Pure stimulus‐sensitive truncal myoclonus of propriospinal origin
Identifieur interne : 003180 ( Istex/Corpus ); précédent : 003179; suivant : 003181Pure stimulus‐sensitive truncal myoclonus of propriospinal origin
Auteurs : A. Schulze-Bonhage ; H. Knott ; FerbertSource :
- Movement Disorders [ 0885-3185 ] ; 1996-01.
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Abstract
The clinical and electrophysiological features of stimulus‐sensitive truncal myoclonus are described in a 49‐year‐old woman. Touching the skin of the back and abdomen would evoke jerks in both ipsilateral and contralateral axial muscles; there was no spontaneous jerking. Multichannel EMG recordings showed bilateral short‐latency muscle bursts at truncal recording sites both rostral and caudal to stimulus sites. The short latencies of muscle bursts in adjacent segments give evidence of a spinal origin of myoclonus; the pattern of recruitment and the velocity of spread suggest the involvement of propriospinal pathways. The presence of intrathecal IgG synthesis and of oligoclonal bands in the CSF point towards an inflammatory process which may underly the unusual type of myoclonus in this patient.
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DOI: 10.1002/mds.870110116
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Schulze-Bonhage</name><affiliation><mods:affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</mods:affiliation></affiliation></author><author><name sortKey="Knott, H" sort="Knott, H" uniqKey="Knott H" first="H." last="Knott">H. Knott</name><affiliation><mods:affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</mods:affiliation></affiliation></author><author><name sortKey="Ferbert" sort="Ferbert" uniqKey="Ferbert" last="Ferbert">Ferbert</name><affiliation><mods:affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</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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Knott</name><affiliations><json:string>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</json:string></affiliations></json:item><json:item><name>Dr. Ferbert</name><affiliations><json:string>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Myoclonus</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Propriospinal</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Stimulus sensitive</value></json:item></subject><language><json:string>eng</json:string></language><abstract>The clinical and electrophysiological features of stimulus‐sensitive truncal myoclonus are described in a 49‐year‐old woman. Touching the skin of the back and abdomen would evoke jerks in both ipsilateral and contralateral axial muscles; there was no spontaneous jerking. 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Touching the skin of the back and abdomen would evoke jerks in both ipsilateral and contralateral axial muscles; there was no spontaneous jerking. Multichannel EMG recordings showed bilateral short‐latency muscle bursts at truncal recording sites both rostral and caudal to stimulus sites. The short latencies of muscle bursts in adjacent segments give evidence of a spinal origin of myoclonus; the pattern of recruitment and the velocity of spread suggest the involvement of propriospinal pathways. The presence of intrathecal IgG synthesis and of oligoclonal bands in the CSF point towards an inflammatory process which may underly the unusual type of myoclonus 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>Pure stimulus‐sensitive truncal myoclonus of propriospinal origin</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>STIMULUS‐SENSITIVE PROPRIOSPINAL MYOCLONUS</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Pure stimulus‐sensitive truncal myoclonus of propriospinal origin</title></titleInfo><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Schulze‐Bonhage</namePart><affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">H.</namePart><namePart type="family">Knott</namePart><affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Ferbert</namePart><affiliation>Neurologische Klinik, Städtische Kliniken Kassel, Kassel, Germany</affiliation><description>Correspondence: Neurologische Klinik, Städtische Kliniken Kassel, Mönchebergstr, 41‐43, D‐34125 Kassel, Germany</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1996-01</dateIssued><dateValid encoding="w3cdtf">1995-05-25</dateValid><copyrightDate encoding="w3cdtf">1996</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">1</extent><extent unit="references">16</extent></physicalDescription><abstract lang="en">The clinical and electrophysiological features of stimulus‐sensitive truncal myoclonus are described in a 49‐year‐old woman. Touching the skin of the back and abdomen would evoke jerks in both ipsilateral and contralateral axial muscles; there was no spontaneous jerking. Multichannel EMG recordings showed bilateral short‐latency muscle bursts at truncal recording sites both rostral and caudal to stimulus sites. The short latencies of muscle bursts in adjacent segments give evidence of a spinal origin of myoclonus; the pattern of recruitment and the velocity of spread suggest the involvement of propriospinal pathways. The presence of intrathecal IgG synthesis and of oligoclonal bands in the CSF point towards an inflammatory process which may underly the unusual type of myoclonus in this patient.</abstract><subject lang="en"><genre>Keywords</genre><topic>Myoclonus</topic><topic>Propriospinal</topic><topic>Stimulus sensitive</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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