Movement Disorders (revue)

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Focal pathological startle following pontine infarction

Identifieur interne : 004457 ( Main/Exploration ); précédent : 004456; suivant : 004458

Focal pathological startle following pontine infarction

Auteurs : Shaun R. D. Watson [Australie] ; James G. Colebatch [Australie]

Source :

RBID : ISTEX:E75FF2EC165E691F57D674C5C7C884965C8D9BFE

Descripteurs français

English descriptors

Abstract

A 36‐year‐old male developed an acute right‐sided weakness due to left‐sided pontine infarction. Two months later, he first noticed sudden right elbow flexion in response to a loud unexpected noise. Detailed electrophysiological assessment was performed. A large, short‐latency (median 39 msec), synchronous electromyographic discharge occurred in the right biceps brachii electrodes following a 50‐msec, 120‐dB 1‐kHz tone burst, with habituation only with very short (30‐second) interstimulus intervals. Less synchronous activity at longer latencies was present both in a number of right‐sided arm muscles at rest and on the clinically unaffected side during a tonic voluntary contraction. We discuss possible underlying mechanisms and our reasons for considering this a focally enhanced startle response. Our report broadens the range of expression of acquired startle disorders. © 2001 Movement Disorder Society.

Url:
DOI: 10.1002/mds.10022


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Le document en format XML

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