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Current Opinions and Areas of Consensus on the Role of the Cerebellum in Dystonia
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April 2017
Source: Cerebellum. 16(2):577-594
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Alternative Title:Cerebellum
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Description:A role for the cerebellum in causing ataxia, a disorder characterized by uncoordinated movement, is widely accepted. Recent work has suggested that alterations in activity, connectivity, and structure of the cerebellum are also associated with dystonia, a neurological disorder characterized by abnormal and sustained muscle contractions often leading to abnormal maintained postures. In this manuscript, the authors discuss their views on how the cerebellum may play a role in dystonia. The following topics are discussed: The relationships between neuronal/network dysfunctions and motor abnormalities in rodent models of dystonia. Data about brain structure, cerebellar metabolism, cerebellar connections, and noninvasive cerebellar stimulation that support (or not) a role for the cerebellum in human dystonia. Connections between the cerebellum and motor cortical and sub-cortical structures that could support a role for the cerebellum in dystonia. Overall points of consensus include: Neuronal dysfunction originating in the cerebellum can drive dystonic movements in rodent model systems. Imaging and neurophysiological studies in humans suggest that the cerebellum plays a role in the pathophysiology of dystonia, but do not provide conclusive evidence that the cerebellum is the primary or sole neuroanatomical site of origin.
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Pubmed ID:27734238
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Pubmed Central ID:PMC5336511
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Funding:P40 OD010996/ODCDC CDC HHS/Office of the Director/United States ; R01 NS079750/NINDS NIH HHS/National Institute of Neurological Disorders and Stroke/United States ; P51 OD011132/ODCDC CDC HHS/Office of the Director/United States ; R25 MH086466/NIMH NIH HHS/National Institute of Mental Health/United States ; R01 NS024328/NINDS NIH HHS/National Institute of Neurological Disorders and Stroke/United States ; ... More +
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