Movement Disorders (revue)

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Short latency afferent inhibition and facilitation in patients with writer's cramp

Identifieur interne : 003733 ( Main/Exploration ); précédent : 003732; suivant : 003734

Short latency afferent inhibition and facilitation in patients with writer's cramp

Auteurs : Kirn R. Kessler [Allemagne] ; Diane Ruge [Allemagne] ; Tihomir V. Ili [Allemagne] ; Ulf Ziemann [Allemagne]

Source :

RBID : ISTEX:D42ACCBD6F8B86F196603057967CF22AB8207B99

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English descriptors

Abstract

Patients with writer's cramp (WC) show abnormalities of sensorimotor integration possibly contributing to their motor deficit. We studied sensorimotor integration by determining short‐latency afferent inhibition (SAI) in 12 WC patients and 10 age‐matched healthy controls. A conditioning electrical median nerve stimulus was followed 14 to 36 msec later by transcranial magnetic stimulation of the contralateral primary motor cortex, and motor evoked potentials (MEP) were recorded from the relaxed or contracting abductor pollicis brevis muscle (APB). SAI was normal in WC but during APB relaxation SAI was followed by abnormal MEP facilitation, which was absent during APB contraction and in the controls. These findings suggest that somatosensory short‐latency inhibitory input into the primary motor cortex is normal in WC, whereas a later excitatory input, which very likely reflects the long‐latency reflex II, is exaggerated. © 2004 Movement Disorder Society

Url:
DOI: 10.1002/mds.20295


Affiliations:


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Le document en format XML

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<term>Dystonic Disorders (physiopathology)</term>
<term>Electric Stimulation (methods)</term>
<term>Electromyography (methods)</term>
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<term>Evoked Potentials, Motor (physiology)</term>
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<term>Female</term>
<term>Functional Laterality</term>
<term>Human</term>
<term>Humans</term>
<term>Magnetics</term>
<term>Male</term>
<term>Median Nerve (physiology)</term>
<term>Median Nerve (radiation effects)</term>
<term>Middle Aged</term>
<term>Motor Cortex (physiopathology)</term>
<term>Motor Cortex (radiation effects)</term>
<term>Muscle, Skeletal (innervation)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Nervous system diseases</term>
<term>Neural Inhibition (physiology)</term>
<term>Neural Inhibition (radiation effects)</term>
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<term>Reaction Time (radiation effects)</term>
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<term>cortical excitability</term>
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<div type="abstract" xml:lang="en">Patients with writer's cramp (WC) show abnormalities of sensorimotor integration possibly contributing to their motor deficit. We studied sensorimotor integration by determining short‐latency afferent inhibition (SAI) in 12 WC patients and 10 age‐matched healthy controls. A conditioning electrical median nerve stimulus was followed 14 to 36 msec later by transcranial magnetic stimulation of the contralateral primary motor cortex, and motor evoked potentials (MEP) were recorded from the relaxed or contracting abductor pollicis brevis muscle (APB). SAI was normal in WC but during APB relaxation SAI was followed by abnormal MEP facilitation, which was absent during APB contraction and in the controls. These findings suggest that somatosensory short‐latency inhibitory input into the primary motor cortex is normal in WC, whereas a later excitatory input, which very likely reflects the long‐latency reflex II, is exaggerated. © 2004 Movement Disorder Society</div>
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