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NEUROLOGY 2006;67:1884-1886
© 2006 American Academy of Neurology
Brief Communications

Upper limb tremor induced by peripheral nerve injury

J. Costa, MD, R. Henriques, MD, C. Barroso, MD, J. Ferreira, MD, A. Atalaia, MD and M. de Carvalho, MD, PhD

From the Department of Neurology (J.C., C.B., L.F., M.d.C.), Hospital de Santa Maria, Neuromuscular Unit (J.C., C.B., M.d.C.), Institute of Molecular Medicine, Department of Medical Rehabilitation (R.H.), Hospital de Santa Maria, Neurological Clinical Research Unit (J.F.), Institute of Molecular Medicine, and British Hospital (A.A.), Lisbon, Portugal.

Address correspondence and reprint requests to Dr. M. de Carvalho, Department of Neurology, Hospital Santa Maria., Av Prof Egas Moniz., 1649-028 Lisbon. Portugal; e-mail: mamedemg{at}mail.telepac.pt

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.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the November 28 issue to find the title link for this article.

Disclosure: The authors report no conflicts of interest.

Received September 12, 2005. Accepted in final form July 24, 2006.




This article has been cited by other articles:


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M. Atadzhanov, P. Mwaba, M. de Carvalho, J. Costa, and J. Ferreira
Upper limb tremor induced by peripheral nerve injury
Neurology, September 25, 2007; 69(13): 1381 - 1381.
[Full Text] [PDF]

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 NeurologyHome page
W. J. Weiner, S. G. Reich, M. de Carvalho, J. Costa, and J. Ferreira
UPPER LIMB TREMOR INDUCED BY PERIPHERAL NERVE INJURY
Neurology, July 3, 2007; 69(1): 118 - 118.
[Full Text] [PDF]

Correspondence:

Read all Correspondence

Upper limb tremor induced by peripheral nerve injury
William J. Weiner, et al.
Neurology Online, 12 Mar 2007 [Full text]
Reply from the Authors
Mamede de Carvalho, et al.
Neurology Online, 12 Mar 2007 [Full text]
Upper limb tremor induced by peripheral nerve injury
Masharip Atadzhanov, et al.
Neurology Online, 27 Jun 2007 [Full text]
Reply from the authors
Mamede de Carvalho, et al.
Neurology Online, 27 Jun 2007 [Full text]

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