Involvement of the motor cortex in pseudochoreoathetosis
Identifieur interne : 002925 ( PascalFrancis/Corpus ); précédent : 002924; suivant : 002926Involvement of the motor cortex in pseudochoreoathetosis
Auteurs : Lars Timmermann ; Joachim Gross ; Frank Schmitz ; Hans-Joachim Freund ; Alfons SchnitzlerSource :
- Movement disorders [ 0885-3185 ] ; 2001.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
The pathophysiological background of involuntary movements in pseudochoreoathetosis is unclear. We therefore recorded in four patients with pseudochoreoathetosis and in six age-matched controls cortical activity with a whole-head magnetoencephalography (MEG) system and surface EMGs from hand muscles. Subjects performed the following tasks: 1) rest, and 2) constant finger stretch during forearm elevation; controls additionally simulated pseudochoreoathetotic finger movements. During rest, the patients showed involuntary finger movements associated with excessive MEG-EMG coherence at frequencies between 6 and 20 Hz, whereas coherence in controls simulating pseudochoreoathetotic movements did not exceed noise level (P < 0.02). During finger stretch, MEG-EMG coherence in patients was similar to that of controls. Cortical sources of MEG-EMG coherence in patients were localized in the contralateral motor cortex. We conclude that pseudochoreoathetosis is associated with pathologically increased corticomuscular coherence and thus differs, neurophysiologically, from voluntarily simulated pseudochoreoathetotic movements. The enhanced MEG-EMG coherence in pseudochoreoathetosis probably reflects a pathologically strong motor cortical drive of spinal motorneurons after deafferentation.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 02-0050007 INIST |
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ET : | Involvement of the motor cortex in pseudochoreoathetosis |
AU : | TIMMERMANN (Lars); GROSS (Joachim); SCHMITZ (Frank); FREUND (Hans-Joachim); SCHNITZLER (Alfons) |
AF : | Department of Neurology, Heinrich-Heine University/Duesseldorf/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2001; Vol. 16; No. 5; Pp. 876-881; Bibl. 30 ref. |
LA : | Anglais |
EA : | The pathophysiological background of involuntary movements in pseudochoreoathetosis is unclear. We therefore recorded in four patients with pseudochoreoathetosis and in six age-matched controls cortical activity with a whole-head magnetoencephalography (MEG) system and surface EMGs from hand muscles. Subjects performed the following tasks: 1) rest, and 2) constant finger stretch during forearm elevation; controls additionally simulated pseudochoreoathetotic finger movements. During rest, the patients showed involuntary finger movements associated with excessive MEG-EMG coherence at frequencies between 6 and 20 Hz, whereas coherence in controls simulating pseudochoreoathetotic movements did not exceed noise level (P < 0.02). During finger stretch, MEG-EMG coherence in patients was similar to that of controls. Cortical sources of MEG-EMG coherence in patients were localized in the contralateral motor cortex. We conclude that pseudochoreoathetosis is associated with pathologically increased corticomuscular coherence and thus differs, neurophysiologically, from voluntarily simulated pseudochoreoathetotic movements. The enhanced MEG-EMG coherence in pseudochoreoathetosis probably reflects a pathologically strong motor cortical drive of spinal motorneurons after deafferentation. |
CC : | 002B17A01 |
FD : | Choréoathétose; Cortex moteur; Magnétoencéphalographie; Electromyographie; Membre supérieur; Main; Exploration; Etude cas; Adulte; Mâle; Femelle; Pseudochoréoathétose |
FG : | Homme; Système nerveux pathologie; Mouvement involontaire; Trouble neurologique; Encéphale pathologie; Système nerveux central pathologie; Electrodiagnostic |
ED : | Choreoathetosis; Motor cortex; Magnetoencephalography; Electromyography; Upper limb; Hand; Exploration; Case study; Adult; Male; Female |
EG : | Human; Nervous system diseases; Involuntary movement; Neurological disorder; Cerebral disorder; Central nervous system disease; Electrodiagnosis |
SD : | Coreoatetosis; Corteza motora; Magnetoencefalografía; Electromiografía; Miembro superior; Mano; Exploración; Estudio caso; Adulto; Macho; Hembra |
