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Internal Capsule Plaque and Tonic Spasms in Multiple Sclerosis

Internal Capsule Plaque and Tonic Spasms in Multiple Sclerosis Abstract • A patient developed hemilateral tonic spasms associated with a relapse of multiple sclerosis. An area of demyelination in the right internal capsule was observed on a magnetic resonance imaging scan. This lesion was not detectable on a second magnetic resonance imaging scan 10 months after the spasms had ceased. Paroxysmal symptoms in multiple sclerosis may represent transient phenomena related to inflammation in acute plaques. References 1. Osterman PO, Westerberg CE. Paroxysmal attacks in multiple sclerosis . Brain . 1975;98:189-202.Crossref 2. Berger JR, Sheremata WA, Melamed E. Paroxysmal dystonia as the initial manifestation of multiple sclerosis . Arch Neurol . 1984;41:747-750.Crossref 3. Castaigne P, Cambier J, Masson M, et al. Les manifestations motrices paroxystiques de la scle-rose en plaque . Presse Med . 1970;40:1921-1924. 4. Shibasaki H, Kuroiwa Y. Painful tonic seizure in multiple sclerosis . Arch Neurol . 1974;30:47-51.Crossref 5. Watson CP, Chiu M. Painful tonic seizures in multiple sclerosis: localization of a lesion . Can J Neurol Sci . 1979;6:359-361. 6. Honig LS, Wasserstein PH, Adornato BT. The anatomic basis of tonic spasms in multiple sclerosis . Neurology . 1988;38( (suppl 1) ):236. 7. Poser CM, Paty DW, Scheinberg L, et al. New diagnostic criteria for multiple sclerosis: guidelines for research protocols . Ann Neurol . 1983;13:227-231.Crossref 8. Matthews WB. Tonic seizures in multiple sclerosis . Brain . 1958;81:193-206.Crossref 9. Kuroiwa Y, Araki S. Lhermitte's sign and reflex tonic spasm in demyelinating diseases with special reference to their localizing value . Kyushu J Med Sci . 1963;14:29-38. 10. Kreindler A, Carda M, Petresco AR, Botes MI. Considerations sur l'étiopathogénie des crises toniques dans l'encéphalomyélite disséminée . Rev Neurol (Paris) . 1962;107:353-369. 11. Espir MLE, Millac P. Treatment of paroxysmal disorders in multiple sclerosis with carbamazepine . J Neurol Neurosurg Psychiatry . 1970;33:528-531.Crossref 12. Lance JW. Sporadic and familial varieties of tonic seizures . J Neurol Neurosurg Psychiatry . 1963;26:51-59.Crossref 13. Traugott U, Lebon P. Multiple sclerosis: involvement of interferons in lesion pathogenesis . Ann Neurol . 1988;24:243-251.Crossref 14. Hofman FM. Cytokines in central nervous system disease . In: Goetzl EJ, Spector NH, eds. Neuroimmune Networks: Physiology and Diseases . New York, NY: Alan R Liss Inc; 1989:65-71. 15. Calvet MC, Gresser I. Interferon enhances the excitability of cultured neurons . Nature . 1979;278:558-560.Crossref 16. Dafny N, Prieto-Gomez B, Reyes-Vazquez C. Does the immune system communicate with the central nervous system? interferon modifies central nervous activity . J Neuroimmunol . 1985;9:1-12.Crossref 17. Bindoni M, Perciavalle V, Berretta S, Belluardo N, Diamantstein T. Interleukin 2 modifies the bioelectric activity of some neurosecretory nuclei in the rat hypothalamus . Brain Res . 1988;462:10-14.Crossref 18. Uhlenbrock D, Seidel D, Gehlen W, et al. MR imaging in multiple sclerosis: comparison with clinical, CSF, and visual evoked potential findings . AJNR . 1988;9:59-67. 19. Isaac C, Li DKB, Genton M, et al. Multiple sclerosis: a serial study using MRI in relapsing patients . Neurology . 1988;38:1511-1515.Crossref 20. Reder AT, Arnason BGW. Immunology of multiple sclerosis . In: Vinken PJ, Bruyn GW, Klawans HL, eds. Handbook of Clinical Neurology: Demyelinating Diseases . Amsterdam, the Netherlands: Elsevier Science Publishers; 1985: 337-395. 21. Oger J, Kastrukoff LF, Li DKB, Paty DW. Multiple sclerosis: in relapsing patients, immune functions vary with disease activity as assessed by MRI . Neurology . 1988;38:1739-1744.Crossref 22. Traugott U, Reinherz EL, Raine CS. Multiple sclerosis: distribution of T cells, T cell subsets and Ia-positive macrophages in lesions of different ages . J Neuroimmunol . 1983;13:227-231. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Internal Capsule Plaque and Tonic Spasms in Multiple Sclerosis

