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.
Registro:
Documento: |
Artículo
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Título: | Periodic limb movements in syringomyelia and syringobulbia |
Autor: | Nogués, M.; Cammarota, A.; Leiguarda, R.; Rivero, A.; Pardal, A.; Encabo, H. |
Filiación: | Dept. of Clinical Neurophysiology, Raul Carrea Inst. of Neurol. Res., Buenos Aires, Argentina Department of Neurology, Raul Carrea Inst. of Neurol. Res., Buenos Aires, Argentina Departmento de Neurofisiol. Clin., Inst. Invest. Neurologicas Raul C., Montañeses 2325, (1428) Buenos Aires, Argentina
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Palabras clave: | Myoclonus; PLM; Propriospinal; Syringobulbia; Syringomyelia; adolescent; adult; aged; article; Chiari Frommel syndrome; clinical article; controlled study; disability; disease duration; disease severity; female; human; latent period; limb movement; lumbar spine; male; nerve conduction; nonREM sleep; nuclear magnetic resonance imaging; polysomnography; priority journal; pyramidal tract; sacrum; syringobulbia; syringomyelia; wakefulness; Adolescent; Adult; Aged; Arnold-Chiari Malformation; Electromyography; Female; Humans; Magnetic Resonance Imaging; Male; Medulla Oblongata; Middle Aged; Motor Neurons; Nocturnal Myoclonus Syndrome; Polysomnography; Pyramidal Tracts; Reaction Time; Sleep Stages; Spinal Cord; Syringomyelia |
Año: | 2000
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Volumen: | 15
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Número: | 1
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Página de inicio: | 113
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Página de fin: | 119
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DOI: |
http://dx.doi.org/10.1002/1531-8257(200001)15:1<113::AID-MDS1017>3.0.CO;2-Y |
Título revista: | Movement Disorders
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Título revista abreviado: | Mov. Disord.
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ISSN: | 08853185
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CODEN: | MOVDE
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Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_08853185_v15_n1_p113_Nogues |
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Citas:
---------- APA ----------
Nogués, M., Cammarota, A., Leiguarda, R., Rivero, A., Pardal, A. & Encabo, H.
(2000)
. Periodic limb movements in syringomyelia and syringobulbia. Movement Disorders, 15(1), 113-119.
http://dx.doi.org/10.1002/1531-8257(200001)15:1<113::AID-MDS1017>3.0.CO;2-Y---------- CHICAGO ----------
Nogués, M., Cammarota, A., Leiguarda, R., Rivero, A., Pardal, A., Encabo, H.
"Periodic limb movements in syringomyelia and syringobulbia"
. Movement Disorders 15, no. 1
(2000) : 113-119.
http://dx.doi.org/10.1002/1531-8257(200001)15:1<113::AID-MDS1017>3.0.CO;2-Y---------- MLA ----------
Nogués, M., Cammarota, A., Leiguarda, R., Rivero, A., Pardal, A., Encabo, H.
"Periodic limb movements in syringomyelia and syringobulbia"
. Movement Disorders, vol. 15, no. 1, 2000, pp. 113-119.
http://dx.doi.org/10.1002/1531-8257(200001)15:1<113::AID-MDS1017>3.0.CO;2-Y---------- VANCOUVER ----------
Nogués, M., Cammarota, A., Leiguarda, R., Rivero, A., Pardal, A., Encabo, H. Periodic limb movements in syringomyelia and syringobulbia. Mov. Disord. 2000;15(1):113-119.
http://dx.doi.org/10.1002/1531-8257(200001)15:1<113::AID-MDS1017>3.0.CO;2-Y