Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator
Identifieur interne : 004B27 ( Main/Exploration ); précédent : 004B26; suivant : 004B28Bilateral painful hand–moving fingers: Electrophysiological assessment of the central nervous system oscillator
Auteurs : Bahman Jabbari [États-Unis] ; Fiona M. Molloy [États-Unis] ; Marleigh Erickson [États-Unis] ; Mary K. Floeter [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Bilateral, Brain stem, Case study, Central Nervous System (physiopathology), Cerebral Cortex (physiopathology), Disease Progression, EMG, Electroencephalography, Electromyography, Evoked Potentials, Somatosensory, Exploration, Female, Fingers (innervation), Functional Laterality, Hand, Hand (innervation), Humans, Involuntary movement, Magnetic stimulus, Motor cortex, Movement Disorders (physiopathology), Pain, Pain (etiology), Painful hand–moving fingers, Painful leg–moving toes, Somatosensory Cortex (physiopathology), Somatosensory evoked potential, Spinal cord, Transcranial route, Upper limb, Videotape Recording.
- MESH :
- etiology : Pain.
- innervation : Fingers, Hand.
- physiopathology : Central Nervous System, Cerebral Cortex, Movement Disorders, Somatosensory Cortex.
- Adult, Disease Progression, Electroencephalography, Electromyography, Evoked Potentials, Somatosensory, Female, Functional Laterality, Humans, Videotape Recording.
Abstract
We describe a 35‐year‐old woman who presented with the syndrome of painful hand–moving fingers on the right side. Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.
Url:
DOI: 10.1002/1531-8257(200011)15:6<1259::AID-MDS1032>3.0.CO;2-5
Affiliations:
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Le document en format XML
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Floeter</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>EMG Section, National Institutes of Neurological Disorders and Stroke, NIH, Bethesda, Maryland</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></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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Eight months later, she developed similar finger movements and hand discomfort on the left side. She had a history of hand trauma and recurrent shoulder dislocation on the right side. Kinesiologic electromyography suggested a common central oscillator for finger movements in both hands. Electrophysiological assessment of spinal alpha motor neuron excitability, reciprocal inhibition, and Renshaw cell inhibition failed to show any abnormalities. Somatosensory evoked potential test showed marked attenuation of N20 potential recorded from the left somatosensory cortex; paired transcortical magnetic stimulation of the left motor cortex suggested failure of cortical facilitation. The data suggest that the central oscillator responsible for finger movements is located above the spinal cord level in this patient.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Jabbari, Bahman" sort="Jabbari, Bahman" uniqKey="Jabbari B" first="Bahman" last="Jabbari">Bahman Jabbari</name></region><name sortKey="Erickson, Marleigh" sort="Erickson, Marleigh" uniqKey="Erickson M" first="Marleigh" last="Erickson">Marleigh Erickson</name><name sortKey="Floeter, Mary K" sort="Floeter, Mary K" uniqKey="Floeter M" first="Mary K." last="Floeter">Mary K. Floeter</name><name sortKey="Molloy, Fiona M" sort="Molloy, Fiona M" uniqKey="Molloy F" first="Fiona M." last="Molloy">Fiona M. Molloy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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