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Myoclonus generators in sialidosis
ObjectiveSialidosis is an inborn error of metabolism. There is evidence that the myoclonic movements observed in this disorder have a cortical origin, but this mechanism does not fully explain the bilaterally synchronous myoclonus activity frequently observed in many patients. We present evidence of...
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Published in: | Clinical neurophysiology practice 2022, Vol.7, p.169-173 |
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container_title | Clinical neurophysiology practice |
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creator | Vial, Felipe McGurrin, Patrick Attaripour, Sanaz d'Azzo, Alesandra Tifft, Cynthia J Toro, Camilo Hallett, Mark |
description | ObjectiveSialidosis is an inborn error of metabolism. There is evidence that the myoclonic movements observed in this disorder have a cortical origin, but this mechanism does not fully explain the bilaterally synchronous myoclonus activity frequently observed in many patients. We present evidence of a subcortical basis for synchronous myoclonic phenomena. MethodsElectromyographic investigations were undertaken in two molecularly and biochemically confirmed patients with sialidosis type-1. ResultsThe EMG recordings showed clear episodes of bilaterally synchronous myoclonic activity in contralateral homologous muscles. We also observed a high muscular-muscular coherence with near-zero time-lag between these muscles. ConclusionThe absence of coherence phase lag between the right-and-left homologous muscles during synchronous events indicates that a unilateral cortical source cannot fully explain the myoclonic activity. There must exist a subcortical mechanism for bilateral synchronization accounting for this phenomenon. SignificanceUnderstanding this mechanism may illuminate cortical-subcortical relationships in myoclonus. |
doi_str_mv | 10.1016/j.cnp.2022.05.004 |
format | report |
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There is evidence that the myoclonic movements observed in this disorder have a cortical origin, but this mechanism does not fully explain the bilaterally synchronous myoclonus activity frequently observed in many patients. We present evidence of a subcortical basis for synchronous myoclonic phenomena. MethodsElectromyographic investigations were undertaken in two molecularly and biochemically confirmed patients with sialidosis type-1. ResultsThe EMG recordings showed clear episodes of bilaterally synchronous myoclonic activity in contralateral homologous muscles. We also observed a high muscular-muscular coherence with near-zero time-lag between these muscles. ConclusionThe absence of coherence phase lag between the right-and-left homologous muscles during synchronous events indicates that a unilateral cortical source cannot fully explain the myoclonic activity. There must exist a subcortical mechanism for bilateral synchronization accounting for this phenomenon. 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There is evidence that the myoclonic movements observed in this disorder have a cortical origin, but this mechanism does not fully explain the bilaterally synchronous myoclonus activity frequently observed in many patients. We present evidence of a subcortical basis for synchronous myoclonic phenomena. MethodsElectromyographic investigations were undertaken in two molecularly and biochemically confirmed patients with sialidosis type-1. ResultsThe EMG recordings showed clear episodes of bilaterally synchronous myoclonic activity in contralateral homologous muscles. We also observed a high muscular-muscular coherence with near-zero time-lag between these muscles. ConclusionThe absence of coherence phase lag between the right-and-left homologous muscles during synchronous events indicates that a unilateral cortical source cannot fully explain the myoclonic activity. There must exist a subcortical mechanism for bilateral synchronization accounting for this phenomenon. 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There is evidence that the myoclonic movements observed in this disorder have a cortical origin, but this mechanism does not fully explain the bilaterally synchronous myoclonus activity frequently observed in many patients. We present evidence of a subcortical basis for synchronous myoclonic phenomena. MethodsElectromyographic investigations were undertaken in two molecularly and biochemically confirmed patients with sialidosis type-1. ResultsThe EMG recordings showed clear episodes of bilaterally synchronous myoclonic activity in contralateral homologous muscles. We also observed a high muscular-muscular coherence with near-zero time-lag between these muscles. ConclusionThe absence of coherence phase lag between the right-and-left homologous muscles during synchronous events indicates that a unilateral cortical source cannot fully explain the myoclonic activity. There must exist a subcortical mechanism for bilateral synchronization accounting for this phenomenon. 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source | ScienceDirect Journals; PubMed Central |
title | Myoclonus generators in sialidosis |
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