LO : | INIST-20953.354000099256460100 |
ID : | 02-0050007 |
Links to Exploration step
Pascal:02-0050007Le document en format XML
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<front><div type="abstract" xml:lang="en">The pathophysiological background of involuntary movements in pseudochoreoathetosis is unclear. We therefore recorded in four patients with pseudochoreoathetosis and in six age-matched controls cortical activity with a whole-head magnetoencephalography (MEG) system and surface EMGs from hand muscles. Subjects performed the following tasks: 1) rest, and 2) constant finger stretch during forearm elevation; controls additionally simulated pseudochoreoathetotic finger movements. During rest, the patients showed involuntary finger movements associated with excessive MEG-EMG coherence at frequencies between 6 and 20 Hz, whereas coherence in controls simulating pseudochoreoathetotic movements did not exceed noise level (P < 0.02). During finger stretch, MEG-EMG coherence in patients was similar to that of controls. Cortical sources of MEG-EMG coherence in patients were localized in the contralateral motor cortex. We conclude that pseudochoreoathetosis is associated with pathologically increased corticomuscular coherence and thus differs, neurophysiologically, from voluntarily simulated pseudochoreoathetotic movements. The enhanced MEG-EMG coherence in pseudochoreoathetosis probably reflects a pathologically strong motor cortical drive of spinal motorneurons after deafferentation.</div>
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<ET>Involvement of the motor cortex in pseudochoreoathetosis</ET>
<AU>TIMMERMANN (Lars); GROSS (Joachim); SCHMITZ (Frank); FREUND (Hans-Joachim); SCHNITZLER (Alfons)</AU>
<AF>Department of Neurology, Heinrich-Heine University/Duesseldorf/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2001; Vol. 16; No. 5; Pp. 876-881; Bibl. 30 ref.</SO>
<LA>Anglais</LA>
<EA>The pathophysiological background of involuntary movements in pseudochoreoathetosis is unclear. We therefore recorded in four patients with pseudochoreoathetosis and in six age-matched controls cortical activity with a whole-head magnetoencephalography (MEG) system and surface EMGs from hand muscles. Subjects performed the following tasks: 1) rest, and 2) constant finger stretch during forearm elevation; controls additionally simulated pseudochoreoathetotic finger movements. During rest, the patients showed involuntary finger movements associated with excessive MEG-EMG coherence at frequencies between 6 and 20 Hz, whereas coherence in controls simulating pseudochoreoathetotic movements did not exceed noise level (P < 0.02). During finger stretch, MEG-EMG coherence in patients was similar to that of controls. Cortical sources of MEG-EMG coherence in patients were localized in the contralateral motor cortex. We conclude that pseudochoreoathetosis is associated with pathologically increased corticomuscular coherence and thus differs, neurophysiologically, from voluntarily simulated pseudochoreoathetotic movements. The enhanced MEG-EMG coherence in pseudochoreoathetosis probably reflects a pathologically strong motor cortical drive of spinal motorneurons after deafferentation.</EA>
<CC>002B17A01</CC>
<FD>Choréoathétose; Cortex moteur; Magnétoencéphalographie; Electromyographie; Membre supérieur; Main; Exploration; Etude cas; Adulte; Mâle; Femelle; Pseudochoréoathétose</FD>
<FG>Homme; Système nerveux pathologie; Mouvement involontaire; Trouble neurologique; Encéphale pathologie; Système nerveux central pathologie; Electrodiagnostic</FG>
<ED>Choreoathetosis; Motor cortex; Magnetoencephalography; Electromyography; Upper limb; Hand; Exploration; Case study; Adult; Male; Female</ED>
<EG>Human; Nervous system diseases; Involuntary movement; Neurological disorder; Cerebral disorder; Central nervous system disease; Electrodiagnosis</EG>
<SD>Coreoatetosis; Corteza motora; Magnetoencefalografía; Electromiografía; Miembro superior; Mano; Exploración; Estudio caso; Adulto; Macho; Hembra</SD>
<LO>INIST-20953.354000099256460100</LO>
<ID>02-0050007</ID>
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