Pain and denture condition in edentulous orodyskinesia: Comparisons with tardive dyskinesia and control subjects

Edentulous orodyskinesia (ED) is a neglected source of aimless oral movements that may be confused with tardive dyskinesia (TD). We attempted to clarify the clinical features, significance, and orodental factors in relation to ED. Fourteen ED subjects, 13 TD patients, and 15 age‐matched controls self‐assessed their oral pain perception, condition, and function using a visual analogue scale. Dyskinesias were classified and rated by a neurologist. Perioral thermal and pressure pain threshold studies, and a standardized orodental examination, were conducted blind to subject group. The perceived oral pain level was low in all groups, and those reporting a significant intensity level of pain (≥50th percentile) were few. The pain thresholds in both dyskinetic groups were comparable to control values. All ED cases wore a complete set of dentures, considered a current source of problems by 85.7% of them. ED cases commonly displayed inadequate dental occlusal relationship (P = 0.014 vs. controls; P = 0.036 vs. TD) and an overclosed vertical dimension (P = 0.006 vs. controls) as well as unstable and unretentive dentures. ED was limited to the oral region, spared the tongue when the mouth is open, and was never severe in our patients. ED has distinct movement characteristics and is often associated with inadequate dentures and biomechanical sources of denture instability. The contribution of the foregoing findings to the expression of oral dyskinesia warrants further studies. © 2008 Movement Disorder Society     

Tolerance and sensitization to the biphasic effects of low doses of morphine in the hamster

Two experiments investigated the dose and time related effects of morphine sulfate on wheel running behavior in golden Syrian hamsters. In Experiment 1, within-subject comparisons were made of the acute effects of 5, 20, and 40 mg/kg doses of morphine sulfate on running wheel activity. Compared with saline, morphine produced a dose related decrease in activity followed by a dose related recovery. At the lowest dose, the time effect curve was biphasic, with sustained hyperactivity following the recovery. In Experiment 2, the effects of low doses of morphine sulfate (0.5, 1.0, 2.5, 5.0 mg/kg) on running wheel activity were monitored for three days. Biphasic time effect patterns were evident at each dose: An initial period of hypoactivity was followed by recovery and subsequent hyperactivity. Moreover, repeated administration produced both tolerance and sensitization to morphine's effects on activity. Implications for mechanisms underlying the biphasic response pattern are discussed.     

CT scan studies of superficial cerebral regions: frequency and distribution of abnormalities in elderly psychiatric patients

The CT scans of 50 elderly psychiatric patients were evaluated for the presence of discrete cerebral abnormalities. The prefrontal, superior temporal and inferior parietal areas showed the most frequent occurrence of defects. Motor, sensory and tertiary visual cortical regions, on the other hand, did not commonly exhibit signs of atrophy or sulcal widening. Clinical diagnoses of depression and dementia occurred in patients whether or not specific gyral defects were present, and therefore did not predict their presence. Patients w with regional cerebral defects, however, were more likely to be older and to have sustained severe neurological insults. Patients with affective disorders who were treated with ECT showed no differences in the occurrence of superficial cerebral defects.     

Simulataneous quantitation of norepinephrine, dopamine and serotonin in brain during and following chronic naltrexone administration

The effects of chronic administration of the narcotic antagonist naltrexone on regional brain levels of norepinephrine, dopamine and serotonin were studied in order to determine whether central monoaminergic neurons are tonically modulated by central opioid systems. Chronic exposure to naltrexone (8 days) is associated with a significant increase in the content of norepinephrine in the mesolimbic forebrain and the content of dopamine in the frontal cortex and striatum. Ten days following naltrexone pellet removal the above levels returned to control values but thalamic dopamine content was reduced 10-fold. These data suggest that the affected brain regions receive an opiodergic input that is tonically active.     

Synaptic rearrangements in medial prefrontal cortex of haloperidol-treated rats

The effects of daily administration of haloperidol for 16 weeks on the structure of layer VI in medial prefrontal cortex of rat was performed at the light and electron microscopic levels. At the light microscopic level, no difference in either the size or the density of neurons was observed. At the electron microscopic level, the mean dendritic calibre of haloperidol-treated rats was twice that observed in control animals, but this was due to a selective loss of small-calibre dendritic profiles. Rats treated with neuroleptic also showed a reduction in axon terminals with asymmetric postsynaptic membrane specializations, which, in control animals, were preferentially associated with small-calibre dendritic profiles. These small-calibre dendritic profiles were found to be spines rather than small terminal dendritic shafts. An increase in axon terminals showing no membrane specialization on larger dendritic profiles also occurred in rats treated daily with the neuroleptic. The data suggest the possibility that haloperidol may have induced a relocation of asymmetric terminals from resorbed spinous processes to larger dendritic branches with the concomitant loss of their postsynaptic membrane specialization.     

OUTCOME AT SCHOOL AGE OF CHILDREN WITH BIRTHWEIGHTS OF 1000 GRAMS OR LESS

A follow-up study was done of extremely low-birthweight infants (less than or equal to 1000g) born between 1976 and 1979, a period when aggressive intervention was not routine practice. The survival rate was 19 per cent. 44 of the 46 survivors were followed to a mean age of 6 1/2 years. By five years of age 23 of the 44 children had been admitted to hospital, mainly for surgery and respiratory problems. Eight of 31 five-year-old children were growth-retarded and five of 26 were microcephalic. Among 44 children, ophthalmological problems were found in nine cases and neurosensory impairments (cerebral palsy, deafness) in seven. 12 children were mentally handicapped or had impaired intelligence (IQ or DQ less than 85). Over-all, 14 of the 44 children had impairments, severe in four cases and moderate in 10. Mean verbal IQ was significantly lower than mean performance IQ. Among 37 children in school or in remedial programs, nine required special education and another 12 in regular classes either failed or had very poor results, or needed extra professional help. Only 16 of the children had no significant problems in school. These findings indicate that extremely low birthweight (less than or equal to 1000g) represents a major risk to life, health (hospital admissions), long-term growth, neurosensory integrity, cognitive development and learning potential.     

Word fluency after a right-hemisphere lesion

Joanette and Goulet (Neuropsychologia, 1986, 24, 875–879) reported that right-handed patients suffering from a right-hemisphere stroke were impaired on semantic but not on orthographic criteria when they were submitted to a word fluency task. The interpretation of this dissociation was that the right hemisphere would subtend a particular contribution to the semantic component of word processing in right handers. The goal of the research reported here was to challenge this dissociation. In contrast with the first study, the production criteria were presented randomly and their level of productivity was a controlled factor. The semantic-orthographic dissociation was not replicated under these conditions.