Neurophysiologic analysis of neuromuscular symptoms in UK Gulf War veterans: a controlled study.

Abstract:

BACKGROUND:UK veterans who were deployed to the Gulf in 1990 to 1991 reported higher prevalence of neuromuscular symptoms. OBJECTIVE:To investigate whether these Gulf War-related symptoms were associated with objective evidence of neuromuscular dysfunction. METHODS:Forty-nine Gulf War veterans with more than four neuromuscular symptoms (Gulf-ill), 26 Gulf-well veterans, 13 symptomatic Bosnian veterans (Bosnia-ill), and 22 symptomatic veterans who were not deployed to the Gulf (Era-ill) underwent detailed neurophysiologic assessment: nerve conduction studies, quantitative sensory and autonomic testing, and concentric needle and single-fiber electromyography (EMG). RESULTS:Nerve conduction studies detected carpal tunnel syndrome in two Gulf-ill, two Gulf-well, one Bosnia-ill, and three Era-ill veterans. Ulnar neuropathy was detected in one Gulf-ill and two Era-ill veterans. However, results of detailed nerve conduction studies of the Gulf-ill veterans were comparable with results observed in the other three groups. Quantitative sensory and autonomic assessments also failed to show any specific abnormalities in the Gulf-ill group. Similarly, quantitative assessment of concentric needle and single-fiber EMG detected no chronic denervation or myopathic changes or any abnormalities of neuromuscular transmission in the Gulf-ill veterans. CONCLUSION:Gulf War-related neuromuscular symptoms are not associated with specific impairments of peripheral nerves, neuromuscular junctions, or skeletal muscles.

journal_name

Neurology

journal_title

Neurology

authors

Sharief MK,Priddin J,Delamont RS,Unwin C,Rose MR,David A,Wessely S

doi

10.1212/01.wnl.0000032755.27372.fc

subject

Has Abstract

pub_date

2002-11-26 00:00:00

pages

1518-25

issue

10

eissn

0028-3878

issn

1526-632X

journal_volume

59

pub_type

临床试验,杂志文章
  • Deprenyl in Parkinson disease.

    abstract::(-)Deprenyl, a specific monoamine oxidase subtype B inhibitor (MAOI-B), has been reported to be a safe and valuable adjunct to conventional treatment of parkinsonism. A double-blind, clinical comparison of (-)deprenyl with placebo was undertaken in 11 parkinsonian patients; the efficacy of 10 mg daily was studied over...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.31.1.19

    authors: Eisler T,Teräväinen H,Nelson R,Krebs H,Weise V,Lake CR,Ebert MH,Whetzel N,Murphy DL,Kopin IJ,Calne DB

    更新日期:1981-01-01 00:00:00

  • Clinical and electrophysiologic correlates of IVIg responsiveness in CIDP.

    abstract::To identify clinical and electrophysiologic features related to IV immunoglobulin (IVIg) responsiveness in chronic inflammatory demyelinating polyneuropathy (CIDP), the authors conducted a multicenter study on 312 patients with CIDP (199 responders and 113 nonresponders). Muscle atrophy and decreased compound muscle a...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1212/01.WNL.0000158680.89323.F8

    authors: Iijima M,Yamamoto M,Hirayama M,Tanaka F,Katsuno M,Mori K,Koike H,Hattori N,Arimura K,Nakagawa M,Yoshikawa H,Hayasaka K,Onodera O,Baba M,Yasuda H,Saito T,Nakazato M,Nakashima K,Kira J,Kaji R,Oka N,Sobue G

    更新日期:2005-04-26 00:00:00

  • Exploring rating scale responsiveness: does the total score reflect the sum of its parts?

    abstract::Evaluating rehabilitation requires rating scales that detect change. The authors examined Barthel Index (BI) data from 1,495 patients at a neurorehabilitation unit to determine whether total scale responsiveness accurately reflects item responsiveness. Total score effect sizes were moderate to large (0.47 to 1.09). It...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000116136.22922.d6

    authors: O'Connor RJ,Cano SJ,Thompson AJ,Hobart JC

    更新日期:2004-05-25 00:00:00

  • Spontaneous CSF leaks: underlying disorder of connective tissue.

