Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “EPD”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources
PubMed1996

Use of expected progeny differences for marbling in beef: I. Production traits.

Six Angus bulls with HIGH ( > .4) and six bulls with LOW ( < -.16) expected progeny differences (EPD) for marbling were used to evaluate the impact of marbling on progeny production and carcass traits. Bulls were randomly bred to MARC II (1/4 Hereford, 1/4 Simmental, 1/4 Angus, 1/4 Gelbvieh) composite cows in each of 2 yr to calve in the spring. At weaning, steers and heifers were separated and managed in different production systems. Steers (n = 131) were fed a growing diet (1.1 Mcal of NEg/kg) for 48 d followed by adaptation to a 93% concentrate finishing diet. Heifers (n = 125) were fed a growing diet (.79 Mcal of NEg/kg) for 191 d followed by adaptation to the same 93% concentrate diet. Steers and heifers from each treatment were slaughtered at two times spaced about 60 d apart within both years. Marbling EPD class had no effect on fat thickness, USDA yield grade, carcass weight, finishing daily gain, finishing DMI, or finishing efficiency (P > .18). More (P < .05) carcasses of calves from sires with HIGH EPD for marbling graded USDA Choice than from LOW EPD sires, 74% vs 47%, respectively. Angus sires can be selected to produce progeny that have increased ability to grade Choice without increasing yield grade or decreasing animal growth or feed efficiency.

Animals↗
PubMed1998

Comparison of sire breed solutions for growth traits adjusted by mean expected progeny differences to a 1993 base.

Records on growth traits were obtained from five Midwestern agricultural experiment stations as part of a beef cattle crossbreeding project (NC-196). Records on birth weight (BWT, n =3,490), weaning weight (WWT, n = 3,237), and yearling weight (YWT, n = 1,372) were analyzed within locations and pooled across locations to obtain estimates of breed of sire differences. Solutions for breed of sire differences were adjusted to the common base year of 1993. Then, factors to use with within-breed expected progeny differences (EPD) to obtain across-breed EPD were calculated. These factors were compared with factors obtained from similar analyses of records from the U. S. Meat Animal Research Center (MARC). Progeny of Brahman sires mated to Bos taurus cows were heaviest at birth and among the lightest at weaning. Simmental and Gelbvieh sires produced the heaviest progeny at weaning. Estimates of heritability pooled across locations were .34, .19, and .07 for BWT, WWT, and YWT, respectively. Regression coefficients of progeny performance on EPD of sire were 1.25+/-.09, .98+/-.13, and .62+/-.18 for BWT, WWT, and YWT, respectively. Rankings of breeds of sire generally did not change when adjusted for sire sampling. Rankings were generally similar to those previously reported for MARC data, except for Limousin and Charolais sires, which ranked lower for BWT and WWT at NC-196 locations than at MARC. Adjustment factors used to obtain across-breed EPD were largest for Brahman for BWT and for Gelbvieh for WWT. The data for YWT allow only comparison of Angus with Simmental and of Gelbvieh with Limousin.

Animals↗
PubMed2003

Genetic evaluation of growth in nellore cattle by multiple-trait and random regression models.

The objective of this study was to identify issues in genetic evaluation of beef cattle for growth by a random regression model (RRM). Genetic evaluation data included 2,946,847 records of up to nine sequential weights of 812,393 Nellore cattle measured at ages ranging from birth to 733 d. Models considered were a five-trait multiple-trait model (MTM) and a cubic RRM. The MTM included the effects of contemporary group, age of dam class, additive direct, additive maternal, and maternal permanent environment. Both additive effects were assumed correlated. The RRM included the same effects as MTM, with the addition of permanent and random error effects. The purpose of the random error effect, which was in addition to a residual effect with constant variance, was to model heterogeneous residual variances. All effects in RRM were modeled as cubic Legendre polynomials. Expected progeny differences (EPD) were obtained iteratively using a preconditioned conjugate gradient algorithm. Numerically accurate solutions with RRM were not obtained until the random regressions were orthogonalized. Computing requirements of RRM were reduced by more than 50%, without affecting the accuracy by removing regressions corresponding to very low eigen-values and by replacing the random error effects with weights. Afterward, the correlations between EPD from RRM and from MTM for EPD on selected weights were between 0.84 and 0.89. For sires with at least 50 progeny, these correlations increased to 0.92 to 0.97. Low correlations were caused by differences in parameters. The RRM applied to growth i s prone to numerical problems. Estimates of EPD with RRM may be more accurate than those with MTM only if accurate parameters are applied.

