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Original Article
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Pain Characteristics of Parkinson’s Disease Using Validated Arabic Versions of the King’s Parkinson’s Disease Pain Scale and Questionnaire: A Multicenter Egyptian Study
Ali Shalash, Salma R. Mohamed, Marwa Y. Badr, Shimaa Elgamal, Shaimaa A. Elaidy, Eman A. Elhamrawy, Hayam Abdel-Tawab, Haidy Elshebawy, Heba Samir Abdelraheem, Tamer Roushdy, Wafik S. Bahnasy, Haitham H. Salem, Ehab A. El-Seidy, Hatem S. Shehata, Hazem Marouf, K. Ray Chaudhuri, Eman Hamid
J Mov Disord. 2024;17(4):387-397.   Published online June 25, 2024
DOI: https://doi.org/10.14802/jmd.24088
  • 2,116 View
  • 155 Download
AbstractAbstract PDFSupplementary Material
Objective
Pain is one of the most common nonmotor symptoms in Parkinson’s disease (PD), with variable characteristics among populations. This multicenter Egyptian study aimed to translate and validate the King’s Parkinson’s Disease Pain Scale (KPPS) and Questionnaire (KPPQ) into Arabic versions and to investigate the pain characteristics in Egyptian people with PD (PWP).
Methods
A total of 192 PWP and 100 sex- and age-matched controls were evaluated by the KPPS-Arabic and KPPQ-Arabic. Both tools were assessed for test–retest reliability, floor or ceiling effects, construct validity and convert validity. PWP were also assessed by the Movement Disorders Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), Hoehn and Yahr scale (H&Y), Non-Motor Symptom Scale (NMSS), PD Questionnaire-39, and Non-Motor Fluctuation Assessment (NoMoFA).
Results
The KPPS-Arabic and KPPQ-Arabic showed inter- and intrarater consistency and high validity, with an acceptable ceiling effect. A total of 188 PWP (97.9%) reported at least 1 type of pain (p < 0.001). The severity and prevalence of all pain domains in the KPPS-Arabic were significantly higher among PWP than among controls (p < 0.001). Fluctuation-related and musculoskeletal pains were the most common (81.3% and 80.7%, respectively). In the PD group, the total and domains of KPPS-Arabic were significantly correlated to the MDS-UPDRS total score and the scores of Parts I, II, III, postural instability gait disorder, axial, and H&Y but not with age or age of onset. The predictors of KPPS-Arabic scores included the total MDS-UPDRS, the part III-OFF, disease duration, the total NMSS, and the NoMoFA scores.
Conclusion
The current multicenter study provided validated Arabic versions of the KPPS and KPPQ, which exhibited high reliability and validity, and demonstrated a high prevalence and severity of pain within Egyptian PWP and characterized its determinants.
Case Reports
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Holmes’ Tremor with Shoulder Pain Treated by Deep Brain Stimulation of Unilateral Ventral Intermediate Thalamic Nucleus and Globus Pallidus Internus
Sabri Aydın, Huseyin Canaz, Ezgi Tuna Erdogan, Nazlı Durmaz, Barıs Topcular
J Mov Disord. 2017;10(2):92-95.   Published online April 18, 2017
DOI: https://doi.org/10.14802/jmd.16051
  • 7,813 View
  • 125 Download
  • 4 Web of Science
  • 4 Crossref
AbstractAbstract PDF
A 21-year-old male was admitted with severe right arm and hand tremors after a thalamic hemorrhage caused by a traffic accident. He was also suffering from agonizing pain in his right shoulder that manifested after the tremor. Neurologic examination revealed a disabling, severe, and irregular kinetic and postural tremor in the right arm during target-directed movements. There was also an irregular ipsilateral rest tremor and dystonic movements in the distal part of the right arm. The amplitude was moderate at rest and extremely high during kinetic and intentional movements. The patient underwent left globus pallidum internus and ventral intermediate thalamic nucleus deep brain stimulation. The patient improved by more than 80% as rated by the Fahn-Tolosa-Marin Tremor Rating Scale and Visual Analog Scale six months after surgery.

