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NEUROLOGY 2006;67:491-493
© 2006 American Academy of Neurology
Brief Communications

Painful hand and moving finger treated by wearing a glove

C. Wider, MD, T. Kuntzer, MD, P. Olivier, MD, D. Debatisse, MSc, R. Nançoz, MD, P. Maeder, MD, J. Bogousslavsky, MD and F. Vingerhoets, MD

From the Departments of Neurology (C.W., T.K., P.O., R.N., J.B., F.V.), Neurosurgery (D.D.), and Radiology (P.M.), University Hospital, Lausanne, Switzerland.

Address correspondence and reprint requests to Dr. François Vingerhoets, Service de Neurologie, CHUV BH 13, Rue du Bugnon, 1011 Lausanne, Switzerland; e-mail: francois.vingerhoets{at}chuv.ch

The authors report a patient with unilateral painful hand and moving finger in whom tactile stimulation interrupted both the movement and the pain. This effect suggests a gating mechanism at a segmental level. The difference between afferent and efferent pathway levels and the delay of several months between trauma and occurrence of symptoms support a central mechanism, most probably involving sensorimotor reorganization at a segmental level.

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 August 8 issue to find the link for this article.

Disclosure: the authors report no conflicts of interest.

Received December 12, 2005. Accepted in final form March 24, 2006.




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