Age Factors↗
PubMed2005

Factors affecting carcass value and profitability in early-weaned Simmental steers: I. Five-year average pricing.

In a 4-yr study, early-weaned Simmental steers (n = 192) of known genetics were individually fed to determine genetic, performance, and carcass factors explaining variation in carcass value and profitability. Steers were weaned at 88.0 +/- 1.1 d of age and pen-fed a high-concentrate diet (108.99 dollars/t) for 84.5 +/- 0.4 d before allotment. Calves were implanted with Synovex C at weaning and successively with Synovex S (Fort Dodge Animal Health, Fort Dodge, IA) and Revalor S (Intervet, Inc., Millsboro, DE). Steers consumed a 90% concentrate diet (98.93 dollars/t), consisting primarily of coarse cracked corn and corn silage, for 249.7 +/- 0.7 d and slaughtered at 423.3 +/- 1.4 d of age. Five-year price data were collected for feedstuffs, dressed beef, and grid premiums, and discounts. Average dressed beef price was 110.67 dollars/45.4 kg. Premiums (dollars/45.4 kg) were given for Prime (5.62 dollars), Average Choice (1.50 dollars), and yield grades (YG) 1 (2.46 dollars), 2A (1.31 dollars), and 2B (1.11 dollars). Discounts (dollars/45.4 kg) were given for Standard (-16.85 dollars), Select (-8.90 dollars), and YG 3A (-0.12 dollars), 3B (-0.19 dollars), 4 (-14.16 dollars), and 5 (-19.56 dollars). Discounts were given for HCW extremes as well (409 to 431 kg, -0.64 dollars; 432 to 454 kg -11.39 dollars; > 454 kg, -19.71 dollars). Input costs included annual cow costs (327.77 dollars), veterinary/medical and labor (35 dollars per animal), feed markup (22 dollars/t), yardage (0.25 dollars/d per animal), and interest (10%). Dependent variables were carcass value and profit per steer. Independent variables were year, weaning weight EPD, yearling weight EPD, marbling EPD, DMI, ADG, G:F, HCW, calculated YG, and marbling score (MS). Carcass value was correlated (P < 0.05) with yearling weight and marbling EPD, DMI, ADG, feed efficiency, HCW, and MS. Carcass weight, MS, and YG accounted for nearly 80% of the variation in carcass value among steers, explaining 51, 10, and 8%, respectively. Profit was correlated (P < 0.05) with DMI, ADG, feed efficiency, HCW, and MS. Carcass weight, MS, YG, and DMI accounted for nearly 78% of the variation in profit among steers, explaining 21, 18, 12, and 3%, respectively. Carcass weight was the most critical factor contributing to carcass value, whereas BW and carcass quality were the primary factors affecting steer profitability. These models represent the relative importance of factors contributing to value and profitability in early-weaned Simmental steers based on historical pricing scenarios.

Animal Feed↗
PubMed2005

Factors affecting carcass value and profitability in early-weaned Simmental steers: II. Days on feed endpoints and sorting strategies.

In a 4-yr study, early-weaned Simmental steers (n = 192) of known genetics were individually fed to determine EPD, performance, and carcass measurements explaining variation in carcass value and profitability across incremental days on feed (DOF) when sorted by HCW, calculated yield grade (YG), or at their highest profit endpoint (BEST). Steers were weaned at 88.0 +/- 1.1 d of age, pen-fed a high-concentrate diet for 84.5 +/- 0.4 d, individually fed for 249.7 +/- 0.7 d, and slaughtered at 423.3 +/- 1.4 d of age. Carcass weight, YG, and marbling score (MS) were predicted using real-time ultrasound throughout the finishing period to calculate carcass value and profitability at 90, 60, 30 d preslaughter and under three individual sorting strategies. Sorting strategies included marketing the 25 and 50% heaviest HCW, the highest YG at d 60 and 30, or the remaining 25% at 0-d endpoints. Independent variables were year, weaning weight EPD, yearling weight EPD, marbling EPD, DMI, ADG, HCW, YG, and MS. Profit was quadratic in response to increased DOF; the greatest economic return was noted on d 30 (pre-slaughter). Final weight, DMI, HCW, MS, and YG increased (linear; P < 0.001) with additional DOF, and ADG and G:F decreased (linear; P < 0.001). Total cost of gain was quadratic (P < 0.001), and incremental cost of gain rose at an increasing rate (quadratic; P < 0.001) with increased DOF. With increasing DOF, HCW importance decreased from 58 to 21%; MS was variable, ranging from 18 to 23%; and YG and DMI were minor contributors to profit variation. Among sorting strategies, final BW and HCW were greater for BEST, whereas other measurements were similar. Sorting individuals by HCW, YG, or at BEST increased profitability 3.70 dollars, 2.52 dollars, or 30.65 dollars over the optimal group DOF endpoint (d 30). Retrospective analyses illustrated that sorting does not need to pinpoint each animal's profit optimum to result in economic gains; rather, increasing HCW and decreasing weight- and YG-related penalties improved profitability. Opportunities may exist with existing and new technology to uniformly allocate cattle into feeding and marketing groups, decrease overfeeding, and increase carcass value and profitability.

