Publicação
Can a Plegic Leg Move Itself?
| Resumo: | The spinal cord is responsible for several types of involuntary movements, from segmental spinal myoclonus to stepping automated movements generated by spinal central pattern generators (CPG). We present the case of a 47-year-old inpatient woman admitted for suspected spondylodiscitis. Immediate neurologic evaluation was requested in day 2 due to involuntary movements. The neurological examination revealed paraplegia with hyperreflexia, bilateral Babinski’s sign, thermal-algic and tactile sensory level by T5 and proprioceptive compromise of the lower limbs. Involuntary, stimulus-sensitive, wide, rhythmic and stereotyped movements of the left lower limb were observed, involving several muscle groups, similar to stepping movements. Further investigation documented myelopathy secondary to dorsal extradural lesion D2-D3, whose excision led to the complete resolution of these movements. Given the characteristics of these movements, we assume that they are stepping automatism movements generated by CPG. |
|---|---|
| Autores principais: | Borges, Catarina |
| Outros Autores: | Costa, André; Velon, Ana Graça; Mendes, Michel |
| Assunto: | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Sociedade Portuguesa de Neurologia |
| Idioma: | português |
| Origem: | SINAPSE |
| _version_ | 1877836773036392448 |
|---|---|
| author | Borges, Catarina |
| author2 | Costa, André Velon, Ana Graça Mendes, Michel |
| author2_role | author author author |
| author_facet | Borges, Catarina Costa, André Velon, Ana Graça Mendes, Michel |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Borges, Catarina\"},{\"Person.name\":\"Costa, André\"},{\"Person.name\":\"Velon, Ana Graça\"},{\"Person.name\":\"Mendes, Michel\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Borges, Catarina Costa, André Velon, Ana Graça Mendes, Michel |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| datacite.titles.title.fl_str_mv | Can a Plegic Leg Move Itself? Perna Plégica Também Mexe? |
| dc.creator.none.fl_str_mv | Borges, Catarina Costa, André Velon, Ana Graça Mendes, Michel |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://doi.org/10.46531/sinapse/CC/230045/2023 |
| dc.language.none.fl_str_mv | por |
| dc.publisher.none.fl_str_mv | Portuguese Society of Neurology |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.rights.rights.copyright.fl_str_mv | https://creativecommons.org/licenses/by-nc/4.0 |
| dc.source.none.fl_str_mv | Sinapse; Vol. 23 No. 4 (2023): October - December; 207-211 Sinapse; Vol. 23 N.º 4 (2023): Outubro - Dezembro; 207-211 2184-4240 1645-281X |
| dc.subject.none.fl_str_mv | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| dc.title.fl_str_mv | Can a Plegic Leg Move Itself? Perna Plégica Também Mexe? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | The spinal cord is responsible for several types of involuntary movements, from segmental spinal myoclonus to stepping automated movements generated by spinal central pattern generators (CPG). We present the case of a 47-year-old inpatient woman admitted for suspected spondylodiscitis. Immediate neurologic evaluation was requested in day 2 due to involuntary movements. The neurological examination revealed paraplegia with hyperreflexia, bilateral Babinski’s sign, thermal-algic and tactile sensory level by T5 and proprioceptive compromise of the lower limbs. Involuntary, stimulus-sensitive, wide, rhythmic and stereotyped movements of the left lower limb were observed, involving several muscle groups, similar to stepping movements. Further investigation documented myelopathy secondary to dorsal extradural lesion D2-D3, whose excision led to the complete resolution of these movements. Given the characteristics of these movements, we assume that they are stepping automatism movements generated by CPG. |
| dirty | 0 |
| eu_rights_str_mv | unknown |
| format | article |
| id | sinapse_71970409087498702e29f768d6b481ed |
| identifier.doi.fl_str_mv | https://doi.org/10.46531/sinapse/CC/230045/2023 |
| inst_facet_str | urn:organizationAcronym:spn{{{_:::_}}}Sociedade Portuguesa de Neurologia |
| instacron_str | SPN |
| institution | Sociedade Portuguesa de Neurologia |
| instname_str | Sociedade Portuguesa de Neurologia |
| language | por |
| network_acronym_str | sinapse |
| network_name_str | SINAPSE |
| oai_identifier_str | oai:sinapse.pt:article/5 |
| organization_str_mv | urn:organizationAcronym:spn |
| person_str_mv | Borges, Catarina Costa, André Velon, Ana Graça Mendes, Michel |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Portuguese Society of Neurology |
| repo_facet_str | urn:repositoryAcronym:sinapse{{{_:::_}}}SINAPSE |
| reponame_str | SINAPSE |
| repository_id_str | urn:repositoryAcronym:sinapse |
| service_str_mv | urn:repositoryAcronym:sinapse |
| spelling | en-USCan a Plegic Leg Move Itself?pt-PTPerna Plégica Também Mexe?Borges, CatarinaCosta, AndréVelon, Ana GraçaMendes, MichelCentral Pattern GeneratorsLocomotionSpinal Cord InjuriesGeradores de Padrão CentralLesões da Medula EspinalLocomoçãoCopyright (c) 2024 Sinapsehttp://purl.org/coar/access_right/c_abf2https://doi.org/10.46531/sinapse/CC/230045/2023DOIhttps://sinapse.pt/index.php/journal/article/view/5URLHasVersionhttps://sinapse.pt/index.php/journal/article/view/5/5URLHasVersionhttps://doi.org/10.46531/sinapse/CC/230045/2023DOI2024-01-25en-USThe spinal cord is responsible for several types of involuntary movements, from segmental spinal myoclonus to stepping automated movements generated by spinal central pattern generators (CPG). We present the case of a 47-year-old inpatient woman admitted for suspected spondylodiscitis. Immediate neurologic evaluation was requested in day 2 due to involuntary movements. The neurological examination revealed paraplegia with hyperreflexia, bilateral Babinski’s sign, thermal-algic and tactile sensory level by T5 and proprioceptive compromise of the lower limbs. Involuntary, stimulus-sensitive, wide, rhythmic and stereotyped movements of the left lower limb were observed, involving several muscle groups, similar to stepping movements. Further investigation documented myelopathy secondary to dorsal extradural lesion D2-D3, whose excision led to the complete resolution of these movements. Given the characteristics of these movements, we assume that they are stepping automatism movements generated by CPG.Portuguese Society of Neurologyapplication/pdfen-USSinapse; Vol. 23 No. 4 (2023): October - December; 207-211pt-PTSinapse; Vol. 23 N.º 4 (2023): Outubro - Dezembro; 207-2112184-42401645-281Xporjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85https://creativecommons.org/licenses/by-nc/4.0 |
| spellingShingle | Can a Plegic Leg Move Itself? Borges, Catarina Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| title | Can a Plegic Leg Move Itself? |
| title_full | Can a Plegic Leg Move Itself? |
| title_fullStr | Can a Plegic Leg Move Itself? |
| title_full_unstemmed | Can a Plegic Leg Move Itself? |
| title_short | Can a Plegic Leg Move Itself? |
| title_sort | Can a Plegic Leg Move Itself? |
| topic | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| topic_facet | Central Pattern Generators Locomotion Spinal Cord Injuries Geradores de Padrão Central Lesões da Medula Espinal Locomoção |
| url | https://doi.org/10.46531/sinapse/CC/230045/2023 |
| visible | 1 |
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