scholarly journals Repetitive stimulation of the long thoracic nerve in myasthenia gravis: clinical and electrophysiological correlations

2003 ◽  
Vol 74 (3) ◽  
pp. 379-381 ◽  
Author(s):  
Y L Lo
Thorax ◽  
1992 ◽  
Vol 47 (8) ◽  
pp. 640-644 ◽  
Author(s):  
A Mier ◽  
C Brophy ◽  
J Moxham ◽  
M Green

1993 ◽  
Vol 681 (1 Myasthenia Gr) ◽  
pp. 567-569 ◽  
Author(s):  
JAMES M. GILCHRIST ◽  
JANICE M. MASSEY ◽  
DONALD B. SANDERS

2020 ◽  
Vol 1 (5) ◽  
pp. 57
Author(s):  
Raghav Govindarajan

75-year-old male presente with ptosis (figure 1), fatigue, slurred speech and dysphagia to the emergency department. Low frequency repetitive stimulation of the spinal acessory nerve with recordong from trapeius showed signifivant decrement. Plama excange was started and three days after treatment there was complete resolution of ptosis (figure 2). Older men show complete responsiveness to plasma exchange including an early and near complete response tp ocular symptoms.


1994 ◽  
Vol 17 (2) ◽  
pp. 171-175 ◽  
Author(s):  
James M. Gilchrist ◽  
Janice M. Massey ◽  
Donald B. Sanders

1989 ◽  
Vol 62 (6) ◽  
pp. 1225-1236 ◽  
Author(s):  
S. M. Gurahian ◽  
S. H. Chandler ◽  
L. J. Goldberg

1. The effects of repetitive stimulation of the nucleus pontis caudalis and nucleus gigantocellularis (PnC-Gi) of the reticular formation on jaw opener and closer motoneurons were examined. The PnC-Gi was stimulated at 75 Hz at current intensities less than 90 microA. 2. Rhythmically occurring, long-duration, depolarizing membrane potentials in jaw opener motoneurons [excitatory masticatory drive potential (E-MDP)] and long-duration hyperpolarizing membrane potentials [inhibitory masticatory drive potentials (I-MDP)] in jaw closer motoneurons were evoked by 40-Hz repetitive masticatory cortex stimulation. These potentials were completely suppressed by PnC-Gi stimulation. PnC-Gi stimulation also suppressed the short-duration, stimulus-locked depolarizations [excitatory postsynaptic potentials (EPSPs)] in jaw opener motoneurons and short-duration, stimulus-locked hyperpolarizations [inhibitory postsynaptic potentials (IPSPs)] in jaw closer motoneurons, evoked by the same repetitive cortical stimulation. 3. Short pulse train (3 pulses; 500 Hz) stimulation of the masticatory area of the cortex in the absence of rhythmical jaw movements activated the short-latency paucisynaptic corticotrigeminal pathways and evoked short-duration EPSPs and IPSPs in jaw opener and closer motoneurons, respectively. The same PnC-Gi stimulation that completely suppressed rhythmical MDPs, and stimulus-locked PSPs evoked by repetitive stimulation to the masticatory area of the cortex, produced an average reduction in PSP amplitude of 22 and 17% in jaw closer and opener motoneurons, respectively. 4. PnC-Gi stimulation produced minimal effects on the amplitude of the antidromic digastric field potential or on the intracellularly recorded antidromic digastric action potential. Moreover, PnC-Gi stimulation had little effect on jaw opener or jaw closer motoneuron membrane resting potentials in the absence of rhythmical jaw movements (RJMs). PnC-Gi stimulation produced variable effects on conductance pulses elicited in jaw opener and closer motoneurons in the absence of RJMs. 5. These results indicate that the powerful suppression of cortically evoked MDPs in opener and closer motoneurons during PnC-Gi stimulation is most likely not a result of postsynaptic inhibition of trigeminal motoneurons. It is proposed that this suppression is a result of suppression of activity in neurons responsible for masticatory rhythm generation.


1959 ◽  
Vol 1 (6) ◽  
pp. 534-555 ◽  
Author(s):  
P.O. Bishop ◽  
W. Burke ◽  
W.R. Hayhow

1975 ◽  
Vol 38 (6) ◽  
pp. 1390-1394 ◽  
Author(s):  
F. Emonet-Denand ◽  
Y. Laporte

Of 32 cat peroneus brevis spindles, 23 (72%) were found to be supplied by a least 1 skeletofusimotor or beta-axon. A motor axon was identified as skeletofusimotor when repetitive stimulation of it elicited both the contraction of extrafusal muscle fibers and as acceleration of the discharge of primary ending, which persisted after selective block of the neuromuscular junctions of extrafusal muscle fibers. The block was obtained by stimulating single axons at 400-500/s for a few seconds. Of 135 axons supplying extrafusal muscle fibers, 24 (18%) were shown to be beta-axons; 22 beta-axons had conduction velocities ranging from 45 to 75 m/s. All but three beta-axons increased the dynamic sensitivity of primary endings. Beta-innervated spindles may also be supplied by dynamic gamma-axons.


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