Movement Disorders (revue)

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Cortical myoclonus in levodopa-responsive parkinsonism.

Identifieur interne : 004F72 ( Ncbi/Checkpoint ); précédent : 004F71; suivant : 004F73

Cortical myoclonus in levodopa-responsive parkinsonism.

Auteurs : J N Caviness [États-Unis] ; C H Adler ; S. Newman ; R J Caselli ; M D Muenter

Source :

RBID : pubmed:9613750

English descriptors

Abstract

We observed myoclonic movements of the fingers and wrists in two patients with a levodopa-responsive parkinsonian syndrome most consistent with Parkinson's disease. These patients were studied with electrophysiological techniques. Brief (<50 ms) myoclonic electromyographic discharges showed a time-locked relationship to a focal premovement electroencephalographic potential. Somatosensory-evoked potentials were not enlarged and long-latency reflexes were not grossly exaggerated. This pattern of electrophysiological findings can be distinguished from those previously found in other parkinsonian syndromes. These results provide evidence for a cortical origin of the myoclonus seen in these patients.

DOI: 10.1002/mds.870130327
PubMed: 9613750


Affiliations:


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pubmed:9613750

Le document en format XML

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<nlm:affiliation>Department of Neurology, Mayo Clinic Scottsdale, Arizona 85259, USA.</nlm:affiliation>
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<term>Levodopa (administration & dosage)</term>
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<div type="abstract" xml:lang="en">We observed myoclonic movements of the fingers and wrists in two patients with a levodopa-responsive parkinsonian syndrome most consistent with Parkinson's disease. These patients were studied with electrophysiological techniques. Brief (<50 ms) myoclonic electromyographic discharges showed a time-locked relationship to a focal premovement electroencephalographic potential. Somatosensory-evoked potentials were not enlarged and long-latency reflexes were not grossly exaggerated. This pattern of electrophysiological findings can be distinguished from those previously found in other parkinsonian syndromes. These results provide evidence for a cortical origin of the myoclonus seen in these patients.</div>
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