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References (25)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1991.00530160097021
Publisher site
See Article on Publisher Site

Abstract

Abstract • A patient developed hemilateral tonic spasms associated with a relapse of multiple sclerosis. An area of demyelination in the right internal capsule was observed on a magnetic resonance imaging scan. This lesion was not detectable on a second magnetic resonance imaging scan 10 months after the spasms had ceased. Paroxysmal symptoms in multiple sclerosis may represent transient phenomena related to inflammation in acute plaques. References 1. Osterman PO, Westerberg CE. Paroxysmal attacks in multiple sclerosis . Brain . 1975;98:189-202.Crossref 2. Berger JR, Sheremata WA, Melamed E. Paroxysmal dystonia as the initial manifestation of multiple sclerosis . Arch Neurol . 1984;41:747-750.Crossref 3. Castaigne P, Cambier J, Masson M, et al. Les manifestations motrices paroxystiques de la scle-rose en plaque . Presse Med . 1970;40:1921-1924. 4. Shibasaki H, Kuroiwa Y. Painful tonic seizure in multiple sclerosis . Arch Neurol . 1974;30:47-51.Crossref 5. Watson CP, Chiu M. Painful tonic seizures in multiple sclerosis: localization of a lesion . Can J Neurol Sci . 1979;6:359-361. 6. Honig LS, Wasserstein PH, Adornato BT. The anatomic basis of tonic spasms in multiple sclerosis . Neurology . 1988;38( (suppl 1) ):236. 7. Poser CM, Paty DW, Scheinberg L, et al. New diagnostic criteria for multiple sclerosis: guidelines for research protocols . Ann Neurol . 1983;13:227-231.Crossref 8. Matthews WB. Tonic seizures in multiple sclerosis . Brain . 1958;81:193-206.Crossref 9. Kuroiwa Y, Araki S. Lhermitte's sign and reflex tonic spasm in demyelinating diseases with special reference to their localizing value . Kyushu J Med Sci . 1963;14:29-38. 10. Kreindler A, Carda M, Petresco AR, Botes MI. Considerations sur l'étiopathogénie des crises toniques dans l'encéphalomyélite disséminée . Rev Neurol (Paris) . 1962;107:353-369. 11. Espir MLE, Millac P. Treatment of paroxysmal disorders in multiple sclerosis with carbamazepine . J Neurol Neurosurg Psychiatry . 1970;33:528-531.Crossref 12. Lance JW. Sporadic and familial varieties of tonic seizures . J Neurol Neurosurg Psychiatry . 1963;26:51-59.Crossref 13. Traugott U, Lebon P. Multiple sclerosis: involvement of interferons in lesion pathogenesis . Ann Neurol . 1988;24:243-251.Crossref 14. Hofman FM. Cytokines in central nervous system disease . In: Goetzl EJ, Spector NH, eds. Neuroimmune Networks: Physiology and Diseases . New York, NY: Alan R Liss Inc; 1989:65-71. 15. Calvet MC, Gresser I. Interferon enhances the excitability of cultured neurons . Nature . 1979;278:558-560.Crossref 16. Dafny N, Prieto-Gomez B, Reyes-Vazquez C. Does the immune system communicate with the central nervous system? interferon modifies central nervous activity . J Neuroimmunol . 1985;9:1-12.Crossref 17. Bindoni M, Perciavalle V, Berretta S, Belluardo N, Diamantstein T. Interleukin 2 modifies the bioelectric activity of some neurosecretory nuclei in the rat hypothalamus . Brain Res . 1988;462:10-14.Crossref 18. Uhlenbrock D, Seidel D, Gehlen W, et al. MR imaging in multiple sclerosis: comparison with clinical, CSF, and visual evoked potential findings . AJNR . 1988;9:59-67. 19. Isaac C, Li DKB, Genton M, et al. Multiple sclerosis: a serial study using MRI in relapsing patients . Neurology . 1988;38:1511-1515.Crossref 20. Reder AT, Arnason BGW. Immunology of multiple sclerosis . In: Vinken PJ, Bruyn GW, Klawans HL, eds. Handbook of Clinical Neurology: Demyelinating Diseases . Amsterdam, the Netherlands: Elsevier Science Publishers; 1985: 337-395. 21. Oger J, Kastrukoff LF, Li DKB, Paty DW. Multiple sclerosis: in relapsing patients, immune functions vary with disease activity as assessed by MRI . Neurology . 1988;38:1739-1744.Crossref 22. Traugott U, Reinherz EL, Raine CS. Multiple sclerosis: distribution of T cells, T cell subsets and Ia-positive macrophages in lesions of different ages . J Neuroimmunol . 1983;13:227-231.

Journal

Archives of NeurologyAmerican Medical Association

Published: Apr 1, 1991

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