Upper limb tremor induced by peripheral nerve injury
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Abstract
We report a patient with proximal right upper limb tremor, secondary to direct peripheral nerve lesion caused by prior thoracic surgery. Electromyography demonstrated neurogenic abnormalities and tremor in muscles innervated by the thoracodorsal and long thoracic nerves. Somatosensory evoked potentials, transcranial magnetic stimulation, and MRI of the cervical and thoracic spine were normal. Tremor persisted in REM and non-REM sleep. These findings suggest a peripheral generator.
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Letters: Rapid online correspondence
- Upper limb tremor induced by peripheral nerve injury
- Masharip Atadzhanov, University of Zambia, Lusaka, Zambiamasharip@yahoo.com
- Peter Mwaba
Submitted June 27, 2007 - Reply from the authors
- Mamede de Carvalho, Department of Neurology, Hospital de Santa Maria, Av. Prof Egas Moniz. 1649-028 Lisbon Portugalmamedemg@mail.telepac.pt
- João Costa, Joaquim Ferreira
Submitted June 27, 2007 - Upper limb tremor induced by peripheral nerve injury
- William J. Weiner, University of Maryland School of Medicine, 22 S. Greene St, N4W6 Baltimore, MD 21201wweiner@som.umaryland.edu
- Stephen G. Reich, MD
Submitted March 12, 2007 - Reply from the Authors
- Mamede de Carvalho, Institute of Molecular Medicine, Faculty of Medicine, University of Lisbon, Portugal.mamedemg@mail.telepac.pt
- João Costa, Joaquim Ferreira
Submitted March 12, 2007
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