Animal Feed↗
PubMed1986

Heritability and repeatability of Hereford show-ring placing and associated correlations with individual performance measurements and expected progeny differences.

Data associated with 1,531 Herefords shown at the National Western Stock Show at Denver from 1978 to 1984 were used to estimate heritability and repeatability of show-ring placing (SRP) and genetic, environmental and phenotypic correlations. The correlations were those between: SRP and individual measurements (IM) taken at the time of show and available to the judges, SRP and parents' SRP and IM, male SRP and their individual expected progeny difference values (EPD) and SRP and sire EPD. The IM were height, weight, backfat, weight per day of age and scrotal circumference. The estimation procedures were symmetric differences squared, analysis of variance and parent-offspring regression and correlation. Three similar estimates of SRP heritability averaged .39. Three similar estimates of SRP repeatability averaged .33 and suggested little effective selection for SRP based on first record and low permanent environmental variance. The phenotypic correlations indicated an individual's height (.63) had the most influence on its SRP followed by weight (.43). Genetic and environmental correlations between height and SRP averaged (three estimates) .78 and .37, respectively. Dam SRP, height and backfat had higher correlations with offspring SRP than those of the sire. Male SRP was moderately correlated with EPD values for weaning (.25) and yearling (.38) height and weaning (.33) and yearling (.32) weight. The correlations between SRP and sire EPD values were: .27 (birth weight), .16 (weaning weight), .33 (weaning height), .10 (yearling weight), .23 (yearling height) and .07 (maternal breeding value). The results did not support SRP as a criterion for improving growth performance traits.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1997

Vietnamese and Arabic women's responses to the Diagnostic Interview Schedule (depression) and self-report questionnaires: cause for concern.

OBJECTIVE: The original study aimed to determine the best cut-off scores to screen for postnatal depression on translated versions of the Edinburgh Postnatal Depression Scale (EPDS) for Vietnamese and Arabic women. This research was conducted using the depression module of the Diagnostic interview Schedule (DIS) to determine caseness. This paper reports on the suitability of this diagnostic interview as a criterion measure of depression in these women with a non-English speaking background. METHOD: Vietnamese and Arabic women in south-west Sydney completed the EPDS and a General Health Questionnaire (GHQ-30) antenatally. At 6-8 weeks postpartum they completed an EPDS, the GHQ-30 and a Faces Scale, and were interviewed using the depression module of the DIS. Members of a small convenience sample of women were asked about the cultural appropriateness of each of the instruments. RESULTS: Vietnamese women admitted to few depressive symptoms on the DIS, whereas they appeared more open to reporting these on the EPDS and the GHQ-30. Arabic women responded more openly to the questionnaires and the interview, although they too were reluctant to report specific symptoms on the DIS. CONCLUSION: The usefulness of the DIS in determining rates of major depression in the Vietnamese and Arabic community in Australia is questionable. Further studies designed specifically to investigate this are needed.

Adult↗
PubMed1996

Psychological aspects of nipple pain in lactating women.