    abstract::Of 58 consecutive patients with spontaneous CSF leaks, nine exhibited features of connective tissue disorder. One had Marfan's syndrome. Five additional patients had hyperflexible joints, of whom four had arachnodactyly, four were tall and slender, two had hyperextensible skin, and one had a strong family history of a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.5.814

    authors: Mokri B,Maher CO,Sencakova D

    更新日期:2002-03-12 00:00:00

  • Hallucinations and sleep disturbances in Parkinson's disease.

    abstract::Visual hallucinations (VHs) occur frequently in Parkinson's disease (PD). VHs occur more frequently in elderly patients with longer duration of illness, cognitive impairment, and sleep disturbances. The relationship between the use of antiparkinsonian drugs and VHs is complicated, but most drugs used to treat parkinso...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.63.8_suppl_3.s28

    authors: Kulisevsky J,Roldan E

    更新日期:2004-10-26 00:00:00

  • Evidence report: Genetic and metabolic testing on children with global developmental delay: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society.

    abstract:OBJECTIVE:To systematically review the evidence concerning the diagnostic yield of genetic and metabolic evaluation of children with global developmental delay or intellectual disability (GDD/ID). METHODS:Relevant literature was reviewed, abstracted, and classified according to the 4-tiered American Academy of Neurolo...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e3182345896

    authors: Michelson DJ,Shevell MI,Sherr EH,Moeschler JB,Gropman AL,Ashwal S

    更新日期:2011-10-25 00:00:00

  • Efficacy of High-Intensity Aerobic Exercise on Brain MRI Measures in Multiple Sclerosis.

    abstract:OBJECTIVE:To determine whether 24 weeks of high-intensity progressive aerobic exercise (PAE) affects brain MRI measures in people with multiple sclerosis (MS). METHODS:We conducted a randomized, controlled, phase 2 trial (with a crossover follow-up) including an exercise group (supervised PAE followed by self-guided p...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000011241

    authors: Langeskov-Christensen M,Grøndahl Hvid L,Nygaard MKE,Ringgaard S,Jensen HB,Nielsen HH,Petersen T,Stenager E,Eskildsen SF,Dalgas U

    更新日期:2021-01-12 00:00:00

  • Sensitivity and specificity of FTDC criteria for behavioral variant frontotemporal dementia.

    abstract:OBJECTIVE:We aimed to assess sensitivity and specificity of the updated criteria for behavioral variant frontotemporal dementia (bvFTD) based on a large autopsy-confirmed cohort of patients with dementia. METHODS:Two hundred thirty-nine consecutive pathologically confirmed dementia patients, clinically assessed in a s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318292a342

    authors: Harris JM,Gall C,Thompson JC,Richardson AM,Neary D,du Plessis D,Pal P,Mann DM,Snowden JS,Jones M

    更新日期:2013-05-14 00:00:00

  • ALS and pet exposure.

    abstract::To examine animal exposure in ALS patients, a case-control study was undertaken on 40 ALS patients and 40 closely matched controls. Exposure to pets of any kind and to small dogs in the period from birth until 10 years before onset of ALS symptoms was significantly increased. Affected men showed a trend toward increas...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.5.717

    authors: Tarras S,Schenkman N,Boesch R,Mulvihill M,Caroscio JT

    更新日期:1985-05-01 00:00:00

  • Localization of idiopathic generalized epilepsy on chromosome 6p in families of juvenile myoclonic epilepsy patients.

    abstract::Juvenile myoclonic epilepsy (JME) is a distinct subform of idiopathic generalized epilepsy of adolescence. Linkage studies with Bf and serologic HLA markers in families of JME patients have shown a tight linkage on chromosome 6. We present a linkage analysis with HLA-DQ restriction fragment length polymorphisms on mor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.10.1651

    authors: Durner M,Sander T,Greenberg DA,Johnson K,Beck-Mannagetta G,Janz D

    更新日期:1991-10-01 00:00:00

  • Effect of intrathecal baclofen on sleep and respiratory function in patients with spasticity.

