Periodic limb movements in syringomyelia and syringobulbia.
Identifieur interne : 000197 ( Ncbi/Curation ); précédent : 000196; suivant : 000198Periodic limb movements in syringomyelia and syringobulbia.
Auteurs : M. Nogués [Argentine] ; A. Cammarota ; R. Leiguarda ; A. Rivero ; A. Pardal ; H. EncaboSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2000.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Arnold-Chiari Malformation (diagnosis), Arnold-Chiari Malformation (physiopathology), Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Medulla Oblongata (pathology), Medulla Oblongata (physiopathology), Middle Aged, Motor Neurons (physiology), Nocturnal Myoclonus Syndrome (diagnosis), Nocturnal Myoclonus Syndrome (physiopathology), Polysomnography, Pyramidal Tracts (pathology), Pyramidal Tracts (physiopathology), Reaction Time (physiology), Sleep Stages (physiology), Spinal Cord (pathology), Spinal Cord (physiopathology), Syringomyelia (diagnosis), Syringomyelia (physiopathology).
- MESH :
- diagnosis : Arnold-Chiari Malformation, Nocturnal Myoclonus Syndrome, Syringomyelia.
- pathology : Medulla Oblongata, Pyramidal Tracts, Spinal Cord.
- physiology : Motor Neurons, Reaction Time, Sleep Stages.
- physiopathology : Arnold-Chiari Malformation, Medulla Oblongata, Nocturnal Myoclonus Syndrome, Pyramidal Tracts, Spinal Cord, Syringomyelia.
- Adolescent, Adult, Aged, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Polysomnography.
Abstract
Twenty-six patients with syringomyelia were studied with polysomnography to determine the frequency of periodic limb movements (PLM) and its relationship to the presence of a Chiari anomaly, the severity of corticospinal tract involvement, and localization of the syrinx. Sixteen patients showed PLM in stages I and II of non-REM sleep and three PLM also while awake. There were no statistically significant differences in overall disability, corticospinal signs, presence of an associated Chiari anomaly, and disease duration between patients with and without PLM, although there was a trend for patients with PLM to have more severe disease. There was preservation of the lumbosacral enlargement of the spinal cord by the syrinx in all patients with PLM. The latency delay between lower and upper limb muscles was suggestive of conduction along propriospinal pathways. Syringomyelia may lead to an abnormal state of spinal hyperexcitability favoring the appearance of PLM. Detailed magnetic resonance image studies of patients with different localizations of the syrinx cavities may help to determine which tracts are involved in the production of PLM.
PubMed: 10634249
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pubmed:10634249Le document en format XML
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<author><name sortKey="Nogues, M" sort="Nogues, M" uniqKey="Nogues M" first="M" last="Nogués">M. Nogués</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Neurophysiology, Raul Carrea Institute for Neurological Research (FLENI), Buenos Aires, Argentina.</nlm:affiliation>
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<author><name sortKey="Cammarota, A" sort="Cammarota, A" uniqKey="Cammarota A" first="A" last="Cammarota">A. Cammarota</name>
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<author><name sortKey="Leiguarda, R" sort="Leiguarda, R" uniqKey="Leiguarda R" first="R" last="Leiguarda">R. Leiguarda</name>
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<term>Aged</term>
<term>Arnold-Chiari Malformation (diagnosis)</term>
<term>Arnold-Chiari Malformation (physiopathology)</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Medulla Oblongata (pathology)</term>
<term>Medulla Oblongata (physiopathology)</term>
<term>Middle Aged</term>
<term>Motor Neurons (physiology)</term>
<term>Nocturnal Myoclonus Syndrome (diagnosis)</term>
<term>Nocturnal Myoclonus Syndrome (physiopathology)</term>
<term>Polysomnography</term>
<term>Pyramidal Tracts (pathology)</term>
<term>Pyramidal Tracts (physiopathology)</term>
<term>Reaction Time (physiology)</term>
<term>Sleep Stages (physiology)</term>
<term>Spinal Cord (pathology)</term>
<term>Spinal Cord (physiopathology)</term>
<term>Syringomyelia (diagnosis)</term>
<term>Syringomyelia (physiopathology)</term>
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<term>Nocturnal Myoclonus Syndrome</term>
<term>Syringomyelia</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Medulla Oblongata</term>
<term>Pyramidal Tracts</term>
<term>Spinal Cord</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Neurons</term>
<term>Reaction Time</term>
<term>Sleep Stages</term>
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<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<front><div type="abstract" xml:lang="en">Twenty-six patients with syringomyelia were studied with polysomnography to determine the frequency of periodic limb movements (PLM) and its relationship to the presence of a Chiari anomaly, the severity of corticospinal tract involvement, and localization of the syrinx. Sixteen patients showed PLM in stages I and II of non-REM sleep and three PLM also while awake. There were no statistically significant differences in overall disability, corticospinal signs, presence of an associated Chiari anomaly, and disease duration between patients with and without PLM, although there was a trend for patients with PLM to have more severe disease. There was preservation of the lumbosacral enlargement of the spinal cord by the syrinx in all patients with PLM. The latency delay between lower and upper limb muscles was suggestive of conduction along propriospinal pathways. Syringomyelia may lead to an abnormal state of spinal hyperexcitability favoring the appearance of PLM. Detailed magnetic resonance image studies of patients with different localizations of the syrinx cavities may help to determine which tracts are involved in the production of PLM.</div>
</front>
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