The aim of the study was to assess the psychological impact of nipple pain in lactating women. Forty-eight lactating women with nipple pain completed mood scales at their first visit and following resolution of their pain, and 65 lactating women without nipple pain completed one set of mood scales. At the first visit, the mean score on the Edinburgh Postnatal Depression Scale (EPDS) in the nipple pain group was 12.4 and the control group was 7.6 (p < 0.0001). Eighteen women (38%) scored above the threshold for depression (> 12), compared to nine in the control group (14%): p < 0.01. Following pain resolution, the mean score on the EPDS decreased to 7.3 (p < 0.001); and six women (16%) scored 13 or over on the EPDS, significantly less than initially (p < 0.05). Similarly, on the Profile of Mood States (POMS), the nipple pain group scored significantly higher than control group on all mood factors (Tension, Depression, Fatigue, Confusion, Vigor [lower]), except Anger which did not reach a level of significance. After pain resolution, POMS scores returned to similar levels as the control group. In conclusion, both the EPDS and POMS indicated women with nipple pain were experiencing high levels of emotional distress. However, once the pain had resolved their distress also resolved.

Adult↗
PubMed1997

Validation of the Edinburgh Postnatal Depression Scale in Italy.

Validation of the Italian version of the Edinburgh Postnatal Depression Scale (EPDS) is described. Sixty-one post-partum women (aged 22-43 years) were evaluated. Degree of accuracy of the Italian EPDS was carried out by comparing results with those obtained by means of the clinical interview Present State Examination (PSE). Nine women (15%) were suffering from clinically significant depression. The best cut-off score of the Italian EPDS was between 9 and 10; this showed the highest sensitivity (100%) with a good specificity (83%). These results are concordant with the validation of the original English scale and of other translated versions. This study confirms that the EPDS is an extremely useful screening instrument that shows consistent psychometric features when translated and used in different community contexts.

Adult↗
PubMed2003

Redesigning postnatal care: a randomised controlled trial of protocol-based midwifery-led care focused on individual women's physical and psychological health needs.

OBJECTIVES: To develop, implement and test the cost-effectiveness of redesigned postnatal care compared with current care on women's physical and psychological health. DESIGN: A cluster randomised controlled trial, with general practice as the unit of randomisation. Recruited women were followed up by postal questionnaire at 4 and 12 months postpartum and further data collected from midwife and general practice sources. SETTING: Thirty-six randomly selected general practice clusters in the West Midlands Health Region, UK. PARTICIPANTS: All women expected to be resident within recruited practices for postnatal care were eligible for inclusion. Attached midwives recruited 1087 women in the intervention and 977 in the control practice clusters. INTERVENTIONS: The systematic identification and management of women's health problems, led by midwives with general practitioner contact only when required. Symptom checklists and the Edinburgh Postnatal Depression Scale (EPDS) were used at various times to maximise the identification of problems, and individual care and visit plans based on needs. Evidence-based guidelines were used to manage needs. Care was delivered over a longer period. MAIN OUTCOME MEASURES: Women's health at 4 and 12 months, assessed by the Physical and Mental Component Scores (PCS and MCS) of the Short-Form 36 (SF-36) and the EPDS. Women's views about care, reported morbidity at 12 months, health service usage during the year, 'good practice' indicators and health professionals' views about care were secondary outcomes. RESULTS: At 4 and 12 months postpartum the mean MCS and EPDS scores were significantly better in the intervention group and the proportion of women with an EPDS score of 13+ (indicative of probable depression) was significantly lower relative to controls. The physical health score (PCS) did not differ. Health service usage was significantly less in the intervention group as well as reported psychological morbidity at 12 months. Women's views about care were either more positive or did not differ. Intervention midwives were more satisfied with redesigned care than control midwives were with standard care. Intervention care was cost-effective since outcomes were better and costs did not differ substantially. CONCLUSIONS: The redesigned community postnatal care led by midwives and delivered over a longer period, resulted in an improvement in women's mental health at 4 months postpartum, which persisted at 12 months and at equivalent overall cost. It is suggested that further research should focus on: the identification of postnatal depression through screening; whether fewer adverse longer term effects might be demonstrated among the children of the women who had the intervention care relative to the controls; testing interventions to reduce physical morbidity, including studies to validate measures of physical health in postpartum women. Further research is also required to investigate appropriate postnatal care for ethnic minority groups.

Adolescent↗
PubMed2002

Enzyme-potentiated desensitization in otolaryngic allergy.

This is a preliminary report of a new method of treating otolaryngic allergy with enzyme-potentiated desensitization (EPD). The nature of EPD and its use in otolaryngology are described. Thirty-six patients have been treated and followed in a private medical practice since February 1997. This article reviews the clinical features of EPD and provides six cases as examples; the clinical features described include allergic rhinitis, serous otitis media, asthma, dermatitis, fixed food allergy, and Ménière's disease. EPD is an effective technique for the treatment of otolaryngic allergy and offers advantages over conventional techniques.

Adolescent↗
PubMedDate not supplied

[Seasonal changes in the human constant electrical field in various age groups].

Seasonal changes of the constant electric field of healthy people of various age groups were studied. The constant electric field was shown to be characterized by a fine structure of distribution of electric potential differences (EPD) along the skin in relation to a referent point located on the neck in the intersection region of trapeziform and clavicular-nipple muscles. The constant electric field of the people of all ages undergoes seasonal changes involving displacement of all EPD values to the positive region during autumn-winter period as compared to the spring-summer one. It is suggested that such EPD change is conditioned by a change of the organism metabolic activity. The discovered differences in EPD displacement values of various age groups can serve as physiological characteristics of transitional processes in the growing organisms.

Aging↗
PubMed2005

Association of PIT1, GH and GHRH polymorphisms with performance and carcass traits in Landrace pigs.

The study of candidate genes, based on physiological effects, is an important tool to identify genes to be used in marker-assisted selection programs. In this study, a group of halothane gene-free, non-castrated, male Landrace pigs was used to study the association between polymorphisms in the PIT1 (n = 218), GH (n = 213) and GHRH (n = 206) genes and fat thickness, average daily gain, and the EPD (expected progeny difference) for fat thickness, average daily gain, and litter size. These genes are potential candidate markers because of their important physiological effects. The pigs were genotyped by PCR-RFLP, and the statistical model used to analyze the association between genotypes and the traits measured included genotypes as a fixed effect and age and weight as covariates. PIT1 polymorphisms were associated with fat thickness (P = 0.0019), EPD for average daily gain (P = 0.0001) and EPD for fat thickness (P = 0.0001), whereas GH polymorphisms were associated with fat thickness (P = 0.0326) and average daily gain (P = 0.0127), and GHRH polymorphisms were associated with the average daily gain (P = 0.0001) and EPD for fat thickness (P = 0.0004). These results confirmed the potential usefulness of these genes in marker-assisted selection programs for pig breeding.

Adipose Tissue↗
PubMed1991

Estrogen receptors in skin appendage tumors and extramammary Paget's disease.

Determination of estrogen receptors (ER) in breast carcinoma is valuable in the management of patients. However, little is known about the presence of these receptors in other tumors. Normal skin appendages and their neoplasms, including extramammary Paget's disease (EPD), might be expected to express ER since the breast is histogenetically related to sweat glands. In this study, 41 cases of skin appendage tumors (SAT) and 11 cases of EPD were stained using the ER-ICA monoclonal kit (Abbott, Chicago, IL) with a modified technique for paraffin-embedded sections. Controls included 10 biopsies of primary breast carcinoma and 4 cases of metastatic breast carcinoma to skin, all positive for ER. None of the samples of SAT or EPD showed staining for ER. Normal skin appendages were also negative. Normal vaginal epithelium in one case of EPD showed positive nuclear staining for ER. ER determination using immunohistochemical technique in paraffin-embedded sections may be useful in the differential diagnosis between malignant SAT and metastatic breast carcinoma in the skin. The absence of ER in normal skin appendages suggests that its apparition is a feature of specialized differentiation of breast epithelium.

Adult↗
PubMed1989

[Effect of estroprogestative drugs on the secretion of corticoadrenal hormones].

Estro-progestative drugs (EPD) have been used for many years and multiple secondary effects have been reported concerning mainly the glucidic and lipidic metabolisms. Effects of EPD on steroid metabolism have also been described and the authors present a review of the literature on this subject. Particularly it appears that EPD affect: the glucocorticoid metabolism, with augmentation of total cortisol although not in its free-form (augmentation of transcortine), the adrenal androgens metabolism, with diminution of their circulating rates, the aldosterone metabolism with augmentation of its secretion. These biological constatations could help explaining some clinical features occurring with administration of EPD: diminution of hirsutism and/or acne, augmentation of body weight, appearance of hypertension.

Adrenal Cortex Hormones↗
PubMed1982

The glycemic effects of sympathomimetics in stressed mice.