    abstract:OBJECTIVE:To prospectively evaluate the effect of pump-infused intrathecal baclofen infusion (ITB) in therapeutic doses on sleep quality and on daytime and nighttime respiratory function in patients with severe spasticity. METHODS:We prospectively evaluated 20 consecutive patients (mean +/- SD age 45 +/- 13 years). We...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000239827.38036.23

    authors: Bensmail D,Quera Salva MA,Roche N,Benyahia S,Bohic M,Denys P,Bussel B,Lofaso F

    更新日期:2006-10-24 00:00:00

  • Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States.

    abstract::In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.12.1631

    authors: Marsh EE 3rd,Adams HP Jr,Biller J,Wasek P,Banwart K,Mitchell V,Woolson R

    更新日期:1989-12-01 00:00:00

  • Oral sumatriptan for the long-term treatment of migraine: clinical findings.

    abstract::This double-blind, placebo-controlled, crossover study of the acute treatment of migraine investigated the efficacy and tolerability of oral sumatriptan 100 mg (Imitrex) administered for up to nine attacks compared with placebo administered for up to three attacks. Patients were randomized to receive oral sumatriptan ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Rederich G,Rapoport A,Cutler N,Hazelrigg R,Jamerson B

    更新日期:1995-08-01 00:00:00

  • Patterns of progression in patients with recurrent glioblastoma treated with bevacizumab.

    abstract:OBJECTIVE:We evaluated patterns of tumor progression in patients with recurrent glioblastoma who were treated with bevacizumab (BEV) alone or in combination with irinotecan (CPT-11) while participating in the BRAIN study. METHODS:An independent neuroradiologist reviewed MRI scans at baseline and progression in patient...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0b013e31820a0a8a

    authors: Pope WB,Xia Q,Paton VE,Das A,Hambleton J,Kim HJ,Huo J,Brown MS,Goldin J,Cloughesy T

    更新日期:2011-02-01 00:00:00

  • Rostral lateral pontine infarction: neurological/topographical correlations.

    abstract::The authors correlated neurologic features of rostral lateral pontine infarct (rLPI) with lesion location on MRI. rLPI is a motor-sensory stroke presenting as crural monoparesis or crural dominant hemiparesis and segmental superficial or deep sensory disturbances. The dorsolateral pontine base causes crural paresis wi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000072323.19180.b7

    authors: Kataoka S,Miaki M,Saiki M,Saiki S,Yamaya Y,Hori A,Hirose G

    更新日期:2003-07-08 00:00:00

  • Phosphoglycerate kinase deficiency: biochemical and molecular genetic studies in a new myopathic variant (PGK Alberta)

    abstract::Biochemical analysis of muscle in a 37-year-old man with exercise intolerance, myalgia, recurrent myoglobinuria, and retinitis pigmentosa showed phosphoglycerate kinase (PGK) deficiency. Kinetic and physical characteristics of the mutant enzyme differed from those of two previously reported cases, suggesting a distinc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.2.387

    authors: Tonin P,Shanske S,Miranda AF,Brownell AK,Wyse JP,Tsujino S,DiMauro S

    更新日期:1993-02-01 00:00:00

  • Physical activity and the association with sporadic ALS.

    abstract:OBJECTIVE:To assess whether lifetime physical activity during work and leisure time is associated with an increased risk of developing ALS and to determine the association between physical activity and duration or age at onset of disease. METHODS:Patients referred to our clinic during the 1-year period 2001 to 2002 wh...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.WNL.0000149513.82332.5C

    authors: Veldink JH,Kalmijn S,Groeneveld GJ,Titulaer MJ,Wokke JH,van den Berg LH

    更新日期:2005-01-25 00:00:00

  • Refractory status epilepticus in children with and without prior epilepsy or status epilepticus.

