2008, Number 1-2
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Plasticidad y Restauración Neurológica 2008; 7 (1-2)
Evaluation of neurological restoration in patient with Ataxy SCA2 Cuban experience
Rodríguez DJC, Velázquez PCL, Sánchez CG, Almaguer ML, Almaguer GD, García FJC, Rodríguez LR, Soto GHO
Language: Spanish
References: 31
Page: 13-18
PDF size: 110.27 Kb.
ABSTRACT
The Hereditary Ataxias represents a problem of health in Cuba, specifically in the province of Holguín where it concentrates more of 80% of the patients and relatives in risk. The 73% of the patients and 76% of the relatives are in risk that lives in Cuba.
Belong to the spinocerebellous Ataxia Type 2 (SCA2, of the English Spinocerebellar Ataxia Type 2) SCA2 this Ataxia characterizes by a cerebellous syndrome with predominance of the upheavals of the coordination, the saccadic movements of the eyes, instability of walking, speech and ocular movements disorders, as well as an early peripheral neuropathy. The programs of rehabilitation focused to the motor, visual were made and cardiac too. This study includes 96 patients. The DNA he was isolated of with the «DNA Isolation kit» (Puregene - Gentra Systems) from leukocytes of peripheral blood. The reaction chain of polymerase (PCR), the amplification of the region with segment (CAG) was made in gene SCA2. The statistical results were Student´s t, analysis of the variance, in twin samples made to patients with SCA2 before and after the physical-motor rehabilitation, showed to statistically significant differences for the Integral variable of the maneuver of saccadic movements and dysdiadococinetic. The percentage of the subjects with smaller values is significant in relation to evaluation before and after. The results were observed or equal increase 10.05 and one diminution of these for values superior to 47.54 after the rehabilitation therapy. The improvement experienced from the clinical point of view by the rehabilitated patients could be related to the function of the cerebellum in the motor learning, since it has been demonstrated in previous works. This can be associated with phenomena of neuroplasticity at cerebellum level.
REFERENCES
Velázquez PL, Santos FN, García R, Paneque HM, Hechavarría PR. Epidemiología de la ataxia hereditaria cubana. Rev Neurol 2001;32:606-611.
Velázquez L, Santos FN, García R, Paneque HM, Medina HE, Hechavarría PR. Las ataxias hereditarias en Cuba. Aspectos históricos, epidemiológicos, clínicos, electrofisiológicos y de neurología cuantitativa. Rev Neurol 2001;32:71-76.
Stevanin G, Bouslam N, Thobois S, Azzedine H, Ravaux L, Boland A et al. Spinocerebellar ataxia with sensory neuropathy (SCA25) maps to chromosome 2p. Ann Neurol 2004;55(1):97-104.
Orozco DG, Nodarse FA, Cordovés R, Aurburger G. Autosomal dominant cerebellar ataxia: Clinical analysis of 263 patients from a homogeneous population in Holguin, Cuba. Neurology 1990;40(90):1369-1375.
Sánchez-Cruz G, Velásquez-Pérez L, Gómez-Peña L, Martínez-Góngora E, Castellano-Sánchez G, Santos-Falcón N. Manifestaciones disautonómicas en pacientes con ataxia espinocerebelosa tipo 2 cubana. Rev Neurol 2001;33(5):428-434.
Delgado R, García JCC, Márquez L, Martínez I, Rodríguez Y, Garrido G et al. Estudio de algunos parámetros relacionados con el equilibrio redox en pacientes atáxicos tipo SCA2 de la provincia de Holguín. Rev Cub Farmacia 2002;36(1):50-52.
Velázquez-Pérez L, Seifried C, Santos-Falcón N, Abele M, Ziemann U, Almaguer LE et al. Saccade velocity is controlled by polyglutamine size in spinocerebellar ataxia 2. Ann Neurol 2004;56(3):444-447.
Paneque MH, Reynaldo AR, Velázquez-Pérez L, Santos FN, Miranda HE, Real PN et al. Ataxia espinocerebelosa tipo 2: una experiencia en la rehabilitación psicológica. Rev Neurol 2001;33 (11):1001-1005.
