Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator
Identifieur interne : 002F99 ( Istex/Corpus ); précédent : 002F98; suivant : 003000Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator
Auteurs : Bahman Jabbari ; Fiona M. Molloy ; Marleigh Erickson ; Mary K. FloeterSource :
- Movement Disorders [ 0885-3185 ] ; 2000-11.
English descriptors
Abstract
We describe a 35‐year‐old woman who presented with the syndrome of painful hand–moving fingers on the right side. Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.
Url:
DOI: 10.1002/1531-8257(200011)15:6<1259::AID-MDS1032>3.0.CO;2-5
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ISTEX:11E60BBE5ABB2BA843C41CA4117E0B9C990F6770Le document en format XML
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Molloy</name><affiliation><mods:affiliation>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Erickson, Marleigh" sort="Erickson, Marleigh" uniqKey="Erickson M" first="Marleigh" last="Erickson">Marleigh Erickson</name><affiliation><mods:affiliation>Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Floeter, Mary K" sort="Floeter, Mary K" uniqKey="Floeter M" first="Mary K." last="Floeter">Mary K. Floeter</name><affiliation><mods:affiliation>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. 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Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Bahman Jabbari MD</name><affiliations><json:string>Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, U.S.A.</json:string></affiliations></json:item><json:item><name>Fiona M. Molloy MD</name><affiliations><json:string>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</json:string></affiliations></json:item><json:item><name>Marleigh Erickson MD</name><affiliations><json:string>Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, U.S.A.</json:string></affiliations></json:item><json:item><name>Mary K. Floeter MD</name><affiliations><json:string>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Painful hand–moving fingers</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Painful leg–moving toes</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>EMG</value></json:item></subject><language><json:string>eng</json:string></language><abstract>We describe a 35‐year‐old woman who presented with the syndrome of painful hand–moving fingers on the right side. Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. 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Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2000-11"></date><biblScope unit="vol">15</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="1259">1259</biblScope><biblScope unit="page" to="1263">1263</biblScope></imprint></monogr><idno type="istex">11E60BBE5ABB2BA843C41CA4117E0B9C990F6770</idno><idno type="DOI">10.1002/1531-8257(200011)15:6<1259::AID-MDS1032>3.0.CO;2-5</idno><idno type="ArticleID">MDS1032</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2000</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>We describe a 35‐year‐old woman who presented with the syndrome of painful hand–moving fingers on the right side. 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Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Bilateral Painful Hand–Moving Fingers</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator</title></titleInfo><name type="personal"><namePart type="given">Bahman</namePart><namePart type="family">Jabbari</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, U.S.A.</affiliation><description>Correspondence: Department of Neurology, 4301 Jones Bridge Rd., Bethesda, MD 20814, U.S.A.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Fiona M.</namePart><namePart type="family">Molloy</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marleigh</namePart><namePart type="family">Erickson</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mary K.</namePart><namePart type="family">Floeter</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">shortCommunication</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">2000-11</dateIssued><dateCaptured encoding="w3cdtf">1999-11-11</dateCaptured><dateValid encoding="w3cdtf">2000-06-06</dateValid><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="tables">1</extent><extent unit="references">15</extent><extent unit="words">2330</extent></physicalDescription><abstract lang="en">We describe a 35‐year‐old woman who presented with the syndrome of painful hand–moving fingers on the right side. Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.</abstract><subject lang="en"><genre>Keywords</genre><topic>Painful hand–moving fingers</topic><topic>Painful leg–moving toes</topic><topic>EMG</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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