    abstract:OBJECTIVE:To compare refractory convulsive status epilepticus (rSE) management and outcome in children with and without a prior diagnosis of epilepsy and with and without a history of status epilepticus (SE). METHODS:This was a prospective observational descriptive study performed from June 2011 to May 2016 on pediatr...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003550

    authors: Sánchez Fernández I,Jackson MC,Abend NS,Arya R,Brenton JN,Carpenter JL,Chapman KE,Gaillard WD,Gaínza-Lein M,Glauser TA,Goldstein JL,Goodkin HP,Helseth A,Kapur K,McDonough TL,Mikati MA,Peariso K,Riviello J Jr,Tasker RC

    更新日期:2017-01-24 00:00:00

  • Clinical, biochemical, and neuropathologic findings following transplantation of adrenal medulla to the caudate nucleus for treatment of Parkinson's disease.

    abstract::We transplanted autologous adrenal medullary tissue into the caudate nucleus of 3 patients with advanced Parkinson's disease. The 1st patient, a 59-year-old man with parkinsonian symptoms for 15 years, had mild improvement in his motor functioning after the operation. However, his postoperative course was characterize...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.9.1227

    authors: Jankovic J,Grossman R,Goodman C,Pirozzolo F,Schneider L,Zhu Z,Scardino P,Garber AJ,Jhingran SG,Martin S

    更新日期:1989-09-01 00:00:00

  • Recent bacterial and viral infection is a risk factor for cerebrovascular ischemia: clinical and biochemical studies.

    abstract::We performed a case-control study to investigate the role of recent infection as stroke risk factor and to identify pathogenetic pathways linking infection and stroke. We examined 166 consecutive patients with acute cerebrovascular ischemia and 166 patients hospitalized for nonvascular and noninflammatory neurologic d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.1.196

    authors: Grau AJ,Buggle F,Becher H,Zimmermann E,Spiel M,Fent T,Maiwald M,Werle E,Zorn M,Hengel H,Hacke W

    更新日期:1998-01-01 00:00:00

  • Myasthenic congenital myopathy from recessive mutations at a single residue in NaV1.4.

    abstract:OBJECTIVE:To identify the genetic and physiologic basis for recessive myasthenic congenital myopathy in 2 families, suggestive of a channelopathy involving the sodium channel gene, SCN4A. METHODS:A combination of whole exome sequencing and targeted mutation analysis, followed by voltage-clamp studies of mutant sodium ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007185

    authors: Elia N,Palmio J,Castañeda MS,Shieh PB,Quinonez M,Suominen T,Hanna MG,Männikkö R,Udd B,Cannon SC

    更新日期:2019-03-26 00:00:00

  • Phase II/III randomized trial of TCH346 in patients with ALS.

    abstract:BACKGROUND:TCH346 exerts antiapoptotic effects by binding to glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and blocking the apoptotic pathway in which GAPDH is involved. Apoptosis is considered to be a key pathogenic mechanism in neurodegenerative diseases including ALS. METHODS:Patients were randomly assigned in a...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000269676.07319.09

    authors: Miller R,Bradley W,Cudkowicz M,Hubble J,Meininger V,Mitsumoto H,Moore D,Pohlmann H,Sauer D,Silani V,Strong M,Swash M,Vernotica E,TCH346 Study Group.

    更新日期:2007-08-21 00:00:00

  • Familial X-linked myalgia and cramps: a nonprogressive myopathy associated with a deletion in the dystrophin gene.

    abstract::We report a family with an X-linked recessive disorder characterized by muscle cramps and myalgia. Nine affected male family members had high resting serum levels of creatine kinase, and well-developed musculature with calf hypertrophy but no evidence of muscular weakness. Symptoms began in childhood and did not progr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.10.1277

    authors: Gospe SM Jr,Lazaro RP,Lava NS,Grootscholten PM,Scott MO,Fischbeck KH

    更新日期:1989-10-01 00:00:00

  • A direct comparison of PET activation and electrocortical stimulation mapping for language localization.

    abstract::Mapping eloquent language cortex in presurgical patients typically is accomplished using highly invasive direct cortical stimulation techniques. Functional imaging during language activation using positron emission tomography (PET) is a promising, noninvasive alternative that requires validation. In seven patients und...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.4.1056

    authors: Bookheimer SY,Zeffiro TA,Blaxton T,Malow BA,Gaillard WD,Sato S,Kufta C,Fedio P,Theodore WH

