| Phantom limb after stroke: an underreported phenomenon. | |
| | |
MedLine Citation:
|
PMID: 19914617 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The presence of a phantom limb (PL) resulting from a cerebral lesion has been reported to be a rare event. No prior study, however, has systematically investigated the prevalence of this syndrome in a group of post-stroke individuals. Fifty post-stroke individuals were examined with structured interview/questionnaire to establish the presence and perceptual characteristics of PLs. We document the presence of phantom experiences in over half of these individuals (n=27). We provide details of these phantom experiences and further characterize these symptoms in terms of temporal qualities, posture, kinesthesia, and associated features. Twenty-two participants reported postural phantoms, which were perceived as illusions of limb position that commonly manifested while lying in bed at night - a time when visual input is removed from multi-sensory integration. Fourteen participants reported kinesthetic phantoms, with illusory movements ranging from simple single joint sensations to complex goal-directed phantom movements. A striking syndrome of near total volitional control of phantom movements was reported in four participants who had immobile plegic hands. Reduplicative phantom percepts were reported by only one participant. Similarly, phantom pain was present in only one individual - the sole participant with a pre-stroke limb amputation. The results suggest that stroke results in phantom experiences more commonly than previously described in the literature. We speculate that subtotal deafferance or defective motor efference after stroke may manifest intermittently as a PL. |
| | |
Authors:
|
Daniel Antoniello; Benzi M Kluger; Daniel H Sahlein; Kenneth M Heilman |
Related Documents
:
|
14681817 - Thrombophilia and stroke. 8909057 - Correlation of clinical improvement with pontine lesions in opsoclonus-myoclonus syndrome. 4836747 - Pregnancy, subarachnoid haemorrhage, and the intravascular coagulation syndrome. 1703887 - T and tk transformation in hemolytic uremic syndromes. 21419447 - Upper urinary tract carcinoma in lynch syndrome cases. 3449027 - Guillain-barré syndrome after varicella-zoster infection. case report. |
Publication Detail:
|
Type: Journal Article Date: 2009-10-24 |
Journal Detail:
|
Title: Cortex; a journal devoted to the study of the nervous system and behavior Volume: 46 ISSN: 1973-8102 ISO Abbreviation: Cortex Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-13 Completed Date: 2010-12-29 Revised Date: 2011-09-20 |
Medline Journal Info:
|
Nlm Unique ID: 0100725 Medline TA: Cortex Country: Italy |
Other Details:
|
Languages: eng Pagination: 1114-22 Citation Subset: IM |
Copyright Information:
|
Copyright © 2009 Elsevier Srl. All rights reserved. |
Affiliation:
|
Department of Neurology, Albert Einstein College of Medicine, NY, United States. dantonie@montefiore.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Illusions / psychology* Male Middle Aged Phantom Limb / epidemiology, etiology, psychology* Questionnaires Recovery of Function Stroke / complications*, psychology* |
| Comments/Corrections | |
Comment In:
|
Cortex. 2011 Oct;47(9):1063-4; author reply 1065
[PMID:
21306707
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Two qualitatively different impairments in making rotation operations.
Next Document: Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis and a hypoplastic uterus: a rare presen...