Focal pathological startle following pontine infarction
Identifieur interne : 006793 ( Main/Merge ); précédent : 006792; suivant : 006794Focal pathological startle following pontine infarction
Auteurs : Shaun R. D. Watson [Australie] ; James G. Colebatch [Australie]Source :
- Movement disorders [ 0885-3185 ] ; 2002.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
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.
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Pascal:02-0207137Le document en format XML
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<term>Bending</term>
<term>Brain stem infarction</term>
<term>Case study</term>
<term>Complication</term>
<term>Electromyography</term>
<term>Involuntary movement</term>
<term>Localized</term>
<term>Male</term>
<term>Pathogenesis</term>
<term>Pons varolii</term>
<term>Startle reflex</term>
<term>Upper limb</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Ramollissement tronc cérébral</term>
<term>Protubérance annulaire</term>
<term>Electromyographie</term>
<term>Membre supérieur</term>
<term>Bras</term>
<term>Mouvement involontaire</term>
<term>Localisé</term>
<term>Flexion</term>
<term>Réflexe sursaut</term>
<term>Stimulus acoustique</term>
<term>Etude cas</term>
<term>Complication</term>
<term>Pathogénie</term>
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<front><div type="abstract" xml:lang="en">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.</div>
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