Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.

The onset of motor symptoms in amyotrophic lateral sclerosis (ALS) is strikingly focal. In three-quarters of cases, weakness emerges unilaterally in one limb, typically spreading contiguously over months to become bilateral.(1) An extremely rare clinical syndrome of upper motor neuron-predominant, p...

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Główni autorzy: Bäumer, D, Butterworth, R, Menke, R, Talbot, K, Hofer, M, Turner, M
Format: Journal article
Język:English
Wydane: Lippincott Williams and Wilkins 2014
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author Bäumer, D
Butterworth, R
Menke, R
Talbot, K
Hofer, M
Turner, M
author_facet Bäumer, D
Butterworth, R
Menke, R
Talbot, K
Hofer, M
Turner, M
author_sort Bäumer, D
collection OXFORD
description The onset of motor symptoms in amyotrophic lateral sclerosis (ALS) is strikingly focal. In three-quarters of cases, weakness emerges unilaterally in one limb, typically spreading contiguously over months to become bilateral.(1) An extremely rare clinical syndrome of upper motor neuron-predominant, progressive hemiparesis was first described by American neurologist Charles Karsner Mills (1845-1930).(2) More typical ALS shares a common histopathologic signature with frontotemporal dementia (FTD), consisting of ubiquitinated neuronal and glial inclusions containing the DNA and RNA binding protein, TDP-43. Cognitive impairment may be detected in at least one-third of ALS cases and involves mainly deficits in language, executive function, and fluency, with variable levels of behavioral impairments that all have overlap with the purer FTD syndromes. Frank FTD is seen in up to 15% of patients with ALS, in whom it typically occurs before or soon after the development of motor symptoms, and is associated with a more rapid disease progression.(3.)
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spelling oxford-uuid:bc10f3cd-7b76-4967-834c-92d22b9a7bfc2022-03-27T05:21:40ZProgressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bc10f3cd-7b76-4967-834c-92d22b9a7bfcEnglishSymplectic Elements at OxfordLippincott Williams and Wilkins2014Bäumer, DButterworth, RMenke, RTalbot, KHofer, MTurner, MThe onset of motor symptoms in amyotrophic lateral sclerosis (ALS) is strikingly focal. In three-quarters of cases, weakness emerges unilaterally in one limb, typically spreading contiguously over months to become bilateral.(1) An extremely rare clinical syndrome of upper motor neuron-predominant, progressive hemiparesis was first described by American neurologist Charles Karsner Mills (1845-1930).(2) More typical ALS shares a common histopathologic signature with frontotemporal dementia (FTD), consisting of ubiquitinated neuronal and glial inclusions containing the DNA and RNA binding protein, TDP-43. Cognitive impairment may be detected in at least one-third of ALS cases and involves mainly deficits in language, executive function, and fluency, with variable levels of behavioral impairments that all have overlap with the purer FTD syndromes. Frank FTD is seen in up to 15% of patients with ALS, in whom it typically occurs before or soon after the development of motor symptoms, and is associated with a more rapid disease progression.(3.)
spellingShingle Bäumer, D
Butterworth, R
Menke, R
Talbot, K
Hofer, M
Turner, M
Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title_full Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title_fullStr Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title_full_unstemmed Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title_short Progressive hemiparesis (Mills syndrome) with aphasia in amyotrophic lateral sclerosis.
title_sort progressive hemiparesis mills syndrome with aphasia in amyotrophic lateral sclerosis
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AT talbotk progressivehemiparesismillssyndromewithaphasiainamyotrophiclateralsclerosis
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