ArticleJournal of neurology2026
Preferential age-related striatal volume preservation in cervical dystonia.
Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
background and purposePrevious research has shown inconsistent striatal volumetric differences in isolated, idiopathic dystonia. In healthy populations, progressive striatal volume loss occurs with advancing age. We investigated age-related striatal volume in participants with adult-onset cervical dystonia (CD) and other isolated, idiopathic focal dystonias.
methodsHigh-resolution structural MRI was analyzed in 184 participants (92 focal dystonia: 33 CD, 18 laryngeal, 18 blepharospasm, 10 embouchure, 13 upper-limb; 92 healthy controls). Subcortical volumes (caudate, putamen, hippocampus, amygdala, ventricles) were quantified using FreeSurfer, adjusted for intracranial volume. Linear regression examined age-volume relationships controlling for sex and motion.
resultsCD showed significantly different age-related striatal trajectories versus controls. Putamen [F(1117) = 10.82, p = 0.001, η
conclusionsOur findings reveal selective preservation of caudate and putamen volume with age that is unique to CD among focal dystonia subtypes. This neuroanatomical distinction suggests different adaptive or pathophysiological mechanisms underlying CD. These results contribute to the conceptualization of both common and heterogeneous neurobiological substrates across dystonia subtypes, highlighting the importance of subtype-specific research approaches to consider age.
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