Sympathomimetics are extensively used clinically as decongestants and bronchodilators in cough, cold, and sinus remedies. However, few studies have addressed the glycemic potentials of these drugs. In this study, the glycemic potentials of pseudoephedrine (PSD), ephedrine (EPD), and phenyl-propanolamine (PPA), the three most commonly used sympathomimetics, were evaluated. PSD caused a dose-dependent delayed hyperglycemia. This was attenuated when procedural stress was reduced. EPD and PPA did not increase the hyperglycemia due to procedural stress. EPD and PPA blunted the hyperglycemia in fed mice after a 2 g/kg oral glucose challenge; PSD had no effect. The effects of PPA and EPD on post-challenge glucose levels may be partially explained by increased insulin/glucose ratios at 15 minutes post-challenge. These studies indicate that there are differences in the glycemic effects among the sympathomimetics in stressed mice.

Animals↗
PubMed2026

Transition from Conventional to Genomic Selection (ssGBLUP) led to improve in accuracy gains and selection decisions in Sahiwal Cattle.

By using genome-wide markers to predict an individual's genetic potential, the introduction of Genomic Selection (GS) has transformed animal breeding. This greatly accelerated selection for complex traits by lowering reliance on drawn-out field trials, allowing for faster genetic gains in livestock. However, there is little research on the effects of genomic selection on Sahiwal cattle in India, and comparing it to the current culling or selection process is even more uncommon, particularly in nations with fewer genotyped animals. This study is an initial effort to address the aforementioned gaps in knowledge. Genomic selection was implemented in Sahiwal cattle for the 305 days milk yield using univariate animal model and the single-step Genomic Best Linear Unbiased Prediction (ssGBLUP) method. The Effective Population size (Ne) of the Sahiwal herd was calculated using genomic data and was reported for the previous generation to be 71.927. The heritability of 305 days milk yield was estimated as 0.177&#x2009;&#xb1;&#x2009;0.068. Genomic estimated breeding values (GEBVs) were predicted for each individual using ssGBLUP, yielding a mean prediction accuracy of 43.11%, compared with 40.88% obtained using conventional pedigree-based BLUP. Cross-validation further demonstrated superior predictive performance of ssGBLUP, with accuracies of 76.82% and 70.50% for ssGBLUP and PBLUP, respectively. To further check the effectiveness of the genomic selection methodology, we also compared the GEBVs obtained and compared it with the Expected Progeny Difference (EPD) which is being applied in our farm for culling decisions. It was seen that GEBVs obtained from ssGBLUP methodology were also in line with the conventionally used method of EPD. The use of genomic selection enables genetic studies with limited pedigree information. Additionally, the ssGBLUP methodology allows to check for pedigree errors, where family relationships are incorrectly recorded. The EPD and GEBVs were consistent with one another, indicating that genomic selection may also be utilised to support culling and selection decisions in a farm. Thus, in a conventional animal breeding program with constraint resources and an incomplete pedigree, we recommend employing the ssGBLUP model for regular genomic assessment and identification of suitable candidates to effectively carry out a genomic selection program.

Animals↗
PubMed1998

Changes in perfusion pattern using ECD-SPECT indicate frontal lobe and cerebellar involvement in exercise-induced paroxysmal dystonia.

The clinical features of exercise-induced paroxysmal dystonia (EPD) are delineated in a pedigree including two affected members (both male) showing an autosomal-dominant inheritance trait. Gait analysis using kinematic electromyography during the motor attacks revealed coactivation of antagonistic calf muscles characteristic of dystonia. In the interval, impaired muscular alternation was observed. To characterize further the pathophysiological basis of the condition, ictal and interictal cerebral perfusion SPECT studies using technetium 99m-ethyl cysteinate dimer (ECD) were performed to establish whether cortical hyperactivity indicative of epilepsy is present during the motor attacks and to identify regional changes in the ictal perfusion pattern that could indicate an anatomic structure relevant to the disease. During the motor attacks, decreased ictal perfusion of the frontal cortex was found in both patients. In contrast, increased cerebellar perfusion was observed. The perfusion of the basal ganglia also decreased. No cortical hyperperfusion indicative of an epileptic nature was seen. Cerebellar hyperactivity in connection with prominent frontal hypoactivity has also been described in both the idiopathic and the symptomatic forms of dystonia. Our findings therefore suggest that EPD represents a paroxysmal movement disorder rather than epilepsy. It is concluded that changes in frontal and in cerebellar function are relevant to the pathophysiology of EPD.

Adolescent↗