Onset and spreading patterns of upper and lower motor neuron symptoms in amyotrophic lateral sclerosis
Standard
Onset and spreading patterns of upper and lower motor neuron symptoms in amyotrophic lateral sclerosis. / Körner, Sonja; Kollewe, Katja; Fahlbusch, Marion; Zapf, Antonia; Dengler, Reinhard; Krampfl, Klaus; Petri, Susanne.
in: MUSCLE NERVE, Jahrgang 43, Nr. 5, 05.2011, S. 636-642.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Onset and spreading patterns of upper and lower motor neuron symptoms in amyotrophic lateral sclerosis
AU - Körner, Sonja
AU - Kollewe, Katja
AU - Fahlbusch, Marion
AU - Zapf, Antonia
AU - Dengler, Reinhard
AU - Krampfl, Klaus
AU - Petri, Susanne
N1 - Copyright © 2010 Wiley Periodicals, Inc.
PY - 2011/5
Y1 - 2011/5
N2 - INTRODUCTION: The potential linkage between upper (UMN) and lower motor neuron (LMN) involvement in amyotrophic lateral sclerosis (ALS) has not yet been fully elucidated. There is ongoing discussion as to whether ALS is primarily a disease of UMNs or LMNs.METHODS: We performed a retrospective analysis of 189 ALS patients from our ALS outpatient database to investigate the different spreading patterns of UMN and LMN affection in disease progression in relation to the onset region.RESULTS: The body region with the highest UMN involvement at onset in general also had the highest frequency of LMN signs and vice versa. This is in line with the hypothesis of a focal onset of disease, which then spreads to adjacent areas. However, there was a great variation between ALS phenotypes.DISCUSSION: These observations support the hypothesis of focal damage of a localized group of motor neurons, which then spreads to adjacent motor neurons.
AB - INTRODUCTION: The potential linkage between upper (UMN) and lower motor neuron (LMN) involvement in amyotrophic lateral sclerosis (ALS) has not yet been fully elucidated. There is ongoing discussion as to whether ALS is primarily a disease of UMNs or LMNs.METHODS: We performed a retrospective analysis of 189 ALS patients from our ALS outpatient database to investigate the different spreading patterns of UMN and LMN affection in disease progression in relation to the onset region.RESULTS: The body region with the highest UMN involvement at onset in general also had the highest frequency of LMN signs and vice versa. This is in line with the hypothesis of a focal onset of disease, which then spreads to adjacent areas. However, there was a great variation between ALS phenotypes.DISCUSSION: These observations support the hypothesis of focal damage of a localized group of motor neurons, which then spreads to adjacent motor neurons.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Amyotrophic Lateral Sclerosis
KW - Cohort Studies
KW - Disease Progression
KW - Electromyography
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Motor Neuron Disease
KW - Motor Neurons
KW - Muscle, Skeletal
KW - Retrospective Studies
KW - Comparative Study
KW - Journal Article
U2 - 10.1002/mus.21936
DO - 10.1002/mus.21936
M3 - SCORING: Journal article
C2 - 21484822
VL - 43
SP - 636
EP - 642
JO - MUSCLE NERVE
JF - MUSCLE NERVE
SN - 0148-639X
IS - 5
ER -