PMID- 29754397 OWN - NLM STAT- MEDLINE DCOM- 20190315 LR - 20220409 IS - 1468-1331 (Electronic) IS - 1351-5101 (Linking) VI - 25 IP - 8 DP - 2018 Aug TI - Blink reflex recovery cycle to differentiate progressive supranuclear palsy from corticobasal syndrome. PG - 1100-e85 LID - 10.1111/ene.13673 [doi] AB - BACKGROUND AND PURPOSE: Progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS) may share similar clinical findings and tests to distinguish between the two disorders could be useful. We evaluated the blink reflex and R2 blink reflex recovery cycle (R2BRRC), determining diagnostic sensitivity, specificity and positive and negative predictive value of R2BRRC in differentiating patients with PSP from those with CBS. METHODS: This was a prospective data collection study investigating blink reflex and R2BRRC at interstimulus intervals (ISIs) of 100, 150, 200, 300, 400, 500 and 750 ms in 12 patients with PSP, eight patients with CBS and 10 controls. RESULTS: Patients with PSP have earlier recruitment of R2BRRC as compared with patients with CBS (ISI: 100 ms, P = 0.002; 150 ms, P < 0.001; 200 ms, P < 0.001; 300 ms, P = 0.02) and controls (ISI: 100 ms, P < 0.001; 150 ms, P < 0.001; 200 ms, P < 0.001; 300 ms, P = 0.004). The presence of an early recovery of the R2 differentiated PSP from CBS with a specificity and sensitivity of 87.5% and 91.7%, respectively. CONCLUSIONS: The R2BRRC curve might be considered to be a useful tool in differentiating patients with PSP from those with CBS. CI - (c) 2018 EAN. FAU - Sciacca, G AU - Sciacca G AUID- ORCID: 0000-0002-1629-1282 AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Nicoletti, A AU - Nicoletti A AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Mostile, G AU - Mostile G AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Luca, A AU - Luca A AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Raciti, L AU - Raciti L AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Dibilio, V AU - Dibilio V AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. FAU - Drago, F AU - Drago F AD - Department of Biomedical and Biotechnological Sciences, Section of Pharmacology, University of Catania, Catania, Italy. FAU - Salomone, S AU - Salomone S AD - Department of Biomedical and Biotechnological Sciences, Section of Pharmacology, University of Catania, Catania, Italy. FAU - Zappia, M AU - Zappia M AD - Department of Medical, Surgical Sciences and Advanced Technologies GF Ingrassia, University of Catania, Catania, Italy. LA - eng PT - Journal Article DEP - 20180612 PL - England TA - Eur J Neurol JT - European journal of neurology JID - 9506311 SB - IM CIN - Eur J Neurol. 2020 Nov;27(11):e68. PMID: 32526800 CIN - Eur J Neurol. 2020 Nov;27(11):e74. PMID: 32618054 MH - Aged MH - Aged, 80 and over MH - *Blinking MH - Diagnosis, Differential MH - Female MH - Humans MH - Male MH - Predictive Value of Tests MH - Prospective Studies MH - Sensitivity and Specificity MH - Supranuclear Palsy, Progressive/*diagnosis MH - Syndrome OTO - NOTNLM OT - blink reflex recovery cycle OT - corticobasal syndrome OT - progressive supranuclear palsy EDAT- 2018/05/14 06:00 MHDA- 2019/03/16 06:00 CRDT- 2018/05/14 06:00 PHST- 2018/02/04 00:00 [received] PHST- 2018/05/03 00:00 [accepted] PHST- 2018/05/14 06:00 [pubmed] PHST- 2019/03/16 06:00 [medline] PHST- 2018/05/14 06:00 [entrez] AID - 10.1111/ene.13673 [doi] PST - ppublish SO - Eur J Neurol. 2018 Aug;25(8):1100-e85. doi: 10.1111/ene.13673. Epub 2018 Jun 12.