,981). En revanche, la probabilité d’obtention des RSA était augmentée pour les recueils sur les muscles BB et CAP au niveau des côtés symptomatiques des patients AVC, avec des amplitudes élevées et des durées prolongées, notamment pour les AVC protubérantiels. Les latences et taux de présence des RSS ne différaient pas entre les sous-groupes de patients AVC et les sujets sains. Les RSA sont facilitées au niveau des muscles du bras et de la main du côté symptomatique de patients victimes d’AVC, alors que les RSS ne montrent pas d’anomalies significatives en relation avec les AVC." @default.
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• W2279581742 date "2016-06-01" @default.
• W2279581742 modified "2023-10-16" @default.
• W2279581742 title "Startle responses after different stimulus modalities differ in stroke" @default.
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• W2279581742 doi "https://doi.org/10.1016/j.neucli.2015.12.010" @default.
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