Pérez-Ávila I, Fernández-Vieitez JA, Martínez-Góngora E, Ochoa-Mastrapa R, Velázquez-Manresa MG. Efectos de un programa de ejercicios físicos sobre variables neurológicas cuantitativas en pacientes con ataxia espinocerebelosa tipo 2 en estadio leve. Rev Neurol 2004;39(10):907-910.
Citri A, Malenka R. Synaptic plasticity: multiple forms, functions, and mechanisms. Neuropsychophar Rev 2008;33:18-41.
Pittenger C, Duman R. Stress. Depression, and neuroplasticity: A convergence of mechanisms. Neuropsychophar Rev 2008;33:88-109.
Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriat Soc 1986;34:119-126.
Habig WH, Pabst JJ, Jakoby WB. Glutathione S transferases: The first enzymatic step in mercapturic acid formation. J Biol Chem 1974;29(22):7130-7139.
Galen K. Opera Omnia. Leipzig Cnobloch 1821;3:637.
Klippel M, Durante G. Contribution a l’étude des affections nerveuses familial et héréditaires. Rev Med (Paris) 1892;12:745-85.
Robinson F, Fuchs FR. The role of the cerebellum in voluntary eye movements. Annu Rev Neurosci 2001;24:981-1004.
Leigh RJ, Newman SA, Folstein SE, Lasker AG, Jensen BA. Abnormal ocular motor control in Huntington’s disease. Neurology 1983;33:1268-1275.
Beenen N, Büttner U, Lange HW. The diagnostic value of eye movement recording in patients with Huntington’s disease and their offspring. Electroencephalogr Clin Neurophysiol 1986;63:119-127.
Leigh RJ, Newman SA, Folstein SE, Lasker AG, Jensen BA. Abnormal ocular motor control in Huntington’s disease. Neurology 1983;33:1268-1275.
Pierrot-Deseilligny C. Controle cortical des saccades. Rev Neurol 1989;145:596-604.
Ikeda Y, Noda H, Sugita S. Olivocerebellar and cerebellolivary connections of the oculomotor region of the fastigial nucleus in the macaque monkey. J Comp Neurol 1989;284:463-488.
Fujikado T, Noda H. Saccadic eye movements evoked by microstimulations of lobule VII of the cerebellar vermis of macaque monkeys. J Physiol (Lond) 1987;394:573-594.
McElligot JG, Keller EL. Cerebellar vermis involvement in monkey saccadic eye movements: Microestimulation. Exp Neurol 1984;86:543-558.
Brigell MG, Goodwin JA, Lorance R. Saccadic latence as a measure of afferent visual conduction. Invest Ophthalmol Vis Sci 1988;29:1331-1338.
Ohyama T, Nores WL, Murphy M, Mauk MD. What the cerebellum computes TRENDS in Neurosciences 2003;26(4):222-227.
Ramat S, John R, Zee DS, Optica L. What clinical disorders tell us about the neural control of saccadic eye movements. Brain 2007;130:10-35.
Soong BW, Link KP. Correlation of peripheral nerve fiber loss and trinucleotide repeats in Machado-Joseph disease. Can J Neurol Sci 1998;25(1):59-63.
Velázquez L. Variabilidad del ritmo cardiaco y respuesta simpática de la piel en enfermos de ataxia espinocerebelosa tipo 2. En: Velázquez L, editor. Ataxia espinocerebelosa tipo 2. Principales aspectos neurofisiológicos para el diagnóstico y pronóstico de la enfermedad. Ediciones Holguín, Holguín 2006:193-206.
Jenner P, Olanow CW. Oxidative stress and the pathogenesis of Parkinson’s disease. Neurology 1996;46:161-170.
Rosen DR. Mutations in Cu/Zn superoxide dismutase gene are associated with familial myotrophic lateral sclerosis. Nature 1993;362:59-62.
Fernanda M. Radicales libres, estrés oxidativo y ejercicio. Revista Digital Buenos Aires 2003:66.