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Unilateral olfactory sensitivity in multiple sclerosis.
Good, Kimberley P; Tourbier, Isabelle A; Moberg, Paul; Cuzzocreo, Jennifer L; Geckle, Rena J; Yousem, David M; Pham, Dzung L; Doty, Richard L.
Afiliación
  • Good KP; Department of Psychiatry and Department of Psychology & Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.
  • Tourbier IA; Smell and Taste Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Department of Otorhinolarynology: Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
  • Moberg P; Smell and Taste Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Department of Otorhinolarynology: Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Department of Psychiatry, Perelman Scho
  • Cuzzocreo JL; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
  • Geckle RJ; Department of Radiology, Johns Hopkins Hospital, Baltimore, MD, United States.
  • Yousem DM; Department of Radiology, Johns Hopkins Hospital, Baltimore, MD, United States.
  • Pham DL; Center for Neuroscience and Regenerative Medicine, Henry Jackson Foundation, Bethesda, MD, United States.
  • Doty RL; Smell and Taste Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States; Department of Otorhinolarynology: Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: richard.doty@uphs.u
Physiol Behav ; 168: 24-30, 2017 01 01.
Article en En | MEDLINE | ID: mdl-27780720
It is not known whether lateralized olfactory sensitivity deficits are present in MS. Since projections from the olfactory bulb to the olfactory cortex are largely ipsilateral, and since both functional imaging and psychophysical studies suggest that the right side of the brain may be more involved in olfactory processing than the left, we addressed this issue by administering well-validated tests of odor detection, along with tests of odor identification, to each side of the nose of 73 MS patients and 73 age-, gender-, and race-matched normal controls. We also determined, in 63 of the MS patients, whether correlations were present between the olfactory test measures and MRI-determined lesions in brain regions ipsilateral and contralateral to the nose side that was tested. No significant left:right differences in either olfactory sensitivity or identification were present, although in both cases mean performance was lower in the MS than in the control subjects (ps<0.0001). Scores on the two sides of the nose were positively correlated with one another (threshold r=0.56, p<0.0001; Identification r=0.71, p<0.0001). The percent of MS patients whose bilateral test scores fell below the 10th percentile of controls did not differ between the odor identification and detection threshold tests. Both left and right odor identification and detection test scores were weakly correlated with lesion volumes in temporal and frontal lobe brain regions (r's<0.40). Our findings demonstrate that MS does not differentially influence odor perception on left and right sides of the nose, regardless of whether sensitivity or identification is being measured. They also indicate that tests of odor identification and detection are similarly influenced by MS and that such influences are associated with central brain lesions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Umbral Sensorial / Lateralidad Funcional / Trastornos del Olfato / Esclerosis Múltiple Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Physiol Behav Año: 2017 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Umbral Sensorial / Lateralidad Funcional / Trastornos del Olfato / Esclerosis Múltiple Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Physiol Behav Año: 2017 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos