41 results on '"N. M. F. Murray"'
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2. CSF protein biomarkers for proximal axonal damage improve prognostic accuracy in the acute phase of Guillain-Barré syndrome
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Axel Petzold, Hayrettin Tumani, Johannes Brettschneider, Atsushi Takeda, Yasuto Itoyama, N M F Murray, Geoffrey Keir, Mary M. Reilly, Kazutaka Jin, and Nicholas Hirsch
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medicine.medical_specialty ,Pathology ,Guillain-Barre syndrome ,biology ,Glial fibrillary acidic protein ,medicine.diagnostic_test ,Physiology ,business.industry ,Lumbar puncture ,Tau protein ,medicine.disease ,Gastroenterology ,Cellular and Molecular Neuroscience ,Cerebrospinal fluid ,Physiology (medical) ,Internal medicine ,medicine ,biology.protein ,Neurology (clinical) ,Headaches ,medicine.symptom ,Prospective cohort study ,business ,CSF albumin - Abstract
Early predictors of prognosis in Guillain-Barre syndrome (GBS) are needed to identify patients who are likely to make a poor recovery and to guide therapeutic decision-making in the acute phase. Here we investigate whether axonal protein biomarkers released into the cerebrospinal fluid (CSF) following proximal axonal damage improve the early prognostic accuracy in GBS. A prospective multicenter study including 132 patients (38 GBS, 38 neurological controls, 42 headaches, 14 chronic inflammatory demyelinating neuropathy). CSF levels of axonal [neurofilament (NfH) and tau] and glial (S100B and glial fibrillary acidic protein) protein biomarkers were measured on admission. Nerve conduction studies were performed at the time of lumbar puncture and patients were classified according to neurophysiological criteria. Outcome was assessed on the Hughes functional score (F-score). Poor outcome was defined as the inability to walk independently (F-score > or = 3). High NfH levels (>0.73 ng/ml) predicted poor outcome (P = 0.01) with an odds ratio of 7.3 and correlated with the outcome F-score (R = 0.51, P < 0.01), as did hTau levels (R = 0.47, P < 0.01). Patients with poor outcome had significantly higher CSF NfH (median 1.78 ng/ml) when compared to those with good outcome (0.03 ng/ml) or all of the control groups (neurological controls 0.18 ng/ml, headaches 0.06 ng/ml, chronic inflammatory demyelinating neuropathy 0.05 ng/ml). Except for age (P < 0.05) and need for ventilatory support (P < 0.05), none of the other features reliably predicted outcome. Improved prognostic accuracy in the acute phase of GBS seems possible using CSF NfH levels.
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- 2009
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3. Chronic inflammatory demyelinating polyradiculoneuropathy: MRI study of brain and spinal cord
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W. Leong, N M F Murray, DH Miller, Mary M. Reilly, Matilde Laura, GT Ingle, Katherine A. Miszkiel, and Daniel R. Altmann
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Adult ,Male ,medicine.medical_specialty ,Pathology ,Cord ,CNS demyelination ,Central nervous system ,Nerve Fibers, Myelinated ,Spinal Cord Diseases ,Thoracic Vertebrae ,Atrophy ,Predictive Value of Tests ,medicine ,Humans ,Aged ,business.industry ,Multiple sclerosis ,Brain ,Polyradiculoneuropathy ,Middle Aged ,medicine.disease ,Spinal cord ,Magnetic Resonance Imaging ,Axons ,Surgery ,Peripheral neuropathy ,medicine.anatomical_structure ,Polyradiculoneuropathy, Chronic Inflammatory Demyelinating ,Spinal Cord ,Chronic Disease ,Cervical Vertebrae ,Disease Progression ,Female ,Neurology (clinical) ,Wallerian Degeneration ,business - Abstract
CNS demyelinating lesions have been reported in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). There are no studies of cord atrophy in CIDP. Ten patients with CIDP underwent brain and spinal cord MRI to investigate CNS demyelination and cord atrophy. No CNS demyelination was found, but the mean cervical cord area was significantly smaller in CIDP patients vs control subjects. Spinal cord atrophy may be related to degeneration secondary to axonal loss.
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- 2005
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4. Non-invasive electrical and magnetic stimulation of the brain, spinal cord and roots: basic principles and procedures for routine clinical application. Report of an IFCN committee
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A. Maertens de Noordhout, Michael Swash, C. Tomberg, Carl Hermann Lücking, Alfredo Berardelli, C. D. Marsden, Giuseppe Caruso, Roger Q. Cracco, N. M. F. Murray, A.T. Barker, Mark Hallett, Yoichi Katayama, Milan R. Dimitrijevic, Maria D. Caramia, John C. Rothwell, and Paolo Maria Rossini
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Central Nervous System ,Motor threshold ,medicine.medical_specialty ,business.industry ,General Neuroscience ,Non invasive ,Neural Conduction ,Brain ,Electric Stimulation ,Surgery ,Magnetics ,Spinal Cord ,Intracortical facilitation ,Reaction Time ,Humans ,Intracortical inhibition ,Medicine ,Brain spinal cord ,Neurology (clinical) ,Spinal Nerve Roots ,Motor mapping ,business ,Humanities ,Electric stimulation - Abstract
P.M. Rossini (Chairman) (Rome, Baly), A.T. Barker (Sheffield, UK), A. Berardelli (Rome, Italy), M.D. Caramia (Rome, Italy), G. Caruso (Naples, Italy), R.Q. Cracco (Brooklyn, NY;, USA), M.R. Dimitrijevid (Houston, TX, USA), M. Hallett ( Bethesda, MD, USA), Y. Katayama (Tokyo, Japan), C.H. Liicking ( Freiburg, Germany), A.L. Maertens de Noordhout (Liege, Belgium), C.D. Marsden (London, UK), N.M.F. Murray (London, UK), J.C. Rothwell (London, UK), M. Swash (London, UK) and C. Tomberg (Brussels, Belgium)
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- 1994
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5. Fourth meeting of the European Neurological Society 25–29 June 1994 Barcelona, Spain
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H. Hattig, C. Delli Pizzi, M. C. Addonizio, Michelle Davis, A. R. Giovagnoli, L. Florensa, M. Roth, J. de Kruijk, Francisco Lacruz, Ph. Dewailly, A. Toygar, C. Avendano, P.P. De Deyn, J. F. Hurtevent, F. Lomeila, T. W. Wong, Gordon T. Plant, M. Bud, H. J. Willison, DH Miller, D. W. Langdon, R. Cioni, J. Servan, A. Kaygisiz, E. Racadot, D. B. Schens, E. Picciola, L. Falip, C. Bouchard, J. Jotova, A. Jorge-Santamaria, P. Misra, A. Dufour, C. P. Panagopoulos, A. Venneri, B. Sredni, B. Angelard, M. Janelidze, M. Carreno, J. Obenberger, J. Pouget, H. W. Moser, R. Kaufmann, J. A. Molina, D. Linden, A. Martin Urda, E. Uvestad, A. Krone, J. P. Cochin, J. Mallecourt, A. Cambon-Thomsen, K. Violleau, P. Osschmann, A. M. Durocher, E. Bussaglia, D. M. Danielle, H. Efendi, C. Van Broeckhoven, K. G. Jordan, W. Rautenberg, C. Iniguez, J. M. Delgado, Graham Watson, M. Lawden, Gareth J. Barker, K. Stiasny, James T. Becker, G. Campanella, E. Peghi, A. Poli, A. Haddad, T. Yamawaki, Giacomo P. Comi, S. Sotgiu, B. Ersmark, A. Pomes, M. Ziegler, P. Ferrante, P. Ruppi, H. KuÇukoglu, R. Bouton, U. K. Rinne, P. Vieregge, M. Dary, P. Giunti, Peter J. Goadsby, S. Jung, E. Secor, A. Steinberg, N. Vila, M. A. Hernandez, M. Cursi, A. Enqelhardt, A. Engelhardt, J. Veitch, F. Di Silverio, F. Arnaud, B. Neundörfer, R. Brucher, Dominique Caparros-Lefebvre, B. Meyer, Marianne Dieterich, M. H. Snidaro, R. Gomez, R. Cerbo, M. Ragno, J. M. Vance, S. Nemni, A. Caliskan, F. Barros, I. Velcheva, D. Ceballos-Baumann, V. Barak, A. Avila, N. Antonova, F. Resche, S. Pappata, L. Varela, S. R. Silveira Santos, A. Cammarota, L. Naccache, Y. Nara, E. Tournier-Lasserves, R. Mobner, T. Chase, A. Ensenyat, J. Ulrich, G. Giegerich, M. Rother, M. Revilla, N. Nitschke, K. Honczarenko, E. Basart Tarrats, J. Blin, B. Jacob, J. Santamaria, S. Knezevic, J. L. Castillo, M. Antem, J. Colomer, O. Busse, Didier Hannequin, S. Carrier, J. B. Ruidavets, C. Rozman, J. Bogoussslavsky, J. Pascual Calvet, E. Monros, J. M. Polo, M. Zucconl, Javier Muruzabal, R. R. Allen, R. Rivolta, K. Haugaard, A. Nespolo, K. Hoang-Xuang, G. Bussone, T. Avramidis, E. Corsini, Christiana Franke, T. Vinogradova, H. Boot, K. Vestergaard, G. H. Jansen, N. Argentino, M. Raltzig, W. Linssen, Mark B. Pepys, P. Roblot, L. Lauritzen, E. Fainardi, D. Morin, T. X. Arbizu Urdiain, J. Wollenhaupt, S. Bostantjopoulou, G. Pavesi, A. D. Forman, Giovanni Fabbrini, D. Jean, J. J. Archelos, M. I. Blanchs, M. Del Gobbo, Anna Carla Turconi, Ch. Derouesné, Elio Scarpini, A. Visbeck, P. Castejon, J. P. Renou, F. Mounier-Vehier, G. Potagas, Ch. Duyckaerts, A. Filla, R. Schneider, G. Ronen, K. Nagata, J. P. Vedel, A. Henneberg, G. van Melle, C. Baratti, H. Knott, M. C. Prevett, A. Bes, B. Metin, Jos V. Reempts, L. Martorell, Mefkure Eraksoy, H. O. Handwerker, D. S. Younger, O. Oktem, D. Frongillo, C. Soriano-Soriano, L. Niehaus, F. Zipp, A. Tartaro, S Newman, R. H. Browne, P. Davous, R. Sanchez, M. Muros, M. E. Kornhuber, A. Lavarone, M. Mohr, M. R. Garcia, S. Russell, H. Kellar-Wood, M. R. Tola, B. Ostermeyer, Ch. Tzekov, K. Sartor, E. B. Ringelstein, P. P. Gazzaniga, Paul Krack, H. Fidaner, H. Rico, T. Dbaiss, F. Alameda, E. Torchiana, L. Rumbach, I. Charques, J. M. Bogaard, C. D. Frith, L. J. Rappelle, R. Brenner, A. Joutel, K. Fuxe, G. HÄcker, M. J. Blaser, J. Valls-SolÇ, G. Ulm, M. Alberdi, A. Bock, F. W. Bertelsmann, U. Wieshmann, J. Visa, J. R. Lupski, D. D'Amico, L. M. P. Ramos, A. A. Vanderbark, R. Horn, M. Warmuth, Dietmar Kühne, Mark S. Palmer, C. Ehrenheim, E. Canga, S. Viola, O. Scarpino, P. Naldi, R. Almeida, A. A. Raymond, J. Gamez, Stephan Arnold, A. DiGiovanni, J. Dalmau, C. C. Chari, H. F. Beer, J. C. Koetsier, J. Iriarte, E. Yunis, J. Casadevall, E. Le Guern, E. Stenager, S. R. Benbadis, J. M. Warter, F. Burklin, I. Theodorou, L. Johannesen, G. A. Graveland, X. Leclerc, I. Vecchio, L. Ozelius, G. Nicoletti, R. K. Gherardi, E. Esperet, M. L. Delodovici, F. Cattin, F. Paiau, Giorgio Sacilotto, C. A. J. Broere, D. Chavdarov, J. P. Willmer, C. H. Hawkes, Th. Naegele, E. Ellie, E. Dartigues, M. J. Guardiola, S. Hesse, Z. Levic, Marco Rovaris, P. Saugeir-Veber, B. A. Yaqub, H. F. Durwen, R. Larumbe, J. Ballabrina, M. Sendtner, J. Röther, M. Horstink, C. Kluglein, M.P. Montesi, H. Apaydin, J. Montoya, E. Waubant, Ch. Verellen-Dunoulin, A. Nicolai, J. Lopez-Delval, R. Lemon, G. Cantinho, E. Granieri, A. Zeviani, Wolfgang H. Oertel, U. Ficola, V. Di Piero, V. Fragola, K. Sabev, M. V. Guitera, I. Turki, F. Bolgert, P. Ingrand, J. M. Gobernado, L. M. E. Grimaldi, S. Baybas, B. Eymard, Y. Rolland, Y. Robitaille, Ta. Pampols, P. J. Koehler, A. Carroacedo, J. Vilchez, S. Di Vittorio, I. R. Rise, T. Nagy, M. Kuffner, E. Palazzini, A. Ott, J. Pruim, T. X. Arbizu, E. Manetti, C. Cervera, S. Felber, G. Gursoy, J. Scholz, G. A. Buscaino, M. S. Chen, A. Pascual, J. Hazan, J. U. Gajda, J. G. Cea, G. Bottini, G. Damalik, F. Le Doze, G. Bonaldi, J. M. Hew, C. Messina, A. M. Kennedy, J. M. Carney, N. M. F. Murray, M. Parent, M. Koepp, V. Dimova, D. De Leo, K. Jellinger, G. Salemi, S. Mientus, M. L. Hansen, F. Mazzucchelli, J. Vieth, M. Mauri, E. Bartels, L. Johannsen, C. Humphreys, J. Emile, D. N. Landon, E. Kansu, R. Sanchez-Pernaute, Rsj Frackowiak, M. Gonzalez Torres, L. Oller, C. Machedo, J. Kother, M. Billiard, H. Durak, T. Schindler, A. Frank, A. Uncini, A. Sbriccoli, C. Farinas, D. W. Paty, N. Fast, A. T. Zangaladze, A. Kerkhofs, J. M. Pino Garcia, I. De la Fuente, B. Marini, L. Gomez, I. Rubio, Alessandra Bardoni, C. Brodie, P. Acin, U. Sliwka, S. A. Hawkins, S. Tardieu, F. Vitullo, J. M. Pereira Monteino, R. Gagliardi, T. Jezewski, A. Cano, T. Lempert, F. Abad Alegria, G. Rotondo, D. Ince, C. Martinez Parra, Y. Huang, H. Luders, Y. Steinvil, F. G. A. Van Der Meche, R. Bianchi, A. Sanchez, T. Sevilla, J. M. Ketelslegers, A. Domzal-Stryga, M. Pandolfo, M. O. Josse, K. W. Neff, I. Blanco, G. W. Bruyn, O. W. Witte, J. L. Thibault, G. Andersen, J. Pariset, A. Marcone, R. J. M. Lane, A. Hofman, M. Verin, T. Matilla, P. Bedoucha, J. Roche, M. Lai, M. Collard, A. Ugarte, F. Gallecho, D. Silbersweig, C. Kennard, J. P. Azulay, T. W. Ho, P. L. I. Dellemijn, R. Girardello, F. Baas, B. Voss, F. Rozenberg, E. M. Brocker, V. Stanev, A. A. J. Soeterboek, A. Marra, A. Rey, E. Ertem, M. Sawradewicz-Rybak, J. De Keyser, P. Cavallari, F. Proust, Y. Chevalier, H. C. Hansen, D. Leys, C. A. Davie, K. Hoang-Xuan, C. Bairati, H. van Crevel, Thomas T. Warner, B. Bompais, A. Dobbeleir, T Campbell, C. Macko, C. J. M. Klijn, M. Dussallant, T. P. Berlit, W. Rozenbaum, M. J. van den Bent, W. A. Rocca, M. Muller, H. Hundemer, U. Zifko, M. Campera, F. Drislane, D. Ranoux, T. M. Kloss, Anil Kumar, I. Ruolt, C. Bargnani, B. Marescau, N. A. Losseff, S. Notermans, B. Kint, E. T. Burke, C. Aykut, J. Matias Guiu, P. Maquet, T. Drogendijk, M. Leone, K. von Ammon, M. Pepeliarska, C. Prados, L. DiGiamberardino, T. Logtenberg, G. Lenoir, I. Castaldo, Damhaut, M. Radionova, G. Sirabian, R. Navon, Giovanni Antonini, K. Al Moutaery, E. Chamas, R. Schönhuber, M. Giannini, B. Debilly, I. Labatut, H. Henon, J. A. Egido, M. Baudrimont, J. N. Lorenzo, J. E. C. Bromberg, R. Antonacci, J. J. Vilchez, T. Moulin, B. Rautenstrauss, Giovanni Meola, J. Noth, S Mammi, P. Laforet, F. Lopez, C. Gehring, S. Bort, G. Rancurel, D. Decamps, S. Kostadinova, Y. Shapira, B. Neundoerfer, D. Chavrot, M. Solimena, J. P. Salier, W. Deberdt, R. Hoff-Jörgensen, A. Messina, S. Meairs, G. Rosoklija, E. Nelis, I. Bertran, C. Ertekin, J. Lohmeyer, Mitermayer Galvao dos Reis, L. Calo, E. Maccagnano, A. P. Hays, J. Verlooy, M. G. Forno, T. Blanco, L. Bail, Gabriella Silvestri, J. Montero, F. Bertrand, R. T. Ghnassia, C. Besses, T. Sereghy, F. Shalit, G. Bogliun, S. Braghi, St. Baykouchev, C. Franke, A. Lasa, L. C. Archard, J. Kriebel, S. Shaunak, M. Nocito, Alexander Tsiskaridze, E. Manfredini, T. Seigal, David G. Gadian, M. Barlas, J. D. Degos, C. Seeber, J. Caemert, J. L. Mas, R. B. Pepinsky, M. G. D'Angelo, N. Baumann, S. Yorifuji, H. P. Endtz, M. A. Cassatella, R. A. C. Hughes, V. Golzi, A. Bittencourt, A. Ferreira, M. Sanson, C. Alper, M. Vermeulen, M. A. A. van Walderveen, E. Alexiou, C. H. Lucas, M. Fiorelli, Y. N. Debbink, R. Gil, S. Congia, T. Banerjee, J. M. Bouchard, A. N. Pinto, A. Ceballos-Baumann, G. Grollier, P. I. M. Schmitz, M. D. Catata, N. Lahat, N. S. Rao, P. Papathanasopoulos, J. Valls-Solé, D. Claus, G. Schroter, A. Castro, C. Videbaek, R. Martinez Dreke, A. D. Platts, M. Hermesl, A. C. PeÇanha-Martins, M. Cardoso Silva, P. Masnou, M. J. A. Tanner, Ch. Confavreux, B. Mishu, H. Rasmussen, L. Valenciano, Carlo Pozzilli, S. W. Li, V. Salzman, Y. Vashtang, Massimo Franceschi, M. Severo, G. Deuschl, S. Setien, G. Mariani, A. Protti, J. Castillo, M. J. B. Taphoorn, M. Frontali, I. Milonas, D. Decoq, J. A. Navarro, S. Castellvi-Pel, C. Ertikin, M. Urtasun, Y. Lajat, B. E. Kendall, E. Verdu, B. Gueguen, E. Boisen, R. Couderc, A Danek, JM Stevens, F. Nicoli, L. Feltri, M. L. Vazquez-Andre, J. A. Morgan-Hughes, L. D'Angelo, F. Y. Liew, L. F. Pascual, J. Patrignani Ochoa, Vittorio Martinelli, J. Cophignon, L. Zhang, S. Martin, J. F. Meder, H. C. Buschmann, L. Bertin, J. van Gijn, A. Barreiro, A. Cools, C. Leon, A. Berod, E. A. Anllo, E. Zanette, L. Petrov, R. Barona, B. Gallicchio, P. J. Cozzone, N. Diederich, G. Cancel, L. Schelosky, P. Orizaola, K. Yulug, S. Ozer, Valeria A. Sansone, B. Guiraud-Chaumeil, K. Voigt, P. Labauge, M. Eoli, J. Zhu, J. Aguirre, M. Ferrarini, B. Zyluk, E. Planas, A. Cadilha, C. Tortorella, H. Bismuth, C. E. Counsell, A. Laun, A. Ferlini, Rio J. Montalban, N. Biary, L. Becker, M. Fardeau, M. Poloni, V. M. S. de Bruin, C. Fornada, J. Barros, E. Ganzmann, E. Touze, D. Wallach, J. Peila, H. Fujimura, M. T. Iba-Zizen, G. Macchi, C. Villoslada, R. Gouider, Ph. Rondepierre, P. Grummich, P. Chiodi, C. Conte, M. Michels, P. Annunziata, G. Semana, C. Sommer, J. Vajsar, D. Zekin, J. Kulisevsky, David G. Munoz, B. Jacotot, M. Magoni, A. Luxen, T. Garcia-Silva, S. Di Cesare, Christophe Tzourio, M. Gomori, I. Picomell, L. Santoro, F. Villa, Giovanni Pennisi, T. Ribalta, J. M. Molto, L. Marzorati, P. Loiseau, F. Gemignani, A. Gironell, J. Wissel, A. Prusinski, F. Cailloux, P. Villanueva-Hemandez, P. Cozzone, T. Del Ser, J. Sans-Sabrafen, M. Zappia, P. W. A. Willems, G. Tchernia, D. Gardeur, R. Bauer, F. Palomo, H. Metz, S. Lamoureux, C. Chastang, I. Reinhard, A. Goldfarb, S. Harder, Jordi Río, C. Ozkara, E. Tekinsoy, P. Vontobell, J. De Recondo, M. Rabasa, L. Lacomblez, F. Boon, Dgt Thomas, V. Palma, Renato Mantegazza, A. Dervis, M. Nueckel, B. YalÇinerner, I. Duran, G. Dalla Volta, A. Zubimendi, J. Pinheiro, A. Marbini, Xavier Montalban, H. Wekerle, X. Pereira Monteino, F. Crespo, F. Koskas, N. Battistini, C. Ruiz, H. Offner, J. de Pommery, P. Kanovsky, J. Y. Barnett, J. Pardo, G. Tomei, R. Rene, H. M. Lokhorst, P. Thajeb, H. Bilgin, D. McGehee, R. Fahsold, L. Morgante, Katie Sidle, C. Delwaide, M. N. Diaye, P. H. Rice, A. Creange, C. Sabev, K. Stephan, K. WeilBenborn, G. Magnani, L. Grymonprez, F. Cardellach, M. Kaps, N. G. Meco, F. Vega, V. Bonifati, A. Desomer, M. Baldy-Moulinier, G. Kvale, F. J. Authier, B. Yegen, T. Ho, J. M. Rozet, E. A. Cabanis, L. Bruce, L. Ambrosoli, M. A. Petrella, M. Hernandez, P. Timmings, H. B. van der Worp, F. Mahieux, A. Urbano-Marquez, D. A. Krendel, A. A. Garcia, R. Divari, R. Michalowicz, M. R. Piedmonte, M. Bondavalli, M. Zanca, P. F. Ippel, Onofre Combarros, B. Tavitian, E. Hirsch, I. Anastasopoulos, A. Roses, A. Köhler, P. Vienna, V. Timmerman, P. Sergi, F. Cornelio, A. Di Pasquale, R. Verleger, S. Castellvirel, J. Proano, B. van Moll, F. Rubio, W. Hacke, I. Lavenu, L. Zetta, M. W. Tas, N. Bittmann, M. Bonamini, O. R. Hommes, V. Dousset, N. Afsar, S. Belal, R. R. Myers, J. Goes, Giuseppe Vita, E. Clementi, V. G. Karepov, M. Jueptner, A Vincent, P. Emmrich, Th. Heb, A. Caballo, J. Gallego, T. Mokrusch, C. Perla, L. Gebuhrer, O. Titlbach, Alessandro Prelle, A. Czlonkowska, M. Russo, D. Hadjiev, T. S. Chkhikvishvili, M. Oehlschlager, G. Becker, I. Günther, E. N. Stenager, J. Garcia Agundez, J. Casademont, J. Batlle, S. Podobnik-Sarkanji, C. Alonso-Villaverde, B. Delaguillaume, B. Genc, B. Mazoyer, A. Rodriguez-Al-barino, Ch. Hilger, B. Ferrero, R. Price, W. Grisold, L. Fuhry, D. Oulbani, D. Ewing, A. Petkov, W. Walther, A. Gokyigit, John Newsom-Davis, J. Tayot, D. Seliak, G. Pelliccioni, D. Campagne, K. Kessler, F. Boureau, D. Perani, J. P. N'Guyen, N. Tchalucova, B. A. Antin-Ozerkis, C. Lacroix, B. D. Aronovich, I. H. Jenkins, E. A. dos Reis, M. Hortells, H. M. Meinck, H. Ch. Buschmann, S. C. J. M. Jacobs, T. Wetter, P. Creissard, N. Martinez, J. Weidenfeldl, H. J. Sturenburg, G. Damlacik, V. Gracia, J. C. Turpin, A. Pou-Serradell, J. P. Vincent, T. Gagoshidze, U. Ozkutlu, M. McLeod, K. Siegfried, I. Tchaoussoglou, J. Hildebrand, S. Kowalska, M. C. Picot, G. Galardin, L. Crevits, F. Andreetta, S. Larumbe-Lobalde, G. de la Sierra, J. C. Alvarez-Cermeno, R. J. Seitz, P. L. Oey, L. Ptacek, A. M. J. Paans, A. Wirrwar, A. Schmied, J. Uilchez, H. Tounsi, D. Hipola, V. Avoledo, Y. Hirata, P. Vermersch, T. M. Aisonobe, J. Valls-SoIè, H. Staunton, J. Dichgans, R. Karabudak, I. Dones, G. Porta, E. Janssens, Maria Martinez, J. M. Fernandez-Real, R. Villagra, Y. Yoshino, C. Kabus, K. Schimrigk, I. Girard-Buttaz, F. Piccoli, F. Aichner, P. Zuchegna, S. M. Al Deeb, F. Bono, N. Busquets, A. Jobert, Patrizia Ciscato, M. Martin, L. Polman, S. Darbra, V. Le Cam-Duchez, F. Baldissera, B. Baykan-Kurt, D. Guez, M. Bratoeva, H. Matsui, M. Mila, H. Perron, L. Bjorge, G. Husby, Steven T. DeKosky, D. R. Cornblath, J. M. Gabriel, J. J. Poza, Y. Wu, A. Toscano, R. P. Kleyweg, J. Kuhnen, S. O. Confort-Gouny, A. Barcelo, A. M. Conti, C. Fiol, C. Steichen-Wiehn, J. Rodes, M. Cavenaile, C. Vedeler, M. Drlicek, C. Argentino, M. L. Peris, A. Cervello, A. Z. GinaÏ, S. Yancheva, D. Passingham, S. Aoba, D. L. 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Henderson, R. Massa, A. Cruz Martinez, U. Liska, F. Hecht, Ernst Holler, V. S. de Bruin, B. B. Sheitman, S. M. Bentzen, C. Bayindir, F. Pallesta, P. E. Roland, J. Parrilla, P. Zunker, L. F. Burchinskaya, G. Mellino, S. Ben Ayed, D. Bonneau, P. Nowacki, M. Goncalves, P. Riederer, N. Mavroudakis, J. Togores, L. Rozewicz, S. Robeck, Y. Perez Gilabert, L. Rampello, A. Rogopoulos, S. Martinez, F. Schildermans, C. Radder, P. B. Hedlund, J. Cambier, M. Aabed, G. D. Jackson, P. Gasparini, P. Santacruz, J. Vandevivere, H. Dural, A. Mantel, W. Dorndorf, N. Ediboglu, A. Lofgren, J. Bogousslavsky, P. Thierauf, L. Goullard, R. Maserati, B. Moering, M. Ryba, J. Serra, G. G. Govan, A. Pascual-Leone, S. Schaeffer, M. R. Rosenfeld, A. P. Correia, K. Ray Chaudhuri, L. Campbell, R. Spreafico, B. Genetet, A. M. Tantot, R. A. G. Hughes, J. A. Vidal, G. Erkol, J. Y. Delattre, B. Yaqub, B. K. Hecht, E. Mayayo, Ph. Scheltens, J. Corral, M. Calaf, L. Henderson, C. Y. Li, U. Bogdahn, R. Sanchez-Roy, M. 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Valalentino, D. Guidetti, B. Buchwald, C. H. Lücking, D. Gauvreau, F. Pfaff, A. Ben Younes-Chennoufi, R. Kiefer, R. Massot, K. A. Hossmann, L. Werdelin, P. J. Baxter, U. Ziflo, S. Allaria, C. D. Marsden, M. Cabaret, S. P. Mueller, E. Calabrese, R. Colao, S. I. Bekkelund, M. Yilmaz, O. Oktem-Tanor, R. Gine, M. E. Scheulen, J. Beuuer, A. Melo, Z. Gulay, M. D. Have, C. Frith, D. Liberati, J. Gozlan, P. Rondot, Ch. Brunholzl, M. Pocchiari, J. Pena, L. Moiola, C. Salvadori, A. Cabello, T. Catarci, S. Webb, C. Dettmers, N. A. Gregson, Alexandra Durr, F. Iglesias, U. Knorr, L. Ferrini-Strambi, F. Kruggel, P. Allard, A. Coquerel, P. Genet, F. Vinuels, C. Oberwittler, A. Torbicki, P. Leffers, B. Renault, B. Fauser, C. Ciano, G. Uziel, J. M. Gibson, F. Anaya, C. Derouesné, C. N. Anagnostou, M. Kaido, W. Eickhoff, G. Talerico, M. L. Berthier, A. Capdevila, M. Alons, D. Rezek, E. Wondrusch, U. Kauerz, D. Mateo, M. A. Chornet, Holon, N. Pinsard, I. Doganer, E. Paoino, H. Strenge, C. Diaz, J. R. Brasic, W. Heide, I. Santilli, W. M. Korn, D. Selcuki, M. J. Barrett, D. Krieger, T. Leon, T. Houallah, M. Tournilhac, C. Nos, D. Chavot, F. Barbieri, F. J. Jimenez-Jimenez, J. Muruzabal, K. Poeck, A. Sennlaub, L. M. Iriarte, L. G. Lazzarino, C. Sanz, P. A. Fischer, S. D. Shorvon, R. Hoermann, F. Delecluse, M. Krams, O. Corabianu, F. H. Hochberg, Christopher J. Mathias, B. Debachy, C. M. Poser, L. Delodovici, A. Jimenez-Escrig, F. Baruzzi, F. Godenberg, D. Cucinotta, P. J. Garcia Ruiz, K. Maier-Hauff, P. R. Bar, R. Mezt, R. Jochens, S. Karakaneva, C. Roberti, E. Caballero, Joseph E. Parisi, M. Zamboni, T. Lacasa, B. Baklan, J. C. Gautier, J. A. Martinez-Matos, W. Pollmann, G. Thomas, L. Verze, E. Chleide, R. Alvarez Sala, I. Noel, E. Albuisson, O. Kastrup, S. I. Rapoport, H. J. Braune, H. Lörler, M. Le Merrer, A. Biraben, S. Soler, S. J. Taagholt, U. Meyding-Lamadé, K. Bleasdale-Barr, Isabella Moroni, Y. Campos, J. Matias-Guiu, G. Edan, M. G. Bousser, John B. Clark, J. Garcia de Yebenes, N. K. Olsen, P. Hitzenberger, S. Einius, Aj Thompson, Ch. J. Vecht, T. Crepin-Leblond, Klaus L. Leenders, A. Di Muzio, L. Georgieva, René Spiegel, K. Sabey, D. Ménégalli, J. Meulstee, U. Liszka, P. Giral, C. Sunol, J. M. Espadaler, A. D. Crockar, K. Varli, G. Giraud, P. J. Hülser, A. Benazzouz, A. Reggio, M. Salvatore, K. Genc, M. Kushnir, S. Barbieri, J. Ph. Azulay, M. Gianelli, N. Bathien, A. AlMemar, F. Hentati, I. Ragueneau, F. Chiarotti, R. C. F. Smits, A. K. Asbury, F. Lacruz, B. Muller, Alan J. Thompson, Gordon Smith, K. Schmidt, C. Daems Monpeun, Juergen Weber, A. Arboix, G. R. Fink, A. M. Cobo, M. Ait Kaci Ahmed, E. Gencheva, Israel-Biet, G. Schlaug, P. De Jonghe, Philip Scheltens, K. Toyka, P. Gonzalez-Porque, A. Cila, J. M. Fernandez, P. Augustin, J. Siclia, S. Medaglini, D. E. Ziogas, A. Feve, L. Kater, G. J. E. Rinkel, D. Leppert, Rüdiger J. Seitz, S. Ried, C. Turc-Carel, G. Smeyers, F. Godinho, M. Czygan, M. Rijntjes, E. Aversa, M. Frigo, Leif Østergaard, J. L. Munoz Blanco, A. Cruz-Matinez, J. De Reuck, C. Theillet, T. Barroso, V. Oikonen, Florence Lebert, M. Kilinc, C. Cordon-Cardon, G. Stoll, E. Thiery, F. Pulcinelli, J. Solski, M. Schmiegelow, L. J. Polman, P. Fernandez-Calle, C. Wikkelso, M. Ben Hamida, M. Laska, E. Kott, W. Sulkowski, C. Lucas, N. M. Bornstein, D. Schmitz, M. W. Lammers, A. de Louw, R. J. S. Wise, P. A. van Darn, C. Antozzi, P. Villanueva, P. H. E. Hilkens, C. Constantin, W. Ricart, A. Wolf, M. Gamba, P. Maguire, Alessandro Padovani, B. M. Patten, Marie Sarazin, H. Ackermann, L. Durelli, S. Timsit, Sebastian Jander, B. W. Scheithauer, G. Demir, J. P. Neau, P. Barbanti, A. Brand, N. AraÇ, V. Fischer-Gagnepain, R. Marchioli, G. Serratrice, C. Maugard-Louboutin, G. T. Spencer, D. Lücke, G. Mainardi, K. Harmant Van Rijckevorsel, G. B. Creel, R. Manzanares, Francesco Fortunato, A. May, J. Workman, K. Johkura, E. Fernandez, Carlo Colosimo, L. Calliauw, L. Bet, Félix F. Cruz-Sánchez, M. Dhib, H. Meinardi, F. Carrara, J. Kuehnen, C. Peiro, H. Lassmann, K. Skovgaard Olsen, A. McDonald, L. Sciulli, A. Cobo, A. Monticelli, B. Conrad, J. Bagunya, J. Benitez, V. Desnizza, B. Dupont, O. Delrieu, D. Moraes, J. J. Heimans, F. Garcia Rio, M. Matsumto, A. Fernandez, R. Nermni, R. Chalmers, M. J. Marchau, F. Aguado, P. Velupillai, P. J. Martin, P. Tassan, V. Demarin, A. Engelien, T. Gerriets, Comar, J. L. Carrasco, J. P. Pruvo, A. Lopez de Munain, D. Pavitt, J. Alarcon, Chris H. Polman, B. Guldin, N. Yeni, Hartmut Brückmann, N. Wilczak, H. Szwed, R. Causaran, G. Kyriazis, M. E. Westarp, M. Gasparini, N. Pecora, J. M. Roda, E. Lang, V. Scaioli, David R. Fish, D. Caputo, O. Gratzl, R. Mercelis, A. Perretti, G. Steimetz, I. Link, C. Rigoletto, A. Catafau, G. Lucotte, M. Buti, G. Fagiolari, A. Piqueras, C. Godinot, J. C. Meurice, Erodriguez J. Dominigo, F. Lionnet, H. Grzelec, David J. Brooks, P. M. G. Munro, F. X. Weilbach, M. Maiwald, W. Split, B. Widjaja-Cramer, V. Ozturk, J. Colas, E. Brizioli, J. Calleja, L. Publio, M. Desi, R. Soffietti, P. Cortinovis-Tourniaire, E. F. Gonano, G. Cavaletti, S. Uselli, K. Westerlind, H. Betuel, C. O. Dhiver, H. Guggenheim, M. Hamon, R. Fazio, P. Lehikoinen, A. Esser, B. Sadzot, G. Fink, Angelo Antonini, D. Bendahan, V. Di Carlo, G. Galardi, A. F. Boller, M. Aksenova, Del Fiore, V. de la Sayette, H. Chabriat, A. Nicoletti, A. Dilouya, M. L. Harpin, E. Rouillet, J. Stam, A. Wolters, M. R. Delgado, Eduardo Tolosa, G. Said, A. J. Lees, L. Rinaldi, A. Schulze-Bonhage, MA Ron, C. Lefebvre, E. W. Radü, R. Alvarez, M. L. Bots, P. Reganati, S. Palazzi, A. Poggi, N. J. Scolding, V. Sazdovitch, T. Moreau, E. Maes, M. A. Estelies, P. Petkova, Jose-Felix Marti-Masso, G De La Meilleure, N. Mullatti, M. Rodegher, N. C. Notermans, T. A. T. Warner, S. Aktan, J. P. Louboutin, L. Volpe, C. Scheidt, W. Aust, C. M. Wiles, U. Schneider, S. K. Braekken, W. R. Willems, K. Usuku, Peter M. Rothwell, C. Talamon, M. L. Sacchetti, A. Codina, M. H. Marion, A. Santoro, J. Roda, A. Bordoni, D. J. Taylor, S. Ertas, H. H. Emmen, J. Vichez, V. BesanÇon, R. E. Passingham, M. L. Malosio, A. Vérier, M. Bamberg, A. W. Hansen, E. Mostacero, G. Gaudriault, Marie Vidailhet, B. Birebent, K. Strijckmans, F. Giannini, T. Kammer, I. Araujo, J. Nowicki, E. Nikolov, A. Hutzelmann, R. Gherardi, J. Verroust, L. Austoni, A. Scheller, A. Vazquez, S. Matheron, H. Holthausen, J. M. Gerard, M. Bataillard, S. Dethy, V. H. Patterson, V. Ivanez, N. P. Hirsch, F. Ozer, M. Sutter, C. Jacomet, M. Mora, Bruno Colombo, A. Sarropoulos, T. H. Papapetropoulos, M. Schwarz, D. S. Dinner, N. Acarin, B. Iandolo, J. O. Riis, P. R. J. Barnes, F. Taroni, J. Kazenwadel, L. Torre, A. Lugaresi, I. L. Henriques, S. Pauli, S. Alfonso, Pedro Quesada, A. S. T. Planting, J. M. Castilla, Thomas Gasser, M. Van der Linden, A. Alfaro, E. Nobile-Orazio, G. Popova, W. Vaalburg, F. G. A. van der Mech, L. Williams, F. Medina, J. P. Vernant, J. Yaouanq, B. Storch-Hagenlocher, A. Potemkowski, R. Riva, M. H. Mahagne, M. Ozturk, Ve. Drory, N. Konic, C. Jungreis, A. Pou Serradell, J. L. Gauvrit, G. J. Chelune, S. Hermandez, T. Dingus, L. Hewer, Ch. Koch, M. N. Metz-Lutz, G. Parlato, M. Sinaki, Charles Pierrot-Deseilligny, H. C. Diener, J. Broeckx, J. Weill-Fulazza, M. L. Villar, M. Rizzo, O. Ganslandt, C. Duran, N. A. Fletcher, G. Di Giovacchino, Susan T. Iannaccone, C. Kolig, N. Fabre, H. A. Crockard, Rita Bella, M. Tazir, E. Papagiannuli, K. Overgaard, Emma Ciafaloni, I. Lorenzetti, F. Viader, P. A. H. Millac, I. Montiel, L. H. Visser, M. Palomar, P. L. Murgia, H. Pedersen, Rafael Blesa, S. Seddigh, W. O. Renier, I. Lemahieu, H. M. L. Jansen, L. Rosin, J. Galofre, K. Mattos, M. Pondal, G. M. Hadjigeorgiou, D. Francis, L. Cantin, D. Stegeman, M. Rango, A. B. M. F. Karim, S. Schraff, B. Castellotti, I. Iriarte, E. Laborde, T. J. Tjan, R. Mutani, D. Toni, B. Bergaasco, J. G. Young, C. Klotzsch, A. Zincone, X. Ducrocq, M. Uchuya, O. J. Kolar, A. Quattrone, T. Bauermann, Nereo Bresolin, J. Vallée, B. C. Jacobs, A. Campos, Werner Poewe, J. A. Villanueva, A. W. Kornhuber, A. Malafosse, E. Diez-Tejedor, G. Jungreia, M. J. A. Puchner, A. Komiyama, O. Saribas, V. Volpini, L. Geremia, S. Bressi, A. Nibbio, Timothy E. Bates, T. z. Tzonev, E. Ideman, G. A. Damlacik, G. Martino, G. Crepaldi, T. Martino, Kjell Någren, E. Idiman, D. Samuel, J. M. Perez Trullen, Y. van der Graaf, J. O. Thorell, M. J. M. Dupuis, E. Sieber, R. D'Alessandro, C. Cazzaniga, J. Faiss, A. Tanguy, A. Schick, I. Hoksergen, A. Cardozo, R. Shakarishvili, G. K. Wennlng, J. L. Marti-Vilalta, J. Weissenbach, I. L. Simone, Amalia C. Bruni, Darius J. Adams, C. Weiller, A. Pietrangeli, F. Croria, C. Vigo-Pelfrey, Patricia Limousin, A. Ducros, G. Conti, O. Lindvall, E. Richter, M. Zuffi, A. Nappo, T. Riise, J. Wijdenes, M. J. Fernandez, J. Rosell, P. Vermersh, S. Servidei, M. S. C. Verdugo, F. Gouttiere, W. Solbach, M. Malbezin, I. S. Watanabe, A. Tumac, W. I. McDonald, D. A. Butterfield, P. P. Costa, F. deRino, F. Bamonti, J. M. Cesar, C. H. Lahoz, I. Mosely, M. Starck, M. H. Lemaitre, K. M. Stephan, S. Tex, R. Bokonjic, I. Mollee, L. Pastena, M. Gutierrez, F. Boiler, M. C. Martinez-Para, M. Velicogna, O. Obuz, A. Grinspan, M. Guarino, L. M. Cartier, E. Ruiz, D. Gambi, S. Messina, M. Villa, Michael G. Hanna, J. Valk, Leone Pascual, M. Clanet, Z. Argov, B. Ryniewicz, E. Magni, B. Berlanga, K. S. Wong, C. Gellera, C. Prevost, F. Gonzalez-Huix, R. Petraroli, J. E. G. Benedikz, I. Kojder, C. Bommelaer, L. Perusse, M. R. Bangioanni, Guy M. McKhann, A. Molina, C. Fresquet, E. Sindern, Florence Pasquier, M. J. Rosas, M. Altieri, O. Simoncini, M. Koutroumanidis, C. A. F. Tulleken, M. Dary-Auriol, S. Oueslati, H. Kruyer, I. Nishisho, C. R. Horning, A. Vital, G. V. Czettritz, J. Ph. Neau, B. Mihout, A. Ameri, M. Francis, S. Quasthoff, D. Taussig, S. Blunt, P. Valentin, C. Y. Gao, O. Heinzlef, H. d'Allens, C. Coudero, M. Erfas, G. Borghero, P. J. Modrego Pardo, M. C. Patrosso, N. L. Gershfeld, P. A. J. M. Boon, O. Sabouraud, M. Lara, J. Svennevig, G. L. Lenzi, A. Barrio, H. Villaroya, JosÇ M. Manubens, O. Boespflug-Tanguy, M. Carreras, D. A. Costiga, J. P. Breux, S. Lynn, C. Oliveras Ley, A. G. Herbaut, J. Nos, C. Tornali, Y. A. Hekster, J. L. Chopard, J. M. Manubens, P. Chemouilli, A. Jovicic, F. Dworzak, S. Smirne, S. E. Soudain, B. Gallano, D. Lubach, G. Masullo, G. Izquierdo, A. Pascual Leone Pascual, A. Sessa, V. Freitas, O. Crambes, L. Ouss, G. W. Van Dijk, P. Marchettini, P. Confalonieri, M. Donaghy, A. Munnich, M. Corbo, and M. E. L. van der Burg
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Neurology ,business.industry ,Media studies ,Library science ,Medicine ,Neurology (clinical) ,business - Published
- 1994
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6. CSF protein biomarkers for proximal axonal damage improve prognostic accuracy in the acute phase of Guillain-Barré syndrome
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A, Petzold, J, Brettschneider, K, Jin, G, Keir, N M F, Murray, N P, Hirsch, Y, Itoyama, M M, Reilly, A, Takeda, and H, Tumani
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Male ,S100 Proteins ,Neural Conduction ,Reproducibility of Results ,tau Proteins ,S100 Calcium Binding Protein beta Subunit ,Middle Aged ,Guillain-Barre Syndrome ,Severity of Illness Index ,Axons ,Cross-Sectional Studies ,Neurofilament Proteins ,Glial Fibrillary Acidic Protein ,Multivariate Analysis ,Outcome Assessment, Health Care ,Disease Progression ,Humans ,Female ,Nerve Growth Factors ,Prospective Studies ,Biomarkers ,Aged ,Retrospective Studies - Abstract
Early predictors of prognosis in Guillain-Barré syndrome (GBS) are needed to identify patients who are likely to make a poor recovery and to guide therapeutic decision-making in the acute phase. Here we investigate whether axonal protein biomarkers released into the cerebrospinal fluid (CSF) following proximal axonal damage improve the early prognostic accuracy in GBS. A prospective multicenter study including 132 patients (38 GBS, 38 neurological controls, 42 headaches, 14 chronic inflammatory demyelinating neuropathy). CSF levels of axonal [neurofilament (NfH) and tau] and glial (S100B and glial fibrillary acidic protein) protein biomarkers were measured on admission. Nerve conduction studies were performed at the time of lumbar puncture and patients were classified according to neurophysiological criteria. Outcome was assessed on the Hughes functional score (F-score). Poor outcome was defined as the inability to walk independently (F-scoreor = 3). High NfH levels (0.73 ng/ml) predicted poor outcome (P = 0.01) with an odds ratio of 7.3 and correlated with the outcome F-score (R = 0.51, P0.01), as did hTau levels (R = 0.47, P0.01). Patients with poor outcome had significantly higher CSF NfH (median 1.78 ng/ml) when compared to those with good outcome (0.03 ng/ml) or all of the control groups (neurological controls 0.18 ng/ml, headaches 0.06 ng/ml, chronic inflammatory demyelinating neuropathy 0.05 ng/ml). Except for age (P0.05) and need for ventilatory support (P0.05), none of the other features reliably predicted outcome. Improved prognostic accuracy in the acute phase of GBS seems possible using CSF NfH levels.
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- 2009
7. Neurological paraneoplastic syndromes in patients with small cell lung cancer. A prospective survey of 150 patients
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John Newsom-Davis, N. M. F. Murray, S. G. Spiro, and G. M. Elrington
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Male ,medicine.medical_specialty ,Weakness ,Lung Neoplasms ,Paraneoplastic Syndromes ,Sensation ,Motor nerve ,Nervous System ,Synaptic Transmission ,Ganglia, Spinal ,Internal medicine ,medicine ,Carcinoma ,Humans ,Prospective Studies ,Carcinoma, Small Cell ,Prospective cohort study ,Motor Neurons ,Neurologic Examination ,Lung ,business.industry ,Respiratory disease ,Cancer ,Neuromuscular Diseases ,Middle Aged ,medicine.disease ,Confidence interval ,Surgery ,Lambert-Eaton Myasthenic Syndrome ,Psychiatry and Mental health ,medicine.anatomical_structure ,Female ,Neurology (clinical) ,Nervous System Diseases ,medicine.symptom ,business ,Research Article - Abstract
One hundred and fifty patients presenting with small cell lung cancer (SCLC) to chest physicians, were assessed neurologically. Neuromuscular or autonomic deficits were common and occurred in up to 44% of cases. Weakness, dry mouth, and weight loss were not mutually independent and may represent the syndrome formerly described as carcinomatous neuromyopathy. By contrast, undoubted paraneoplastic syndromes were much less commonly detected. Two patients had the Lambert-Eaton myasthenic syndrome (LEMS) and one had subacute sensory neuropathy (SSN). In these patients, neurological symptoms antedated other manifestations of cancer, by between six and 17 months. The 95% confidence interval for the prevalence of LEMS or SSN among SCLC patients was 0-4%, consistent with the results of previous retrospective or smaller studies: summing these, the overall prevalence of LEMS among SCLC patients is close to 3%, which implies about 250 new cases per annum in England and Wales. If LEMS and SSN are the least uncommon neurological paraneoplastic syndromes in SCLC patients, this may reflect the accessibility of motor nerve terminals and dorsal root ganglia to cross-reactive anti-tumour cell antibodies.
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- 1991
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8. Hereditary motor and sensory neuropathies and hereditary spastic paraplegia: A magnetic stimulation study
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D. Claus, H. M. Waddy, P. K. Thomas, N. M. F. Murray, and A. E. Harding
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Adult ,Male ,Adolescent ,Hereditary spastic paraplegia ,Neural Conduction ,Sensory system ,Stimulation ,Magnetics ,Degenerative disease ,Electroneuronography ,medicine ,Humans ,Aged ,Leg ,Spastic Paraplegia, Hereditary ,business.industry ,Peroneal muscular atrophy ,Middle Aged ,medicine.disease ,Muscular Atrophy ,Neurology ,Female ,Neurology (clinical) ,Hereditary Sensory and Motor Neuropathy ,business ,Hereditary motor and sensory neuropathy ,Neuroscience - Abstract
Central motor conduction to the small hand muscles was investigated in 59 patients with peroneal muscular atrophy and hereditary spastic paraplegia (HSP) by using transcranial magnetic brain stimulation. These comprised 20 patients with type I hereditary motor and sensory neuropathy (HMSN I), 15 with type II (HMSN II), 4 with HMSN I and 10 with HMSN II with associated pyramidal features, and 10 with the "pure" form of HSP. Central motor conduction was usually normal in HMSN I, HMSN II, and HSP. In HMSN I with pyramidal signs, central motor conduction time was greatly prolonged bilaterally. This result may reflect an associated involvement of the central motor pathways in these patients. In HMSN II with accompanying pyramidal features, 6 of the 10 patients had abnormal central motor conduction, although conduction times were only slightly prolonged, suggesting a different pathophysiological pattern.
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- 1990
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9. Primary sciatic nerve lymphoma: a case report and review of the literature
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R Birch, Michael J. Groves, L Yung, M J L Descamps, Michael P. Lunn, Mary M. Reilly, L Barrett, N M F Murray, and David C. Linch
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Lymphoma, B-Cell ,medicine.medical_treatment ,Short Report ,Antibodies, Monoclonal, Murine-Derived ,immune system diseases ,Peripheral Nervous System Neoplasms ,hemic and lymphatic diseases ,Biopsy ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,B cell ,Chemotherapy ,medicine.diagnostic_test ,business.industry ,Antibodies, Monoclonal ,Magnetic resonance imaging ,Tarsal tunnel syndrome ,Middle Aged ,medicine.disease ,Sciatic Nerve ,Lymphoma ,Psychiatry and Mental health ,medicine.anatomical_structure ,Treatment Outcome ,Surgery ,Rituximab ,Neurology (clinical) ,Sciatic nerve ,business ,medicine.drug - Abstract
A patient with primary B cell non-Hodgkin's lymphoma of the sciatic nerve is described. He presented with neuropathic symptoms in the left leg, initially diagnosed as tarsal tunnel syndrome. Magnetic resonance imaging (MRI) identified the abnormality in the sciatic nerve. A fascicular biopsy of the sciatic nerve showed a diffuse large B cell non-Hodgkin's lymphoma. The patient was treated with chemotherapy and rituximab (anti-CD20 monoclonal antibody). Four months later he was in remission, and remains so 48 months from presentation. Primary lymphoma of single peripheral nerves may be a unique subtype of extranodal lymphoma, which usually follows an aggressive course and has a variable response to current therapeutic strategies. MRI is useful, alongside electrophysiological studies, in patients with atypical peripheral nerve symptoms.
- Published
- 2006
10. GJB1 gene mutations in suspected inflammatory demyelinating neuropathies not responding to treatment
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H Houlden, N M F Murray, H Manji, A. W. Michell, Michael P. Lunn, Nicholas W. Wood, V.S. Gibbons, Mary M. Reilly, Matilde Laura, Mary B. Davis, Amanda L. Cox, and Julian Blake
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Neural Conduction ,Pathology ,medicine.medical_specialty ,Weakness ,education.field_of_study ,business.industry ,Gap junction ,Gene mutation ,Median nerve ,Nerve conduction velocity ,Surgery ,Psychiatry and Mental health ,medicine ,Connexin 32 ,Neurology (clinical) ,medicine.symptom ,Differential diagnosis ,education ,business - Abstract
It is generally accepted that while inflammatory demyelinating neuropathies often cause patchy demyelination resulting in conduction block, temporal dispersion and variation in conduction velocities, demyelinating hereditary neuropathies such as Charcot–Marie–Tooth (CMT) disease type 1A are usually characterised by homogeneous slow conduction. X-linked CMT is caused by mutations in the gap junction beta 1 ( GJB1 ) gene encoding connexin 32, a gap junction protein, resulting in intermediate conduction velocities. At our institution, mean median nerve conduction velocity in men with GJB1 mutations is 33.2 ± 7.5 m/s (n = 13) and 47.7 ± 7.0 m/s in women (n = 8), similar to other recent series.1 2 There is increasing evidence that nerve conduction is not always homogeneous in GJB1 associated CMT.1–4 Here we present three cases in which the neurophysiology suggested an inflammatory demyelinating neuropathy, but who failed to respond to treatment and were subsequently found to have mutations in GJB1 . ### Case No 1 A 23-year-old man presented with parasthesia affecting both feet that progressed to mild hand parasthesia and weakness over 6 months. Although slightly clumsy, he had been good at sport as a teenager. He had minimal wasting but normal power in his hands, he was areflexic and had reduced vibration and pinprick distally. CSF was acellular, with a raised protein of 0.78 g/l. His initial nerve conduction studies (NCS) (done elsewhere) suggested chronic …
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- 2009
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11. The sympathetic skin response in peripheral autonomic failure--evaluation in pure failure, pure cholinergic dysautonomia and dopamine-beta-hydroxylase deficiency
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V. P. Misra, Christopher J. Mathias, N. M. F. Murray, and F. Magnifico
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Adult ,Male ,medicine.medical_specialty ,Neurology ,Sympathetic Nervous System ,Adrenergic ,Dopamine beta-Hydroxylase ,Parasympathetic Nervous System ,Internal medicine ,Dopamine beta hydroxylase deficiency ,Medicine ,Humans ,Pure autonomic failure ,Aged ,Skin ,Aged, 80 and over ,Endocrine and Autonomic Systems ,business.industry ,Dysautonomia ,Peripheral Nervous System Diseases ,Middle Aged ,medicine.disease ,Peripheral ,Sudomotor ,Endocrinology ,Autonomic Nervous System Diseases ,Cholinergic ,Female ,Neurology (clinical) ,medicine.symptom ,business - Abstract
The sympathetic skin response (SSR) detects changes in the electrical potential in the skin in response to physiological and electrical stimuli and, therefore, may indicate the integrity of sympathetic cholinergic neural pathways to sweat glands. This has been evaluated in 21 patients with three forms of peripheral autonomic failure. Of these, 15 had pure autonomic failure (PAF) without additional neurological features; investigations indicated both sympathetic and parasympathetic failure. Four patients had pure cholinergic dysautonomia (PCD), with clinical and laboratory features indicating only cholinergic failure. Two siblings had dopamine-beta-hydroxylase (DBH) deficiency with only sympathetic adrenergic failure. None was on drugs affecting cholinergic function. Ten normal individuals were aged-matched with PAF patients and studied as controls. The SSR was recorded from the palmar hand and plantar foot surfaces, using previously described techniques, in response to physiological (auditory, cough and inspiratory gasp) and electrical stimuli. Nerve conduction studies excluded an associated motor or sensory neuropathy. The SSR was present in all normal individuals, and in both patients with DBH deficiency who had preserved cholinergic and sudomotor function, It was absent in all 15 PAF and all four PCD patients with impaired cholinergic function. Therefore, we conclude that the SSR reflected sympathetic cholinergic function in these three different groups with peripheral autonomic failure.
- Published
- 1998
12. Intra-operative recording of motor tract potentials at the cervico-medullary junction following scalp electrical and magnetic stimulation of the motor cortex
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N. M. F. Murray, Jc Rothwell, Pd Thompson, H. A. Crockard, C. D. Marsden, I. Calder, and Brian L. Day
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Adult ,Male ,Stimulation ,Efferent Pathways ,Synaptic Transmission ,Electromagnetic Fields ,Evoked Potentials, Somatosensory ,Monitoring, Intraoperative ,Pons ,medicine ,Humans ,Aged ,Motor Neurons ,Medulla Oblongata ,business.industry ,Muscles ,Motor Cortex ,Middle Aged ,Spinal cord ,Hand ,Electric Stimulation ,Motor unit ,Psychiatry and Mental health ,medicine.anatomical_structure ,Spinal Cord ,Scalp ,Anesthesia ,Medulla oblongata ,Cervical Vertebrae ,Surgery ,Female ,Spinal Diseases ,Neurology (clinical) ,medicine.symptom ,business ,human activities ,Spinal Cord Compression ,Motor cortex ,Muscle contraction ,Muscle Contraction ,Research Article - Abstract
Activity in descending motor pathways after scalp electrical and magnetic brain stimulation of the motor cortex was recorded from the exposed cervico-medullary junction in six patients having trans-oral surgery of the upper cervical spine. Recordings during deep anaesthesia without muscle paralysis revealed an initial negative potential (D wave) at about 2 ms with electrical stimulation in five of the six patients. This was followed by a muscle potential which obscured any later waveforms. Magnetic stimulation produced clear potentials in only one patient. The earliest wave to magnetic stimulation during deep anaesthesia was 1-2 ms later than the earliest potential to electrical stimulation. Following lightening of the anaesthetic and the administration of muscle relaxants a series of later negative potentials (I waves) were more clearly seen to both electrical and magnetic stimulation. More I waves were recorded to magnetic stimulation during light anaesthesia than during deep anaesthesia. Increasing the intensity of electrical stimulation also produced an extra late I wave. At the highest intensity of magnetic stimulation the latency of the earliest potential was comparable to the D wave to electrical stimulation. The intervals between these various D and I waves corresponded to those previously described for the timing of single motor unit discharge after cortical stimulation.
- Published
- 1991
13. Motor inhibition from the brainstem is normal in torsion dystonia during REM sleep
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N. M. F. Murray, David R. Fish, D. Sawyers, C. D. Marsden, S.J.M. Smith, and P.J. Allen
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Adult ,Male ,Reflex, Stretch ,Adolescent ,Rapid eye movement sleep ,Dystonia Musculorum Deformans ,Sleep, REM ,Electromyography ,Electroencephalography ,Torsion dystonia ,Electromagnetic Fields ,medicine ,otorhinolaryngologic diseases ,Reaction Time ,Humans ,Aged ,Aged, 80 and over ,Motor Neurons ,medicine.diagnostic_test ,Muscles ,Neural Inhibition ,Middle Aged ,medicine.disease ,body regions ,Psychiatry and Mental health ,Anesthesia ,Muscle Tonus ,Corticospinal tract ,Locus coeruleus ,Surgery ,Female ,Neurology (clinical) ,Brainstem ,Psychology ,Neuroscience ,Brain Stem ,Muscle Contraction ,Research Article - Abstract
The maintenance of axial atonia during REM sleep was monitored in 14 patients with primary torsion dystonia, 10 patients with secondary torsion dystonia, and 10 normal subjects using submental EMG and video EEG telemetry. The excitability of the corticospinal tract during REM sleep was also assessed using scalp magnetic stimulation in seven patients and three controls. During REM sleep dystonic patients had well maintained atonia evidenced by infrequent bursts of submental activity, no episodes of complex semi-purposeful behaviour and reduced motor responses to magnetic stimulation. These findings suggest that the inhibitory centres in the region of the locus coeruleus and their descending pathways to the spinal alpha motor neurons are intact in torsion dystonia.
- Published
- 1991
14. Magnetic stimulation of cortex: clinical applications
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N. M. F. Murray
- Subjects
Pathology ,medicine.medical_specialty ,Physiology ,Stimulation ,Synaptic Transmission ,Electromagnetic Fields ,Central Nervous System Diseases ,Physiology (medical) ,Cortex (anatomy) ,Neural Pathways ,medicine ,Reaction Time ,Humans ,Latency (engineering) ,Subclinical infection ,Electrodiagnosis ,Muscles ,Motor Cortex ,Electrophysiology ,medicine.anatomical_structure ,Neurology ,Neurology (clinical) ,Abnormality ,Psychology ,Axonal degeneration ,Neuroscience ,Motor cortex - Abstract
Magnetic stimulation of the motor cortex is of value in the diagnosis and management of several neurological disorders. Marked latency prolongation is suggestive of demyelination of central motor pathways, whereas low-amplitude responses with little delay are more typical of disorders causing neuronal loss or axonal degeneration. Subclinical abnormalities may be demonstrated, and the technique has a potential role for quantification and monitoring of disease progress. The pattern of early electrophysiological abnormality is of prognostic value in stroke patients.
- Published
- 1991
15. Brachial plexopathy related to alcohol intoxication
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N Khalil, N M F Murray, M Al-Moallem, R A Shakir, E Silber, and Mary M. Reilly
- Subjects
medicine.medical_specialty ,Plexus ,business.industry ,Sensory loss ,medicine.disease ,Surgery ,Psychiatry and Mental health ,medicine.anatomical_structure ,Alcohol intoxication ,Upper trunk ,Anesthesia ,Medicine ,Upper limb ,Brachial Plexopathy ,Neurology (clinical) ,Letters to the Editor ,business ,Rhabdomyolysis ,Brachial plexus - Abstract
Brachial plexopathy associated with alcohol intoxication is rarely reported. We describe two patients with injuries to the brachial plexus thought to be the result of either stretch or compression of the plexus while intoxicated. In the first patient, damage was bilateral affecting the entire plexus on the right and the upper plexus on the left. This patient had associated rhabdomyolysis due to direct alcohol myotoxicity or prolonged immobilisation. In the second patient damage was on the right, involving predominantly the upper trunk. Neurophysiological studies and the rapid and complete recovery in our patients suggest that the primary pathology was focal demyelination causing conduction block, although there was also EMG evidence of axonal degeneration, particularly in the right arm of the first patient, in whom recovery was consequently delayed. Injury to the brachial plexus should be considered in patients with upper limb deficits related to intoxication. The association between brachial plexopathy and both anaesthesia and intoxication is well recognised but this condition has been rarely described resulting from alcohol. We describe two patients with injuries to the brachial plexus who underwent neurophysiological studies, one with unilateral and the other with bilateral damage arising from prolonged immobilisation associated with alcohol intoxication. One patient had associated rhabdomyolysis due to either direct alcohol myotoxicity, prolonged immobilisation on a hard surface, or a combination of the two. The first patient was an obese 69 year old man who lived on his own and drank at least two litres of vodka (900 g alcohol) a week. He returned from a party where he had drunk a large quantity of alcohol and fell next to his bed but did not lose consciousness. He was unable to get onto his bed and slept on the floor. The next morning he woke with profound weakness and sensory loss in …
- Published
- 1999
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16. Response of the Lambert-Eaton myasthenic syndrome to treatment of associated small-cell lung carcinoma
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S. G. Spiro, J. H. O'neill, John Newsom-Davis, N. M. F. Murray, and C. H. Chalk
- Subjects
Adult ,Male ,medicine.medical_specialty ,Lung Neoplasms ,Amifampridine ,medicine.medical_treatment ,Action Potentials ,Gastroenterology ,Recurrence ,Internal medicine ,medicine ,Carcinoma ,Combined Modality Therapy ,Humans ,4-Aminopyridine ,Carcinoma, Small Cell ,Aged ,Chemotherapy ,business.industry ,Muscles ,Respiratory disease ,Middle Aged ,medicine.disease ,Survival Analysis ,Surgery ,Compound muscle action potential ,Radiation therapy ,Lambert-Eaton Myasthenic Syndrome ,Female ,Neurology (clinical) ,business ,Lambert-Eaton myasthenic syndrome ,medicine.drug ,Follow-Up Studies - Abstract
We evaluated the outcome in 16 patients with Lambert-Eaton myasthenic syndrome (LEMS) associated with histologically verified small-cell carcinoma (SCC). Thirteen patients received specific tumor therapy (chemotherapy, radiation therapy, or resection) and most also received pharmacologic and immunologic treatment for LEMS. Seven of 11 patients surviving for more than 2 months after tumor therapy showed substantial neurologic improvement (1 patient being in complete remission at 7 years); in 3 of 11 improvement was transient. An EMG index of disease severity (compound muscle action potential amplitude in abductor digiti minimi) was significantly increased at final follow-up (p less than 0.01; n = 11). A pretreatment amplitude greater than 3.0 mV was a good prognostic sign. We conclude that a combined treatment approach in SCC-LEMS usually results in neurologic improvement.
- Published
- 1990
17. Involvement of the central nervous system in chronic inflammatory demyelinating polyneuropathy: a clinical, electrophysiological and magnetic resonance imaging study
- Author
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H. M. Waddy, P. K. Thomas, N. M. F. Murray, Allan G. Kermode, and I. E. C. Ormerod
- Subjects
Adult ,Male ,Pathology ,medicine.medical_specialty ,Adolescent ,Central nervous system ,Polyradiculoneuropathy ,Chronic inflammatory demyelinating polyneuropathy ,Synaptic Transmission ,medicine ,Reaction Time ,Humans ,In patient ,Child ,Subclinical infection ,Aged ,Aged, 80 and over ,Motor Neurons ,Brain Diseases ,medicine.diagnostic_test ,business.industry ,Brain ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Psychiatry and Mental health ,Electrophysiology ,medicine.anatomical_structure ,Surgery ,Female ,Neurology (clinical) ,Cns disease ,business ,Demyelinating Diseases ,Research Article - Abstract
In a consecutive series of 30 patients with chronic inflammatory demyelinating polyneuropathy (CIDP) minor clinical evidence of CNS involvement was found in five. Cranial magnetic resonance imaging (MRI) was performed in 28 and revealed abnormalities consistent with demyelination in nine patients aged less than 50 years and abnormalities in five aged 50 years or over. Measurements of central motor conduction time (CMCT) were obtained in 18 and showed unilateral or bilateral abnormalities in six. It is concluded that subclinical evidence of central nervous system (CNS) involvement is common, at least in patients with CIDP in the United Kingdom, but that clinically evident signs of CNS disease are infrequent. The association of a multiple sclerosis-like syndrome with CIDP is rare.
- Published
- 1990
18. Central motor conduction studies in hereditary degenerative disorders
- Author
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H. M. Waddy, A. E. Harding, N. M. F. Murray, C.W. Hess, D. Claus, P. K. Thomas, and K. R. Mills
- Subjects
Pathology ,medicine.medical_specialty ,Degenerative Disorder ,business.industry ,medicine ,business - Published
- 1990
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19. PS-31-6 Sympathetic skin responses in two groups with primary autonomic failure — pure autonomic failure and Shy-Drager syndrome
- Author
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F. Magnifico, Christopher J. Mathias, V. P. Misra, and N. M. F. Murray
- Subjects
medicine.medical_specialty ,business.industry ,General Neuroscience ,Internal medicine ,medicine ,Cardiology ,Neurology (clinical) ,Pure autonomic failure ,medicine.disease ,Shy-Drager Syndrome ,business - Published
- 1995
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20. ALTERATIONS IN THE NUMBER AND AFFINITY OF JUNCTIONAL ACETYLCHOLINE RECEPTORS IN A MYOPATHY WITH TUBULAR AGGREGATES
- Author
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J. A. Morgan-Hughes, B. R. F. Lecky, N. M. F. Murray, and D. N. Landon
- Subjects
Adult ,Male ,Weakness ,Pathology ,medicine.medical_specialty ,Neuromuscular Junction ,Electromyography ,Synaptic Transmission ,Muscular Diseases ,Ptosis ,Myasthenia Gravis ,Muscarinic acetylcholine receptor M5 ,otorhinolaryngologic diseases ,medicine ,Humans ,Receptors, Cholinergic ,Receptor ,Myopathy ,Acetylcholine receptor ,medicine.diagnostic_test ,Chemistry ,Muscles ,Microscopy, Electron ,Cholinergic ,Neurology (clinical) ,medicine.symptom - Abstract
This paper reports the findings in a 32-year-old man who presented in adult life with a myasthenic syndrome characterized by dysphagia, dysphonia, fluctuating ptosis, episodic diplopia and a variable weakness of the limbs and trunk. Electromyography showed a small decremental response, increased neuromuscular jitter and blocking of some components. Histochemical and electron microscopic studies revealed changes in end-plate morphology and prominent tubular aggregations within the muscle fibres. Radiochemical investigations using di-iodinated 125I-alpha-bungarotoxin demonstrated a reduction in the number of AChR and alterations in receptor affinity which suggested an abnormality of the AChR macromolecule.
- Published
- 1981
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21. TRIGEMINAL SENSORY NEUROPATHY A STUDY OF 22 CASES
- Author
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B. R. F. Lecky, R. A. C. Hughes, and N. M. F. Murray
- Subjects
Adult ,Male ,medicine.medical_specialty ,Biopsy ,Sensation ,Sensory system ,Nervous System ,Lesion ,Trigeminal ganglion ,Mixed connective tissue disease ,medicine ,Humans ,Trigeminal Nerve ,Corneal reflex ,Evoked potential ,Aged ,Autoantibodies ,Mixed Connective Tissue Disease ,Trigeminal nerve ,Scleroderma, Systemic ,Blinking ,business.industry ,Middle Aged ,medicine.disease ,Cranial Nerve Diseases ,Surgery ,Electrophysiology ,Anesthesia ,Female ,Neurology (clinical) ,Trigeminal Nerve Diseases ,medicine.symptom ,business ,Orbit - Abstract
The clinical and electrophysiological findings in 22 patients with chronic trigeminal sensory neuropathy are described. The main clinical feature was slowly evolving unilateral or bilateral facial numbness sometimes associated with pain and paraesthesiae and commonly with disturbed taste. Nine patients had either systemic sclerosis or mixed connective tissue disease. Of the 13 other patients, 9 had either organ or nonorgan specific serum autoantibodies. Blink reflex latencies were recorded in 17 patients, the commonest abnormality being an 'afferent' defect with modest prolongation of latency. Trigeminal sensory evoked responses were recorded in 14 cases, 6 showing mild prolongation of latencies. It is suggested that the lesion in this type of trigeminal neuropathy is in the trigeminal ganglion or in the proximal part of the main trigeminal divisions. This conclusion is supported by limited pathological data.
- Published
- 1987
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22. Lambert-eaton myasthenic syndrome: Immunoglobulin G inhibition of Ca2+ flux in tumor cells correlates with disease severity
- Author
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B. Lang, N. M. F. Murray, Angela Vincent, and John Newsom-Davis
- Subjects
Adult ,Male ,medicine.medical_specialty ,Immunoglobulin gamma-Chains ,Neuromuscular transmission ,Action Potentials ,Immunoglobulin E ,Immunoglobulin G ,Cell Line ,Membrane Potentials ,Internal medicine ,Tumor Cells, Cultured ,Carcinoma ,Animals ,Humans ,Medicine ,Carcinoma, Small Cell ,Aged ,biology ,business.industry ,Autoantibody ,Neuromuscular Diseases ,Middle Aged ,medicine.disease ,Rats ,Compound muscle action potential ,Endocrinology ,Neurology ,biology.protein ,Female ,Calcium Channels ,Neurology (clinical) ,Antibody ,Immunoglobulin Heavy Chains ,business ,Lambert-Eaton myasthenic syndrome - Abstract
We compared the effects of Lambert-Eaton myasthenic syndrome (LEMS) immunoglobulin G (IgG) obtained from patients with and without small-cell lung carcinoma (SCLC) on voltage-gated (K+-stimulated) 45Ca2+ flux in cell lines derived from a human SCLC (MAR10) and from a rat pheochromocytoma (PC12) and related these to electromyographic indexes of clinical severity. Control IgG was obtained from patients with other neurological disorders or healthy individuals. Inhibition of Ca2+ flux by LEMS IgG was time and dose dependent. The flux was significantly reduced in MAR10 cells grown in either SCLC-LEMS IgG (0.38 nmol/10(6) cells; p less than 0.001) or non-SCLC-LEMS IgG (0.35 nmol/10(6) cells; p less than 0.001), compared with that in MAR10 cells grown in control IgG (0.7 nmol/10(6) cells). Similar significant reductions were also observed in PC12 cells. The reduction in amplitude of the resting compound muscle action potential in the LEMS patients correlated positively (r = 0.70; p = 0.007) with the inhibition of Ca2+ flux in MAR10 cells by their IgG. These results strongly support the view that IgG autoantibodies that can inhibit Ca2+ flux in SCLC cells are responsible for the disorder of transmitter release at motor nerves in SCLC-associated LEMS.
- Published
- 1989
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23. THE LAMBERT-EATON MYASTHENIC SYNDROME
- Author
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N. M. F. Murray, John Newsom-Davis, and J. H. O'neill
- Subjects
Adult ,Male ,medicine.medical_specialty ,Lung Neoplasms ,Adolescent ,Amifampridine ,Malignancy ,Synaptic Transmission ,Gastroenterology ,Tendon reflex ,Abductor digiti minimi muscle of foot ,Abductor digiti minimi muscle of hand ,Diagnosis, Differential ,Ptosis ,Internal medicine ,Myasthenia Gravis ,medicine ,Carcinoma ,Humans ,Carcinoma, Small Cell ,Aged ,Electromyography ,business.industry ,Muscles ,Neuromuscular Diseases ,Syndrome ,Middle Aged ,Prognosis ,medicine.disease ,Surgery ,Electrophysiology ,medicine.anatomical_structure ,Immune System Diseases ,Female ,Neurology (clinical) ,medicine.symptom ,business ,Lambert-Eaton myasthenic syndrome ,medicine.drug - Abstract
The clinical and electrophysiological features of 50 consecutive patients with the Lambert-Eaton myasthenic syndrome (LEMS) have been analysed. Carcinoma was detected (CD group) in 25, of whom 21 had small cell lung cancer (SCLC). SCLC was evident within 2 yrs of onset of LEMS symptoms in 20/21 cases, and at 3.8 yrs in 1/21. In the cases in whom no carcinoma was detected (NCD group), 14/25 had a history of LEMS greater than 5 yrs. The dominant neurological features were similar in the CD and NCD groups, and consisted of proximal lower limb weakness (100%), depressed tendon reflexes (92%) with posttetanic potentiation (78%), autonomic features, especially dryness of the mouth (74%) and mild/moderate ptosis (54%). The compound evoked muscle action potential amplitude in abductor digiti minimi was below the lower limit of control values in 48/50, and the increment following maximum voluntary contraction above the upper limit of control values in 48/50. Single fibre electromyographic abnormalities were found in 29/29 cases. The analysis indicates that a patient presenting with LEMS has a 62% risk of an underlying SCLC, and that this risk declines sharply after 2 yrs, becoming very low at 4 to 5 yrs. It is argued that in SCLC cases antigenic determinants on tumour cells initiate the autoimmune response, often early in the course of the malignancy, but that the association of LEMS with tumours other than SCLC may be fortuitous. In the latter, and in NCD patients, the initiating factor(s) are unknown.
- Published
- 1988
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24. Zur Interaktion zwischen transkranieller magnetischer Stimulation und mechanischen Reizen
- Author
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K. R. Mills, N. M. F. Murray, and D. Claus
- Subjects
Electrodiagnosis ,medicine.diagnostic_test ,business.industry ,Magnetic brain stimulation ,Stimulation ,Motor neuron ,Spinal cord ,medicine.anatomical_structure ,Physiology (medical) ,Long loop reflex ,medicine ,Neurology (clinical) ,Tonic vibration reflex ,business ,Neuroscience ,Motor cortex - Published
- 1988
- Full Text
- View/download PDF
25. The influence of vibration on the excitability of alpha motoneurones
- Author
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K. R. Mills, N. M. F. Murray, and D. Claus
- Subjects
Adult ,Motor Neurons ,Muscles ,General Neuroscience ,Central nervous system ,Action Potentials ,Brain ,Electroencephalography ,Middle Aged ,Stimulus (physiology) ,Motor neuron ,Vibration ,Tonic (physiology) ,body regions ,Magnetics ,medicine.anatomical_structure ,Anterior Horn Cell ,Reflex ,Excitatory postsynaptic potential ,medicine ,Humans ,Neurology (clinical) ,Tonic vibration reflex ,Psychology ,Neuroscience - Abstract
Transcranial magnetic brain stimuli were delivered to 6 healthy subjects at different time intervals after the beginning of muscle vibration. Vibration of 6 sec duration in 4 subjects and of 100 msec duration in 6 subjects was applied to the right abductor digiti minimi muscle using an electromagnetic mechanical stimulator. The responses to brain stimuli were enhanced in this muscle when vibration began 9 msec before the transcranial stimulus, i.e., when the descending volley and the monosynaptic afferent Ia volley arrived simultaneously at the anterior horn cell. With long lasting vibration an enhancement of responses to brain stimuli was seen, which began after 120 msec and continued for up to 5 sec after the onset of vibration. This is consistent with a tonic, probably polysynaptic, excitatory Ia influence on homonymous alpha motoneurones, as well as the well known monosynaptic effect.
- Published
- 1988
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26. Zur Untersuchung der zentralen motorischen Erregungsleitung bei Heredoataxien
- Author
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P. K. Thomas, N. M. F. Murray, A. E. Harding, D. Claus, C.W. Hess, and K. R. Mills
- Abstract
Die komplexe Gruppe hereditarer Ataxien kann bezogen auf den Krankheitsbeginn vor oder nach dem 20. Lebensjahr aufgegliedert werden [3]. Die fruh beginnenden Ataxieformen werden autosomal rezessiv vererbt. Mit etwa 2/3 der Falle ist die Friedreichsche Ataxie (FA) am haufigsten [3]. Die fruh einsetzende zerebellare Ataxie mit erhaltenen Eigenreflexen („early onset cerebellar ataxie”, EOCA) [2] hat eine gunstigere Prognose. Die Eigenreflexe sind hierbei erhalten, Optikusatrophie, Kardiomyopathie, Diabetes mellitus oder Skelettdeformitaten gehoren nicht zum Bild der EOCA. Spat einsetzende autosomal dominante zerebellare Ataxieformen gehen des ofteren mit Begleitsymptomen wie Ophthalmoplegie, Schwerhorigkeit, Optikusatrophie, Retinopathie, Polyneuropathie, Spastik, extrapyramidalen Bewegungsstorungen oder Myoklonien einher [3]. Pathologisch-anatomisch liegt dem klinischen Bild nicht selten eine olivo-ponto-zerebellare Atrophie zugrunde, die aber klinisch nicht zuverlassig diagnostiziert werden kann. Olivo-ponto-zerebellare Atrophien werden deshalb nicht getrennt untersucht. Gemeinsam mit sporadischen Fallen wird die Gruppe der spaten zerebellaren Ataxien („late onset cerebellar diseases”; LOCD) gebildet. Die zentrale motorische Uberleitungszeit nach transkranieller magnetischer Stimulation des Motorortex soll im folgenden bei den drei Krankheitsgruppen untersucht werden.
- Published
- 1989
- Full Text
- View/download PDF
27. Effect of temperature on neuromuscular transmission in the Eaton-Lambert syndrome
- Author
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N. M. F. Murray and C. D. Ward
- Subjects
Male ,Hot Temperature ,Eaton-Lambert Syndrome ,Neuromuscular transmission ,Neuromuscular Junction ,Temperature ,Action Potentials ,Anatomy ,Articles ,Biology ,Middle Aged ,Synaptic Transmission ,Neuromuscular junction ,Psychiatry and Mental health ,medicine.anatomical_structure ,Muscular Diseases ,medicine ,Humans ,Surgery ,Neurology (clinical) ,Neuroscience - Abstract
A patient with the Eaton-Lambert syndrome is described in whom no associated condition was discovered. There was clinical and electrical evidence that the defect in neuromuscular transmission became more severe as local temperature was raised.
- Published
- 1979
28. Facilitation of muscle responses to magnetic brain stimulation by mechanical stimuli in man
- Author
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N. M. F. Murray, K. R. Mills, and D. Claus
- Subjects
Adult ,Male ,Magnetic brain stimulation ,Action Potentials ,Alpha (ethology) ,Efferent Pathways ,Electromagnetic Fields ,Physical Stimulation ,Reaction Time ,medicine ,Humans ,Tonic vibration reflex ,Motor Neurons ,Chemistry ,Muscles ,General Neuroscience ,Brain ,Anatomy ,Middle Aged ,Tendon ,Cortex (botany) ,medicine.anatomical_structure ,Long loop reflex ,Facilitation ,Reflex ,Female ,Electromagnetic Phenomena ,Neuroscience - Abstract
Transcranial magnetic brain stimuli were applied to 9 normal subjects and compound muscle action potentials were recorded from the right abductor digiti minimi with surface electrodes. Vibration of 120 Hz, 0.6 mm peak to peak amplitude, applied to the muscle tendon enhanced its responses to magnetic brain stimuli. This facilitation corresponds to the tonic vibration reflex. Inhibition of muscle responses was not seen with vibration. Thus it is likely that the known inhibition of stretch reflexes by vibration is purely presynaptic. Small rectangular mechanical stimuli (rise time 200 mm/s, amplitude 1 mm) applied to ADM elicited short and long loop reflex responses. When brain stimuli were given 7–16 ms after the muscle tap, muscle responses were enhanced. It is argued that this is a result of the summation of the effects of Ia afferent impulses and descending pyramidal volleys at the alpha motoneurones. A separate late facilitation corresponding with the arrival of muscle afferent inputs to the sensori-motor cortex was not seen.
- Published
- 1988
- Full Text
- View/download PDF
29. Epileptic psychosis: an evaluation of PSE profiles
- Author
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N. M. F. Murray, I. Reider, Michael R. Trimble, and M. M. Perez
- Subjects
Adult ,Male ,medicine.medical_specialty ,Psychosis ,Electroencephalography ,Fourth ventricle ,Temporal lobe ,Lesion ,03 medical and health sciences ,Epilepsy ,0302 clinical medicine ,medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,Depression (differential diagnoses) ,Psychiatric Status Rating Scales ,medicine.diagnostic_test ,Brain ,Middle Aged ,medicine.disease ,030227 psychiatry ,Psychiatry and Mental health ,Epilepsy, Temporal Lobe ,Psychotic Disorders ,Schizophrenia ,Female ,medicine.symptom ,Psychology ,Tomography, X-Ray Computed - Abstract
SummaryData are presented on 24 patients with epilepsy and psychosis whose clinical presentation was rated using the Present State Examination (PSE). Seventeen had complex partial seizures and a diagnosis of temporal lobe epilepsy, seven had generalised epilepsy. An association between a CATEGO category of nuclear schizophrenia (NS) and a lesion of the left side was noted. No clear link between depressive symptoms and a right-sided focus was discovered. Affective disorders were noted in both groups of epileptic patients, although paranoid psychoses were commoner in the temporal lobe group. There was also a tendency for the latter to have more delusions of persecution, ideas of reference, and special features of depression. The group rated as NS appear less likely to show evidence of intellectual deterioration than the other psychotic patients; in addition, the interval between the onset of their epilepsy and the onset of their psychosis is shorter. Radiological assessment by CAT reveals few differences between groups, but the psychotic samples do show higher than expected values on a number of variables, in particular the bilateral septum-caudate distance and the size of the third and fourth ventricle.
- Published
- 1985
30. Congenital myasthenia: further evidence of disease heterogeneity
- Author
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J. A. Morgan‐Hughes, N. M. F. Murray, D W Wray, D. N. Landon, B. R. F. Lecky, and C Prior
- Subjects
Male ,Adolescent ,Physiology ,Neural Conduction ,Neuromuscular Junction ,Motor Endplate ,Synaptic Transmission ,Neuromuscular junction ,Cellular and Molecular Neuroscience ,Postsynaptic potential ,Physiology (medical) ,medicine ,Humans ,Receptors, Cholinergic ,Acetylcholine receptor ,Adenosine Triphosphatases ,Muscle biopsy ,medicine.diagnostic_test ,business.industry ,Electromyography ,Muscles ,Type 2 muscle fiber atrophy ,Anatomy ,Neuromuscular Diseases ,medicine.disease ,Bungarotoxins ,Myasthenia gravis ,Electric Stimulation ,Kinetics ,Microscopy, Electron ,medicine.anatomical_structure ,Female ,Neurology (clinical) ,business ,Acetylcholine ,Intercostal muscle ,medicine.drug - Abstract
The findings in two cases of congenital myasthenia investigated by intercostal muscle biopsy are presented. The first case, a 16-year-old boy, showed reduced miniature endplate potential amplitude and normal 125I-alpha-bungarotoxin binding to postsynaptic acetylcholine receptors. Muscle biopsy and endplate ultrastructure were normal. Tubocurarine affinity, ion channel properties, and passive membrane properties were normal. Limited data showed reduced effectiveness of applied acetylcholine in opening ion channels. The second case was an 18-year-old girl with consanguineous parents. Type 2 muscle fiber atrophy was seen in both limb and intercostal muscle. Intercostal endplates were elongated, although ultrastructure was normal. Negligible postsynaptic alpha-bungarotoxin binding suggested an abnormality of the acetylcholine receptor macromolecule.
- Published
- 1986
31. Changes in human alpha-motoneurone excitability following mechanical muscle stimuli
- Author
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D. Claus, N. M. F. Murray, K. R. Mills, and D. R. Fish
- Subjects
Nervous system ,Adult ,Male ,Alpha (ethology) ,Inhibitory postsynaptic potential ,Synaptic Transmission ,Electromagnetic Fields ,Muscle action ,Evoked Potentials, Somatosensory ,Isometric Contraction ,Abductor digiti minimi ,Neural Pathways ,medicine ,Reaction Time ,Humans ,Pharmacology (medical) ,Muscle Spindles ,Biological Psychiatry ,Motor Neurons ,General Neuroscience ,Muscles ,Motor Cortex ,Neural Inhibition ,General Medicine ,body regions ,Psychiatry and Mental health ,Neuropsychology and Physiological Psychology ,medicine.anatomical_structure ,Spinal Cord ,Long loop reflex ,Reflex ,Facilitation ,Female ,Psychology ,Neuroscience ,Mechanoreceptors - Abstract
Short mechanical stretches given to partially activated human abductor digiti minimi muscle (ADM) evoke early (M1) and late (M2) reflex responses. Transcranial magnetic brain stimuli were used to evoke compound muscle action potentials in ADM and hence to estimate motoneuronal excitability at various times after mechanical stimuli. There was no evidence that la volleys produce additional facilitation in motoneurones of muscles which are already voluntarily activated. However, the inhibitory phase between M1 and M2 was associated with a reduction in size of muscle responses from brain stimuli. This may reflect reduced Ia input, polysynaptic Ia inhibition or Renshaw inhibition.
- Published
- 1989
32. Chronic demyelinating peripheral neuropathy associated with multifocal central nervous system demyelination
- Author
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P. K. Thomas, N. M. F. Murray, R. W. H. Walker, J. A. Morgan-Hughes, W. I. Mcdonald, K. R. Mills, P. Rudge, I. E. C. Ormerod, Rosalind H.M. King, and J. M. Jacobs
- Subjects
Adult ,Male ,Pathology ,medicine.medical_specialty ,Magnetic Resonance Spectroscopy ,Encephalomyelitis ,CNS demyelination ,Neuritis ,Central nervous system ,Neural Conduction ,Action Potentials ,Central Nervous System Diseases ,Evoked Potentials, Somatosensory ,medicine ,Humans ,medicine.diagnostic_test ,business.industry ,Multiple sclerosis ,Experimental autoimmune encephalomyelitis ,Peripheral Nervous System Diseases ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,medicine.anatomical_structure ,Peripheral neuropathy ,Evoked Potentials, Visual ,Female ,Neurology (clinical) ,business ,Demyelinating Diseases - Abstract
A series of 6 cases is described in which a chronic demyelinating neuropathy was associated with a relapsing multifocal CNS disorder, the clinical features of which resembled multiple sclerosis. Multifocal CNS lesions were demonstrated by CT and MR imaging and the presence of CNS demyelination was indicated by prolonged central conduction times. These cases are discussed in relation to the occurrence of combined peripheral and central demyelination in chronic relapsing experimental allergic encephalomyelitis and neuritis.
- Published
- 1987
33. The slow channel syndrome: two new cases
- Author
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John H. J. Wokke, John Newsom-Davis, Dennis Wray, N. M. F. Murray, B S Oen, H.J.G.H. Oosterhuis, Angela Vincent, T. V. Weerden, Peter C. M. Molenaar, Frans G. I. Jennekens, H. Veldman, and C. Prior
- Subjects
Adult ,Neuromuscular Junction ,Stimulation ,Intercostal Muscles ,Asymptomatic ,Motor Endplate ,medicine ,Humans ,business.industry ,Electromyography ,Muscles ,Anatomy ,Neuromuscular Diseases ,Syndrome ,medicine.disease ,Bungarotoxins ,Myasthenia gravis ,Pedigree ,Electrophysiology ,medicine.anatomical_structure ,Acetylcholinesterase ,Fatiguability ,Basal lamina ,Female ,Neurology (clinical) ,medicine.symptom ,business ,Lambert-Eaton myasthenic syndrome ,Intercostal muscle - Abstract
Two patients are described with a myasthenic syndrome that presented in early adult life. One patient had 2 asymptomatic first degree relatives with similar electrophysiological findings. Both patients had abnormal fatiguability, arm weakness being prominent; neither of them responded to anti-cholinesterase medication. An abnormal decrement at 3 Hz stimulation was present, and a single stimulus evoked a repetitive response. Electrophysiological studies on biopsied intercostal muscle showed miniature endplate potentials of normal amplitudes but with prolonged rise and decay times. Anticholinesterase staining (Case 1) was not reduced, and showed elongation of some endplates. Ultrastructural studies (Case 2) showed degeneration of junctional folds and diffusely thickened endplate basal lamina. Calcium deposits were not observed and myopathic changes were slight. The findings are consistent with a prolonged open time of the ACh-induced ion channel.
- Published
- 1987
34. Zentrale motorische Reizleitung bei Patienten mit hereditären Polyneuropathien (HMSN) und verwandten Krankheiten
- Author
-
A. E. Harding, K. R. Mills, C.W. Hess, N. M. F. Murray, D. Claus, and P. K. Thomas
- Abstract
Die zwei Hauptformen der hereditar motorischen sensorischen Polyneuropathie (HMSN) sind die hypertrophische HMSN I und die neuronale Erkrankungsform HMSN II [2]. Harding u. Thomas beschrieben eine Form peronealer Muskelatrophie mit Pyramidenbahnzei- chen (PMAP) [3]. Die seltene Erkrankung sollte nur diagnostiziert werden, wenn mindestens zwei Mitglieder einer Familie unter HMSN leiden — in der vorliegenden Untersuchung vom Typ II — und wenn das Zeichen nach Babinski positiv ist. Sind keine erkrankten Angehorigen zu finden, sollten neben dem Babinski-Zeichen die Patellarreflexe lebhaft oder der Muskeltonus in den Beinen spastisch gesteigert sein [3]. Anders als bei der hereditaren spastischen Spinaparalyse (HSP) fehlen die Achillessehnenreflexe oft. In einigen Fallen mit HMSN I kann ein zweifelsfrei positives Babinski-Phanomen gefunden werden. Bei gleichfalls erkrankten Angehorigen fand sich der Babinski-Reflex negativ oder fehlend [2]. Weitere zentrale Zeichen, wie lebhafte Beineigenreflexe oder Spastik, wurden nicht gefunden. Oft fehlen die Armeigenreflexe. In der vorliegenden Untersuchung wurden die Falle mit dem beschriebenen Syndrom als HMSN 1+ klassifiziert.
- Published
- 1989
- Full Text
- View/download PDF
35. Central motor conduction in degenerative ataxic disorders: a magnetic stimulation study
- Author
-
K. R. Mills, D. Claus, P. K. Thomas, C. W. Hess, A. E. Harding, and N. M. F. Murray
- Subjects
Adult ,Male ,medicine.medical_specialty ,Cerebellum ,congenital, hereditary, and neonatal diseases and abnormalities ,Ataxia ,Nerve root ,Late onset ,Efferent Pathways ,Synaptic Transmission ,Degenerative disease ,Electromagnetic Fields ,Internal medicine ,medicine ,Humans ,Spinocerebellar Degenerations ,business.industry ,Muscles ,Motor Cortex ,Anatomy ,medicine.disease ,Hand ,Psychiatry and Mental health ,medicine.anatomical_structure ,Friedreich Ataxia ,Cardiology ,Reflex ,Surgery ,Female ,Neurology (clinical) ,medicine.symptom ,business ,Spinal Nerve Roots ,Motor cortex ,Research Article - Abstract
Central motor conduction to small hand muscles was measured using magnetic stimulation of the motor cortex and electrical stimulation of proximal motor roots in 11 patients with Friedreich's ataxia, 10 patients with early onset cerebellar ataxia with retained tendon reflexes (EOCA) and 13 patients with late onset degenerative cerebellar disease (LOCD). Central motor conduction was abnormal in 91% with Friedreich's ataxia, 70% with EOCA and 38% with LOCD. Central motor conduction abnormalities were not specific to individual disorders but were more severe and were related to disease duration in Friedreich's ataxia and EOCA.
- Published
- 1988
36. Transient radiation myelopathy: spinal somatosensory evoked responses following incidental cord exposure during radiotherapy
- Author
-
B R F Lecky, N M F Murray, and R J Berry
- Subjects
Adult ,Male ,Cord ,medicine.medical_treatment ,Somatosensory system ,Synaptic Transmission ,Myelopathy ,Transient radiation ,medicine ,Humans ,Radiation Injuries ,Evoked Potentials ,Electric stimulation ,Radiotherapy ,business.industry ,Middle Aged ,medicine.disease ,Spinal cord ,Electric Stimulation ,Radiation therapy ,Psychiatry and Mental health ,medicine.anatomical_structure ,Spinal Cord ,Somatosensory evoked potential ,Anesthesia ,Surgery ,Female ,Neurology (clinical) ,business ,Research Article - Abstract
Serial spinal somatosensory evoked potentials were recorded in six patients undergoing radiotherapy involving incidental spinal radiation. Two patients developed transient radiation myelopathy. No abnormality was found in the somatosensory evoked potentials throughout the study.
- Published
- 1980
37. Salbutamol treatment in a patient with hyperkalaemic periodic paralysis due to a mutation in the skeletal muscle sodium channel gene (SCN4A)
- Author
-
N M F Murray, Anthony H.V. Schapira, J. A. Morgan-Hughes, Joanna Stewart, Michael G. Hanna, and Nicholas W. Wood
- Subjects
Adult ,medicine.medical_specialty ,Neuromuscular disease ,Hyperkalemia ,medicine.medical_treatment ,DNA Mutational Analysis ,Short Report ,Biology ,Sodium Channels ,Paralyses, Familial Periodic ,chemistry.chemical_compound ,Internal medicine ,medicine ,Humans ,Point Mutation ,Albuterol ,NAV1.4 Voltage-Gated Sodium Channel ,Methionine ,Electromyography ,Sodium channel ,Point mutation ,Skeletal muscle ,Adrenergic beta-Agonists ,medicine.disease ,Psychiatry and Mental health ,Endocrinology ,medicine.anatomical_structure ,chemistry ,Salbutamol ,Exercise Test ,Surgery ,Female ,Neurology (clinical) ,Diuretic ,medicine.symptom ,medicine.drug ,Chromosomes, Human, Pair 17 - Abstract
A 35 year old woman with clinical features of hyperkalaemic periodic paralysis confirmed on provocative exercise testing was investigated. DNA sequence analysis of the gene for the alpha-subunit of the skeletal muscle voltage gated sodium channel (SCN4A) on chromosome 17q23 identified a point mutation at nucleotide position 2188. This results in a threonine to methionine substitution at amino acid position 704. The patient was intolerant of diuretic medication but showed a striking clinical and electrophysiological improvement with salbutamol therapy. Treatment with beta-adrenergic agents should be considered in patients with hyperkalaemic periodic paralysis who are intolerant of, or resistant to, diuretic medications.
38. BOOK REVIEWS
- Author
-
N. M. F. MURRAY
- Subjects
Neurology (clinical) - Published
- 1988
- Full Text
- View/download PDF
39. BOOK REVIEWS
- Author
-
N. M. F. MURRAY
- Subjects
Neurology (clinical) - Published
- 1988
- Full Text
- View/download PDF
40. INTERCOSTAL MUSCLE ACETYLCHOLINE RECEPTORS IN LONGSTANDING OCULAR MYASTHENIA
- Author
-
N. M. F. Murray, B. R. F. Lecky, D. N. Landon, and J. A. Morgan-Hughes
- Subjects
medicine.medical_specialty ,business.industry ,Ocular myasthenia ,Autoantibody ,General Medicine ,medicine.disease ,Myasthenia gravis ,Muscle hypertrophy ,Endocrinology ,medicine.anatomical_structure ,Internal medicine ,Muscarinic acetylcholine receptor ,Medicine ,business ,Acetylcholine ,Acetylcholine receptor ,medicine.drug ,Intercostal muscle - Published
- 1980
- Full Text
- View/download PDF
41. Central Motor Conduction and Somatosensory Evoked Potentials in Multiple Sclerosis
- Author
-
D. Claus, S. Ramamurthy, N. M. F. Murray, and T. N. Schriefer
- Subjects
Neurology ,Physiology ,business.industry ,Somatosensory evoked potential ,Physiology (medical) ,Multiple sclerosis ,Medicine ,Neurology (clinical) ,business ,medicine.disease ,Neuroscience - Published
- 1988
- Full Text
- View/download PDF
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