Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia

Objective: To describe different types of involuntary movements and abnormal spontaneous electromyographic (EMG) activity in patients with syringomyelia. Background: A comprehensive study on involuntary movements in patients with syringomyelia has not yet been undertaken, to these authors' know...

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Publicado: 1999
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Acceso en línea:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n4_p823_Nogues
http://hdl.handle.net/20.500.12110/paper_00283878_v52_n4_p823_Nogues
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spelling paper:paper_00283878_v52_n4_p823_Nogues2023-06-08T14:55:07Z Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia adolescent adult aged article body posture dystonia electromyography female hoffmann reflex human involuntary movement latent period major clinical study male median nerve motor unit potential muscle action potential myoclonus nerve stimulation priority journal synkinesis syringomyelia tremor Adolescent Adult Aged Electromyography Female Humans Magnetic Resonance Imaging Male Middle Aged Movement Muscles Spinal Cord Syringomyelia Objective: To describe different types of involuntary movements and abnormal spontaneous electromyographic (EMG) activity in patients with syringomyelia. Background: A comprehensive study on involuntary movements in patients with syringomyelia has not yet been undertaken, to these authors' knowledge. Methods: One hundred adult patients with syringomyelia were examined over the last 15 years. Involuntary movements were videotaped and evaluated by two independent observers. Electromyographic recordings were made using bipolar surface electrodes. The H-reflex recovery curve was obtained after stimulation of the median nerve at the elbow and recording from the flexor carpi radialis. Results: Involuntary movements or abnormal postures were observed in 22 patients. Three patients showed segmental spinal myoclonus, nine minipolymyoclonus, and four propriospinal myoclonus. Five patients had unilateral or bilateral hand postural tremor (8-10 Hz). Focal or segmental dystonia was observed in three patients. Electromyography showed spontaneous bursts of grouped action potentials synchronous in muscles innervated by the same spinal segment, synchronous firing of neurogenic motor unit potentials, or continuous motor unit activity increased H-reflex responses to conditioning stimuli were found in patients with spinal myoclonus. Long latency responses were obtained during peripheral nerve stimulation in four patients. Four patients had rigidity and abnormal upper limb posture. Respiratory synkinesis was observed in three patients. One patient developed inverse masticatory muscle activity. Conclusions: Patients with syringomyelia showed a wide spectrum of involuntary movements. An increased excitability of spinal motor neurons was probably the basic underlying mechanism. 1999 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n4_p823_Nogues http://hdl.handle.net/20.500.12110/paper_00283878_v52_n4_p823_Nogues
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic adolescent
adult
aged
article
body posture
dystonia
electromyography
female
hoffmann reflex
human
involuntary movement
latent period
major clinical study
male
median nerve
motor unit potential
muscle action potential
myoclonus
nerve stimulation
priority journal
synkinesis
syringomyelia
tremor
Adolescent
Adult
Aged
Electromyography
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Movement
Muscles
Spinal Cord
Syringomyelia
spellingShingle adolescent
adult
aged
article
body posture
dystonia
electromyography
female
hoffmann reflex
human
involuntary movement
latent period
major clinical study
male
median nerve
motor unit potential
muscle action potential
myoclonus
nerve stimulation
priority journal
synkinesis
syringomyelia
tremor
Adolescent
Adult
Aged
Electromyography
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Movement
Muscles
Spinal Cord
Syringomyelia
Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
topic_facet adolescent
adult
aged
article
body posture
dystonia
electromyography
female
hoffmann reflex
human
involuntary movement
latent period
major clinical study
male
median nerve
motor unit potential
muscle action potential
myoclonus
nerve stimulation
priority journal
synkinesis
syringomyelia
tremor
Adolescent
Adult
Aged
Electromyography
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Movement
Muscles
Spinal Cord
Syringomyelia
description Objective: To describe different types of involuntary movements and abnormal spontaneous electromyographic (EMG) activity in patients with syringomyelia. Background: A comprehensive study on involuntary movements in patients with syringomyelia has not yet been undertaken, to these authors' knowledge. Methods: One hundred adult patients with syringomyelia were examined over the last 15 years. Involuntary movements were videotaped and evaluated by two independent observers. Electromyographic recordings were made using bipolar surface electrodes. The H-reflex recovery curve was obtained after stimulation of the median nerve at the elbow and recording from the flexor carpi radialis. Results: Involuntary movements or abnormal postures were observed in 22 patients. Three patients showed segmental spinal myoclonus, nine minipolymyoclonus, and four propriospinal myoclonus. Five patients had unilateral or bilateral hand postural tremor (8-10 Hz). Focal or segmental dystonia was observed in three patients. Electromyography showed spontaneous bursts of grouped action potentials synchronous in muscles innervated by the same spinal segment, synchronous firing of neurogenic motor unit potentials, or continuous motor unit activity increased H-reflex responses to conditioning stimuli were found in patients with spinal myoclonus. Long latency responses were obtained during peripheral nerve stimulation in four patients. Four patients had rigidity and abnormal upper limb posture. Respiratory synkinesis was observed in three patients. One patient developed inverse masticatory muscle activity. Conclusions: Patients with syringomyelia showed a wide spectrum of involuntary movements. An increased excitability of spinal motor neurons was probably the basic underlying mechanism.
title Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
title_short Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
title_full Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
title_fullStr Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
title_full_unstemmed Involuntary movements and abnormal spontaneous EMG activity in syringomyelia and syringobulbia
title_sort involuntary movements and abnormal spontaneous emg activity in syringomyelia and syringobulbia
publishDate 1999
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00283878_v52_n4_p823_Nogues
http://hdl.handle.net/20.500.12110/paper_00283878_v52_n4_p823_Nogues
_version_ 1768541975035772928