    更新日期:1997-04-01 00:00:00

  • Diagnosis of vestibular imbalance in the blink of an eye.

    abstract:BACKGROUND:In a recent study, the authors found that blinks in healthy volunteers always triggered ocular torsion quick phases during dynamic roll movements of the head. On the basis of this observation, they hypothesized that blinks in patients with a vestibular tone imbalance would also trigger torsional quick phases...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000141144.02666.8c

    authors: Schneider E,Glasauer S,Dieterich M,Kalla R,Brandt T

    更新日期:2004-10-12 00:00:00

  • Neurologic outcomes in retinopathy-negative cerebral malaria survivors.

    abstract:OBJECTIVES:Patients surviving retinopathy-positive cerebral malaria (CM) are at high risk for the development of epilepsy, developmental disabilities, and behavioral abnormalities. We aimed to establish whether retinopathy-negative CM is also a risk factor for these outcomes. METHODS:Between 2005 and 2007, survivors o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31826aacd4

    authors: Postels DG,Taylor TE,Molyneux M,Mannor K,Kaplan PW,Seydel KB,Chimalizeni YF,Kawaza K,Birbeck GL

    更新日期:2012-09-18 00:00:00

  • Spinal cord infarction: etiology and outcome.

    abstract::We reviewed 44 cases of ischemia and infarction of the spinal cord at two university hospitals. Three patients experienced transient ischemic attacks. Etiologies of completed strokes were diverse and included rupture and surgical repair of aortic aneurysms, aortic dissection, aortic rupture and thrombosis, global isch...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.2.321

    authors: Cheshire WP,Santos CC,Massey EW,Howard JF Jr

    更新日期:1996-08-01 00:00:00

  • Who should undergo a comprehensive cognitive assessment after a stroke? A cognitive risk score.

    abstract:OBJECTIVE:To validate the ability of a specifically developed cognitive risk score to identify patients at risk of poststroke neurocognitive disorders (NCDs) who are eligible for a comprehensive cognitive assessment. METHODS:After assessing 404 patients (infarct 91.3%) in the Groupe de Réflexion pour l'Evaluation Cogn...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006544

    authors: Godefroy O,Yaïche H,Taillia H,Bompaire F,Nédélec-Ciceri C,Bonnin C,Varvat J,Vincent-Grangette F,Diouf M,Mas JL,Canaple S,Lamy C,Arnoux A,Leclercq C,Tasseel-Ponche S,Roussel M,Barbay M,GRECogVASC Study Group.

    更新日期:2018-11-20 00:00:00

  • Incident lacunes influence cognitive decline: the LADIS study.

    abstract:BACKGROUND:In cerebral small vessel disease, the core MRI findings include white matter lesions (WML) and lacunar infarcts. While the clinical significance of WML is better understood, the contribution of lacunes to the rate of cognitive decline has not been established. This study investigated whether incident lacunes...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31821d752f

    authors: Jokinen H,Gouw AA,Madureira S,Ylikoski R,van Straaten EC,van der Flier WM,Barkhof F,Scheltens P,Fazekas F,Schmidt R,Verdelho A,Ferro JM,Pantoni L,Inzitari D,Erkinjuntti T,LADIS Study Group.

    更新日期:2011-05-31 00:00:00

  • Band heterotopia or double cortex in a male: bridging structures suggest abnormality of the radial glial guide system.

    abstract::A moderately retarded Japanese boy, with a normal male karyotype (46,XY), was diagnosed to have a subcortical band heterotopia or double cortex syndrome. The band heterotopia was relatively thick compared with that of other patients reported. On T2-weighted coronal MR sections, there were numerous radial linear struct...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.6.1701

    authors: Ono J,Mano T,Andermann E,Harada K,Sakurai K,Ikeda T,Yoshihara N,Shimizu K,Okada S,Andermann F

    更新日期:1997-06-01 00:00:00