Print

Print


At 02:53 9-8-99 -0400, Tom Riess wrote:
>>Dyskinesia is the body's attempt to conform to pathologic processing of
perceived visual information.  There is an autonomic
component to dyskinesia (for example tension potentiates dyskinesia).
Normally visual feedback is a consequence of the motor activity.  In this
case the motor activity is a consequence of the feedback.   The actual
pathology lies in the processing of low velocity motion and small changes
in velocity..

Tom,
Do you really  think that a PWP can end all that tormenting and terribly
invalidating dyskinesia by merely laying down and close his/her eyes? If
you don't, I don't understand your article,  If you do, I do understand
what you are saying but I can't  believe you are talking about the de same
phenomenon that I am talking about. So I can't relate your theory  to my
experience.
For example after my pallidotomy the dyskinesia has totally disapeared in
one half of my body. That half sided dyskinesia does not fit into your
model as conforming to the discrepancies, that you mention.

I have tried to find an answer to the dyskinesia question in quite another
way, by searching the literature. IMHO one interesting thread in the
publications of the last years is a new view on the task of the basal
ganglia (this are relay stations for messages from the higher part of the
brain, the cortex, were all willfull action is initiated,  to the places
were the actions are executed). It is the system that doesn't function well
in PWP's because the lack
of dopamine. The dopamine has not only a task  in the dopamine synapses,
but also a broader one as modulator of the whole system ( modulation is
changing the excitability of a system).
 So it is important to know what exactly is the function of the basal
ganglia. In 1982  there has been a publication of C. D. Marsden. The
function of the b.g. was supposed to be the fine tuning of the excecution
of motor tasks.  Because the b.g. receive messages from nearly every part
of the cortex and after integrating them send messages back to the cortex,
their task must be more complex and more "cognitive". Marsden's assumption
was that an important task of the basal ganlia is the inhibition of
movements that don't fit in the planned action. So inside the basal ganglia
there has to be  a  very accurate "model" of planned action. That is why
Marsden said the model is "cognitive".   This assumption has got many
adherents among researchers, and is supported by experiments. In this
"cognitive" and "braking" task glutamate is the transmitter that has a
mutual antagonistic relation with dopamine and has too  much influence if
dopamine is lacking. That is why some researchers think that
anti-glutamates might be helpful. This model seems to predict that top of
meds dyskinesa is fundamentally different from wearing off dyskinesia.
The much more complex role of the basal ganglia sounds to me rather
revolutionary. So I looked for my old physiology book from 1966 to seewhat
it said about it and  was amazed to read:

"The lack of a clear picture of the function of the basal ganglia is
disconcerting. Stimulation of the caudate and other basal ganglion
structures produces complex sterreotyped movement- a turning of the body or
a sudden arrest of ongoing movement. Inhibitory effects on lower reflexes
has been obtained. In Parkinsons disease destruction of the efferent
outflow of the globus pallidus by electrocoagulation has resulted in
dramatic relief."

Litterature:

Neurology,32 May 1982 Marsden C. D. The mysterious function of the basal
ganglia: The Robert Wartenberg Lecture.

Progress Neurobiol. 1996 Nov;50(4) 381-425 Mink J.W. The basal
ganglia;focused selection and inhibition of competimg moter programs.

Brain Res.Rev. 1995 Jan.20 (1) 97-127. Parent A. Hazrati I.N.
Functional anatomy of the basal ganglia, The cortico-basal
ganglia-thalamo-cortical loop.

Can J Neurol Sci 1993 Aug;20(3):177-83  Hallett M. Physiology of basal
ganglia disorders: an overview.

Behav Brain Res 1996 May;77(1-2):45-52 Decety J. The neurophysiological
basis of motor imagery.


--------------------------------------------------------------
Vriendelijke Groeten / Kind regards,

Ida Kamphuis                            mailto: [log in to unmask]