Nerve conduction study in Sydenham's chorea
Identifieur interne : 003E56 ( Main/Exploration ); précédent : 003E55; suivant : 003E57Nerve conduction study in Sydenham's chorea
Auteurs : Francisco Cardoso [Brésil] ; Leonardo Dornas [Brésil] ; Mauro Cunningham [Brésil] ; José Teotonio Oliveira [Brésil]Source :
- Movement disorders [ 0885-3185 ] ; 2004.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Sydenham's chorea (SC) is a late complication of group A β-hemolytic streptococci infection presumably caused by an abnormal autoimmune reaction. Despite rare case reports of peripheral neuropathy associated with streptococcal infection, there is no investigation of peripheral nerve in SC. We performed nerve conduction studies in a cohort of patients with SC. The neurophysiology investigation comprised measurement of amplitude and sensory conduction velocity of median, ulnar, and sural nerves; amplitude and motor conduction velocity; and F-wave latency of median, ulnar, fibular, and tibial nerves. Twenty-six patients entered the study (12 females, 14 males; mean age 12.8 ± 3.6 years). Thirteen subjects had absent or decreased deep reflexes. All investigated neurophysiological parameters fell within the normal range for our population. We failed to find neurophysiological evidence of peripheral nerve involvement in patients with a history of SC. Our findings suggest that the possible autoimmune dysfunction in SC patients is not targeted against epitopes present in peripheral nerves.
Affiliations:
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<term>Rheumatic fever</term>
<term>Streptococcus</term>
<term>Sydenham chorea</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Conduction nerveuse</term>
<term>Vitesse conduction</term>
<term>Chorée Sydenham</term>
<term>Rhumatisme articulaire aigu</term>
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<term>Chorée syndrome</term>
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<front><div type="abstract" xml:lang="en">Sydenham's chorea (SC) is a late complication of group A β-hemolytic streptococci infection presumably caused by an abnormal autoimmune reaction. Despite rare case reports of peripheral neuropathy associated with streptococcal infection, there is no investigation of peripheral nerve in SC. We performed nerve conduction studies in a cohort of patients with SC. The neurophysiology investigation comprised measurement of amplitude and sensory conduction velocity of median, ulnar, and sural nerves; amplitude and motor conduction velocity; and F-wave latency of median, ulnar, fibular, and tibial nerves. Twenty-six patients entered the study (12 females, 14 males; mean age 12.8 ± 3.6 years). Thirteen subjects had absent or decreased deep reflexes. All investigated neurophysiological parameters fell within the normal range for our population. We failed to find neurophysiological evidence of peripheral nerve involvement in patients with a history of SC. Our findings suggest that the possible autoimmune dysfunction in SC patients is not targeted against epitopes present in peripheral nerves.</div>
</front>
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<affiliations><list><country><li>Brésil</li>
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<region><li>Minas Gerais</li>
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<tree><country name="Brésil"><region name="Minas Gerais"><name sortKey="Cardoso, Francisco" sort="Cardoso, Francisco" uniqKey="Cardoso F" first="Francisco" last="Cardoso">Francisco Cardoso</name>
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<name sortKey="Cunningham, Mauro" sort="Cunningham, Mauro" uniqKey="Cunningham M" first="Mauro" last="Cunningham">Mauro Cunningham</name>
<name sortKey="Dornas, Leonardo" sort="Dornas, Leonardo" uniqKey="Dornas L" first="Leonardo" last="Dornas">Leonardo Dornas</name>
<name sortKey="Oliveira, Jose Teotonio" sort="Oliveira, Jose Teotonio" uniqKey="Oliveira J" first="José Teotonio" last="Oliveira">José Teotonio Oliveira</name>
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