Movement Disorders (revue)

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Persisting “Writer's Cramp” as a result of compensation of a temporary palsy due to a hereditary neuropathy with liability to pressure palsies

Identifieur interne : 001F25 ( Istex/Corpus ); précédent : 001F24; suivant : 001F26

Persisting “Writer's Cramp” as a result of compensation of a temporary palsy due to a hereditary neuropathy with liability to pressure palsies

Auteurs : Straube ; Norbert Mai ; Ernst Walther ; Michael Mayer

Source :

RBID : ISTEX:7D8AE905A43650013CFEFB2970BF08E4129849F0

English descriptors

Abstract

A 49‐year‐old man reported several periods of acute paresis of different nerves after exposure to pressure. All palsies showed a good recovery over a period of days to months. The suspected diagnosis of a hereditary neuropathy with liability to pressure palsies was confirmed by the histology of a suralis nerve biopsy, which showed a distinct tomaculous swelling of the myelin. Nine years ago he noticed an acute, distally pronounced palsy of the right arm. A brachial plexus lesion was diagnosed. His profession required written work, thereby forcing him to compensate this weakness by increasign the coactivation of the elbow and upper arm. This coactivation persisted even after complete recovery from the plexus palsy. Thus, the patient showed the typical feature of classcal writer's cramp, with broad coactivation of the arm muscles, which has continued to the present. At the same time, however, the patient was able to perform other motoric tasks well, such as painting. After several practice sessions with a special program that makes use of preserved motor abilities to reestablish writing, the patient was again able to write with a normal kinematic profile as documented by the recorded handwriting. This suggests that the “writer's cramp” of our patient is one form of task‐related dystonia that may be related more to the perserveration of a misleading motor strategy than to a general inability of the motor system to control the movement properly.

Url:
DOI: 10.1002/mds.870110515

Links to Exploration step

ISTEX:7D8AE905A43650013CFEFB2970BF08E4129849F0

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<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Persisting “Writer's Cramp” as a result of compensation of a temporary palsy due to a hereditary neuropathy with liability to pressure palsies</title>
</titleInfo>
<name type="personal">
<namePart type="termsOfAddress">Dr.</namePart>
<namePart type="family">Straube</namePart>
<affiliation>Department of Neurology, Klinikum Grosshadern, Ludwig‐Maximilians University, Munich, Germany</affiliation>
<description>Correspondence: Neurologische Poliklinik, Klinikum Grosshadern, Marchioninistrasse 15, 81377 Munich, Germany</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Norbert</namePart>
<namePart type="family">Mai</namePart>
<affiliation>Department of Neurology, Klinikum Grosshadern, Ludwig‐Maximilians University, Munich, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ernst</namePart>
<namePart type="family">Walther</namePart>
<affiliation>Department of Neurology, Klinikum Grosshadern, Ludwig‐Maximilians University, Munich, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Michael</namePart>
<namePart type="family">Mayer</namePart>
<affiliation>Department of Neurology, Klinikum Grosshadern, Ludwig‐Maximilians University, Munich, Germany</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
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<genre authority="originalCategForm">shortCommunication</genre>
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<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<place>
<placeTerm type="text">Hoboken</placeTerm>
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<dateIssued encoding="w3cdtf">1996-09</dateIssued>
<dateValid encoding="w3cdtf">1996-01-12</dateValid>
<copyrightDate encoding="w3cdtf">1996</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="references">19</extent>
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<abstract lang="en">A 49‐year‐old man reported several periods of acute paresis of different nerves after exposure to pressure. All palsies showed a good recovery over a period of days to months. The suspected diagnosis of a hereditary neuropathy with liability to pressure palsies was confirmed by the histology of a suralis nerve biopsy, which showed a distinct tomaculous swelling of the myelin. Nine years ago he noticed an acute, distally pronounced palsy of the right arm. A brachial plexus lesion was diagnosed. His profession required written work, thereby forcing him to compensate this weakness by increasign the coactivation of the elbow and upper arm. This coactivation persisted even after complete recovery from the plexus palsy. Thus, the patient showed the typical feature of classcal writer's cramp, with broad coactivation of the arm muscles, which has continued to the present. At the same time, however, the patient was able to perform other motoric tasks well, such as painting. After several practice sessions with a special program that makes use of preserved motor abilities to reestablish writing, the patient was again able to write with a normal kinematic profile as documented by the recorded handwriting. This suggests that the “writer's cramp” of our patient is one form of task‐related dystonia that may be related more to the perserveration of a misleading motor strategy than to a general inability of the motor system to control the movement properly.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Writer's cramp</topic>
<topic>Liability to pressure palsy</topic>
<topic>Cocontraction</topic>
<topic>Preserved motor abilities</topic>
<topic>Motor program error</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<subject>
<genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>1996</date>
<detail type="volume">
<caption>vol.</caption>
<number>11</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages">
<start>576</start>
<end>579</end>
<total>4</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">7D8AE905A43650013CFEFB2970BF08E4129849F0</identifier>
<identifier type="DOI">10.1002/mds.870110515</identifier>
<identifier type="ArticleID">MDS870110515</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1996 Movement Disorder Society</accessCondition>
<recordInfo>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
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