[Excitability of cervical lower motoneuron in juvenile muscular atrophy of the distal upper limb]. 1994

S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
Department of Neurlogy, School of Medicine, Chiba University.

We investigated excitability of cervical lower motoneurons in 18 patients with juvenile muscular atrophy of the distal upper limb (Hirayama's disease), by F wave analysis and electrophysiological estimation of the number of motor units in the abductor pollicis brevis muscles of the affected side. In all the 18 patients, F wave persistencies and numbers of motor units were decreased, whereas amplitudes of single motor unit potentials were increased, compared to those of age-matched normal controls. Patients in a progressive phase showed markedly decreased F wave persistencies, overwhelming the degree of decreases in numbers of motor units. In half of them, F waves were significantly increased in number during neck flexion. On the other hand, patients treated with neck brace and patients having stabilized symptoms with longer duration showed F wave persistence reduction corresponded to the degree of the motor unit loss, and no changes in F wave persistencies in a posture of neck flexion. These results suggest that the disorder is characterized by decreased excitabilities of survived cervical anterior horn cells, as well as denervation and reinnervation, presumably resulting from local compression or circulatory failure by anterior shift of the posterior dural wall during neck flexion.

UI MeSH Term Description Entries
D008297 Male Males
D009046 Motor Neurons Neurons which activate MUSCLE CELLS. Neurons, Motor,Alpha Motorneurons,Motoneurons,Motor Neurons, Alpha,Neurons, Alpha Motor,Alpha Motor Neuron,Alpha Motor Neurons,Alpha Motorneuron,Motoneuron,Motor Neuron,Motor Neuron, Alpha,Motorneuron, Alpha,Motorneurons, Alpha,Neuron, Alpha Motor,Neuron, Motor
D009134 Muscular Atrophy, Spinal A group of disorders marked by progressive degeneration of motor neurons in the spinal cord resulting in weakness and muscular atrophy, usually without evidence of injury to the corticospinal tracts. Diseases in this category include Werdnig-Hoffmann disease and later onset SPINAL MUSCULAR ATROPHIES OF CHILDHOOD, most of which are hereditary. (Adams et al., Principles of Neurology, 6th ed, p1089) Bulbospinal Neuronopathy,Oculopharyngeal Spinal Muscular Atrophy,Progressive Muscular Atrophy,Scapuloperoneal Form of Spinal Muscular Atrophy,Spinal Muscular Atrophy,Adult Spinal Muscular Atrophy,Adult-Onset Spinal Muscular Atrophy,Amyotrophy, Neurogenic Scapuloperoneal, New England Type,Distal Spinal Muscular Atrophy,Hereditary Motor Neuronopathy,Muscular Atrophy, Adult Spinal,Myelopathic Muscular Atrophy,Myelopathic Muscular Atrophy, Progressive,Progressive Myelopathic Muscular Atrophy,Progressive Proximal Myelopathic Muscular Atrophy,Proximal Myelopathic Muscular Atrophy, Progressive,Scapuloperoneal Spinal Muscular Atrophy,Spinal Amyotrophy,Spinal Muscular Atrophy, Distal,Spinal Muscular Atrophy, Oculopharyngeal,Spinal Muscular Atrophy, Scapuloperoneal,Spinal Muscular Atrophy, Scapuloperoneal Form,Adult Onset Spinal Muscular Atrophy,Amyotrophies, Spinal,Amyotrophy, Spinal,Atrophies, Progressive Muscular,Atrophy, Myelopathic Muscular,Atrophy, Progressive Muscular,Atrophy, Spinal Muscular,Bulbospinal Neuronopathies,Hereditary Motor Neuronopathies,Motor Neuronopathies, Hereditary,Motor Neuronopathy, Hereditary,Muscular Atrophies, Progressive,Muscular Atrophy, Myelopathic,Muscular Atrophy, Progressive,Neuronopathies, Bulbospinal,Neuronopathies, Hereditary Motor,Neuronopathy, Bulbospinal,Neuronopathy, Hereditary Motor,Progressive Muscular Atrophies,Spinal Amyotrophies
D009431 Neural Conduction The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus. Nerve Conduction,Conduction, Nerve,Conduction, Neural,Conductions, Nerve,Conductions, Neural,Nerve Conductions,Neural Conductions
D004594 Electrophysiology The study of the generation and behavior of electrical charges in living organisms particularly the nervous system and the effects of electricity on living organisms.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000870 Anterior Horn Cells MOTOR NEURONS in the anterior (ventral) horn of the SPINAL CORD which project to SKELETAL MUSCLES. Anterior Horn Neurons,Neurons, Anterior Horn,Neurons, Ventral Horn,Ventral Horn Cells,Ventral Horn Neurons,Anterior Horn Cell,Anterior Horn Neuron,Cell, Anterior Horn,Cell, Ventral Horn,Cells, Anterior Horn,Cells, Ventral Horn,Neuron, Anterior Horn,Neuron, Ventral Horn,Ventral Horn Cell,Ventral Horn Neuron
D001132 Arm The superior part of the upper extremity between the SHOULDER and the ELBOW. Brachium,Upper Arm,Arm, Upper,Arms,Arms, Upper,Brachiums,Upper Arms

Related Publications

S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
February 1998, Journal of neurology, neurosurgery, and psychiatry,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
March 1985, Journal of neurology, neurosurgery, and psychiatry,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
January 2011, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
June 2001, Journal of neurology, neurosurgery, and psychiatry,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
October 1992, Rinsho shinkeigaku = Clinical neurology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
September 2000, Neuropathology : official journal of the Japanese Society of Neuropathology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
December 1993, Rinsho shinkeigaku = Clinical neurology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
February 2001, Neurology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
May 2000, Neurology,
S Kuwabara, and M Nakajima, and Y Tokumaru, and K Hirayama
April 2000, Internal medicine (Tokyo, Japan),
Copied contents to your clipboard!