Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias

Dystonia is a highly prevalent movement disorder that can manifest at any time across the lifespan. An increasing number of investigations have tied this disorder to dysfunction of a broad “dystonia network” encompassing the cerebellum, thalamus, basal ganglia, and cortex. However, pinpointing how d...

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Main Authors: Jason S. Gill, Megan X. Nguyen, Mariam Hull, Meike E. van der Heijden, Ken Nguyen, Sruthi P. Thomas, Roy V. Sillitoe
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Dystonia
Subjects:
Online Access:https://www.frontierspartnerships.org/articles/10.3389/dyst.2023.11805/full
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author Jason S. Gill
Jason S. Gill
Megan X. Nguyen
Megan X. Nguyen
Mariam Hull
Meike E. van der Heijden
Meike E. van der Heijden
Ken Nguyen
Ken Nguyen
Sruthi P. Thomas
Sruthi P. Thomas
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
author_facet Jason S. Gill
Jason S. Gill
Megan X. Nguyen
Megan X. Nguyen
Mariam Hull
Meike E. van der Heijden
Meike E. van der Heijden
Ken Nguyen
Ken Nguyen
Sruthi P. Thomas
Sruthi P. Thomas
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
author_sort Jason S. Gill
collection DOAJ
description Dystonia is a highly prevalent movement disorder that can manifest at any time across the lifespan. An increasing number of investigations have tied this disorder to dysfunction of a broad “dystonia network” encompassing the cerebellum, thalamus, basal ganglia, and cortex. However, pinpointing how dysfunction of the various anatomic components of the network produces the wide variety of dystonia presentations across etiologies remains a difficult problem. In this review, a discussion of functional network findings in non-mendelian etiologies of dystonia is undertaken. Initially acquired etiologies of dystonia and how lesion location leads to alterations in network function are explored, first through an examination of cerebral palsy, in which early brain injury may lead to dystonic/dyskinetic forms of the movement disorder. The discussion of acquired etiologies then continues with an evaluation of the literature covering dystonia resulting from focal lesions followed by the isolated focal dystonias, both idiopathic and task dependent. Next, how the dystonia network responds to therapeutic interventions, from the “geste antagoniste” or “sensory trick” to botulinum toxin and deep brain stimulation, is covered with an eye towards finding similarities in network responses with effective treatment. Finally, an examination of how focal network disruptions in mouse models has informed our understanding of the circuits involved in dystonia is provided. Together, this article aims to offer a synthesis of the literature examining dystonia from the perspective of brain networks and it provides grounding for the perspective of dystonia as disorder of network function.
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spelling doaj.art-ec8d22ee897248bb980028e5a43388e72023-12-13T04:11:32ZengFrontiers Media S.A.Dystonia2813-21062023-12-01210.3389/dyst.2023.1180511805Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystoniasJason S. Gill0Jason S. Gill1Megan X. Nguyen2Megan X. Nguyen3Mariam Hull4Meike E. van der Heijden5Meike E. van der Heijden6Ken Nguyen7Ken Nguyen8Sruthi P. Thomas9Sruthi P. Thomas10Roy V. Sillitoe11Roy V. Sillitoe12Roy V. Sillitoe13Roy V. Sillitoe14Division of Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United StatesJan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, Houston, TX, United StatesDivision of Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United StatesJan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, Houston, TX, United StatesDivision of Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX, United StatesJan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, Houston, TX, United StatesDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, TX, United StatesJan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, Houston, TX, United StatesDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, TX, United StatesH. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, United StatesDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX, United StatesJan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, Houston, TX, United StatesDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, TX, United StatesDepartment of Neuroscience, Baylor College of Medicine, Houston, TX, United StatesDevelopment, Disease Models and Therapeutics Graduate Program, Baylor College of Medicine, Houston, TX, United StatesDystonia is a highly prevalent movement disorder that can manifest at any time across the lifespan. An increasing number of investigations have tied this disorder to dysfunction of a broad “dystonia network” encompassing the cerebellum, thalamus, basal ganglia, and cortex. However, pinpointing how dysfunction of the various anatomic components of the network produces the wide variety of dystonia presentations across etiologies remains a difficult problem. In this review, a discussion of functional network findings in non-mendelian etiologies of dystonia is undertaken. Initially acquired etiologies of dystonia and how lesion location leads to alterations in network function are explored, first through an examination of cerebral palsy, in which early brain injury may lead to dystonic/dyskinetic forms of the movement disorder. The discussion of acquired etiologies then continues with an evaluation of the literature covering dystonia resulting from focal lesions followed by the isolated focal dystonias, both idiopathic and task dependent. Next, how the dystonia network responds to therapeutic interventions, from the “geste antagoniste” or “sensory trick” to botulinum toxin and deep brain stimulation, is covered with an eye towards finding similarities in network responses with effective treatment. Finally, an examination of how focal network disruptions in mouse models has informed our understanding of the circuits involved in dystonia is provided. Together, this article aims to offer a synthesis of the literature examining dystonia from the perspective of brain networks and it provides grounding for the perspective of dystonia as disorder of network function.https://www.frontierspartnerships.org/articles/10.3389/dyst.2023.11805/fulldystoniacerebellumdyskinetic cerebral palsydystonia networknetwork disorder
spellingShingle Jason S. Gill
Jason S. Gill
Megan X. Nguyen
Megan X. Nguyen
Mariam Hull
Meike E. van der Heijden
Meike E. van der Heijden
Ken Nguyen
Ken Nguyen
Sruthi P. Thomas
Sruthi P. Thomas
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
Roy V. Sillitoe
Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
Dystonia
dystonia
cerebellum
dyskinetic cerebral palsy
dystonia network
network disorder
title Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
title_full Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
title_fullStr Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
title_full_unstemmed Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
title_short Function and dysfunction of the dystonia network: an exploration of neural circuits that underlie the acquired and isolated dystonias
title_sort function and dysfunction of the dystonia network an exploration of neural circuits that underlie the acquired and isolated dystonias
topic dystonia
cerebellum
dyskinetic cerebral palsy
dystonia network
network disorder
url https://www.frontierspartnerships.org/articles/10.3389/dyst.2023.11805/full
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