Citations

Citations to this article as recorded by  
  • Holmes tremor: an updated review
    Efstratios-Stylianos Pyrgelis, Eleni Agapiou, Efthalia Angelopoulou
    Neurological Sciences.2022; 43(12): 6731.     CrossRef
  • Deep brain stimulation of the posterior subthalamic area as an alternative strategy for management of Holmes tremor: A case report and review of the literature
    Omid Yousefi, Mojtaba Dayyani, Razieh Rezaei, Hooman Kamran, Ali Razmkon
    Surgical Neurology International.2022; 13: 489.     CrossRef
  • Vim stereotactic radiosurgical thalamotomy for drug-resistant idiopathic Holmes tremor: a case report
    Manjul Tripathi, Sahil Mehta, Raghav Singla, Chirag K. Ahuja, Naresh Tandalya, Constantin Tuleasca, Aman Batish, Sandeep Mohindra, Abhinav Agrahari, Rupinder Kaur
    Acta Neurochirurgica.2021; 163(7): 1867.     CrossRef
  • Deep brain stimulation in uncommon tremor disorders: indications, targets, and programming
    Carlo Alberto Artusi, Ashar Farooqi, Alberto Romagnolo, Luca Marsili, Roberta Balestrino, Leonard L. Sokol, Lily L. Wang, Maurizio Zibetti, Andrew P. Duker, George T. Mandybur, Leonardo Lopiano, Aristide Merola
    Journal of Neurology.2018; 265(11): 2473.     CrossRef
Painless Legs and Moving Toes as an Initial Presentation of Ischemic Stroke
Se Mi Oh, Won Tae Yoon, Ji Youn Kim, Hee-Young Shin, Won Yong Lee
J Mov Disord. 2009;2(1):40-42.
DOI: https://doi.org/10.14802/jmd.09010
  • 41,178 View
  • 100 Download
  • 3 Crossref
AbstractAbstract PDF

Painless legs and moving toes is an unusual syndrome, which has not previously been reported as an initial presentation of ischemic stroke. We encountered a 78-year-old woman who developed dysarthria and involuntary movement of her left toes that was clinically regarded as painless legs and moving toes. These symptoms appeared abruptly and simultaneously as the initial symptoms of stroke, and improved gradually with conservative management by intravenous hydration for a month. We suggest that, in our case, a cortical brain lesion caused by ischemic stroke might be associated with the development of painless legs and moving toes.

Citations

Citations to this article as recorded by  
  • Painful legs and moving toes syndrome
    Hiroki Tamura, Kosuke Ishizuka, Kiyoshi Shikino, Masatomi Ikusaka
    BMJ Case Reports.2021; 14(3): e240692.     CrossRef
  • Movement Disorders Following Cerebrovascular Lesions: Etiology, Treatment Options and Prognosis
    Do-Young Kwon
    Journal of Movement Disorders.2016; 9(2): 63.     CrossRef
  • Painful legs and moving toes syndrome in a 16-year-old girl
    Seung Soo Kim, Yong Seung Hwang, Young Chang Kim
    Korean Journal of Pediatrics.2016; 59(9): 381.     CrossRef
Painful Spasms and Rigidity of the Lower Limb Following Transverse Myelitis Associated With Sjögren’s Syndrome
In-Uk Song, Young-Do Kim, Joong-Seok Kim, Kwang-Soo Lee
J Mov Disord. 2008;1(1):51-54.
DOI: https://doi.org/10.14802/jmd.08009
  • 13,721 View
  • 133 Download
AbstractAbstract PDF

Abnormal muscle tone, such as spasm s, rigidity, and stiffness, following acute transverse myelitis (ATM) was such a rare manifestation that hardly reported until now. We experienced a 50-year-old patient with ATM associated with Sjögren’s syndrome. Furthermore, the patients complained painful spasms and rigidity of left lower limb which begun after episode of ATM.


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