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共济失调性偏瘫中的小脑共济失调?一项运动学和肌电图分析。

Cerebellar ataxia in ataxic hemiparesis? A kinematic and EMG analysis.

作者信息

Wild B, Dichgans J

机构信息

Department of Neurology, University of Tübingen, Klinikum Schnarrenberg, Germany.

出版信息

Mov Disord. 1993 Jul;8(3):363-6. doi: 10.1002/mds.870080321.

Abstract

It has recently been proposed that the ataxia in ataxic hemiparesis is a clumsiness common to all patients with hemiparesis and not indicative of any involvement of corticopontocerebellar or cerebellocortical pathways. In disagreement with this view, we report here that a patient with ataxic hemiparesis, following a lesion of the corona radiata, showed the disorders in kinematic and electromyographic (EMG) parameters of goal-directed movements that have recently been demonstrated to be characteristic of patients with cerebellar lesions. This suggests involvement of corticopontocerebellar or cerebellocortical pathways in ataxic hemiparesis.

摘要

最近有人提出,共济失调性偏瘫中的共济失调是所有偏瘫患者共有的一种笨拙表现,并不表明皮质脑桥小脑或小脑皮质通路有任何受累。与这一观点不同,我们在此报告,一名患有共济失调性偏瘫的患者在放射冠受损后,其目标导向运动的运动学和肌电图(EMG)参数出现了紊乱,而这些紊乱最近已被证明是小脑病变患者的特征。这表明皮质脑桥小脑或小脑皮质通路参与了共济失调性偏瘫。

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