Bilateral painful hand-moving fingers: electrophysiological assessment of the central nervous system oscillator

Autor:	B, Jabbari, F M, Molloy, M, Erickson, M K, Floeter
Rok vydání:	2000
Předmět:	Adult Central Nervous System Cerebral Cortex Movement Disorders Electromyography Pain Videotape Recording Electroencephalography Somatosensory Cortex Hand Functional Laterality Fingers Evoked Potentials Somatosensory Disease Progression Humans Female
Zdroj:	Movement disorders : official journal of the Movement Disorder Society. 15(6)
ISSN:	0885-3185
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::4108beea4feb06a326a0137d3299dd60 https://pubmed.ncbi.nlm.nih.gov/11104217 Zobrazit plný text záznamu Plný text