Movement Disorders (revue)

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Abnormal conduction in corticospinal pathways in Wilson's disease: Investigation of nine cases with magnetic brain stimulation

Identifieur interne : 006202 ( Main/Exploration ); précédent : 006201; suivant : 006203

Abnormal conduction in corticospinal pathways in Wilson's disease: Investigation of nine cases with magnetic brain stimulation

Auteurs : Meyer [Allemagne] ; T. C. Britton [Allemagne] ; C. Bischoff [Allemagne] ; J. Machetanz [Allemagne] ; R. Benecke [Allemagne] ; B. Conrad [Allemagne]

Source :

RBID : ISTEX:887C1BD18DCBEEFF2A52BEDA62EEA409C8B0F6A7

English descriptors

Abstract

Electromyographic (EMG) responses evoked by transcranial magnetic brain stimulation were studied in nine patients with Wilson's disease (WD). Six of the nine patients had prolonged central motor latencies (CMLs), reduced amplitude, or absent responses in at least one of the examined muscles. In one patient, abnormal EMG responses normalized following treatment with penicillamine. Pathophysiologically abnormal EMG responses might result from a potentially reversible impairment of corticomotoneuronal pathways and/or a reduced excitability of motoneurons due to basal ganglia dysfunction. The possible pathophysiological mechanisms are discussed.

Url:
DOI: 10.1002/mds.870060409


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Electromyographic (EMG) responses evoked by transcranial magnetic brain stimulation were studied in nine patients with Wilson's disease (WD). Six of the nine patients had prolonged central motor latencies (CMLs), reduced amplitude, or absent responses in at least one of the examined muscles. In one patient, abnormal EMG responses normalized following treatment with penicillamine. Pathophysiologically abnormal EMG responses might result from a potentially reversible impairment of corticomotoneuronal pathways and/or a reduced excitability of motoneurons due to basal ganglia dysfunction. The possible pathophysiological mechanisms are discussed.</div>
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