Abstract
Dystonia in the causalgia-dystonia syndrome is characterized by a fixed dystonic posture. To identify involvement of central pathophysiologic mechanisms, we analyzed soleus H-reflex tests in five patients with causalgia-dystonia. Soleus H-reflex test results in these patients differed from those in healthy controls but were similar to those in purely dystonic patients and healthy controls mimicking dystonic posture. The results suggest involvement of supraspinal mechanisms in the abnormal posture of causalgia-dystonia.
MeSH terms
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Adult
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Causalgia / diagnosis*
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Causalgia / physiopathology
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Complex Regional Pain Syndromes / diagnosis*
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Complex Regional Pain Syndromes / physiopathology
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Diagnosis, Differential
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Dystonia / diagnosis*
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Dystonia / physiopathology
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Female
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H-Reflex / physiology*
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Humans
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Male
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Malingering / diagnosis*
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Malingering / physiopathology
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Middle Aged
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Motor Neurons / physiology
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Muscle, Skeletal / innervation
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Posture / physiology*
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Reflex Sympathetic Dystrophy / diagnosis
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Reflex Sympathetic Dystrophy / physiopathology
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Sensitivity and Specificity