Mirror movements
Keywords:
functional laterality, acute brain lesions.Abstract
Objective: to present a clinical case of acquired mirror movements of the hand which resulted from an acute brain lesion.Method: case report of a 18-year-old female patient with a history of acute lymphoblastic leukemia and multiple cerebral lesions, who underwent a central nervous system stereotactic biopsy which was complicated by intra-parenquimatous hemorrhages and who, as a result, developed acquired mirror movements in left hand.
Results: after specific rehabilitation treatment (Occupational Therapy), patient’s mirror movements gradually disappeared.
Implications and impact on rehabilitation medicine: the case report highlights the fact that mirror movements can present after acute brain lesions. In consonance to latest studies, it shows that mirror movements appear to reflect an increased activation of the undamaged ipsilateral motor cortex. It also shows thatmirrormovements are usually relatively subtle, so
that patients can find them inconvenient and embarrassing but not disabling.
References
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2. Nelles G, Cramer SC, Schaechter JD, Kaplan JD, Kinklestein SP. Quantitative Assessment of Mirror Movements After Stroke. Stroke 1998;29:1182-87.
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6. Kanouchi T, Yokota T, Isa F, et al. Role of the ipsilateral motor cortex in mirror movements. J Neurol Neurosurg Psychiatry 1997;62:629-32.
7. Kim Y-H, Jang SH, Chang Y, Byun WM, Son S, Ahn SH. Bilateral primary sensorimotor cortex activation of post-stroke mirror movements: an fMRI study. Neurorreport 2003;14(10): 1329-32.
8. Weiller C, Ramsay SC, Wise RJS, Friston KJ, Frackowiak RSJ. Individual patterns of functional reorganization in the human cerebral cortex after capsular infarction. Ann Neurol 1993;33:181-9.
9. Leonhardt G, Barkhausen C, Welschof A, Krams M, Muller S, Weiller C. Associated movements in poststroke patients studied with PET. Stroke 1997;28:268.
10. Cincotta M, Brogheresi A, Balzini L, Vannucchi L, Zeloni G, Ragazzoni A et al. Separate Ipsilateral and Contralateral Corticospinal Projections in Congenital Mirror Movements: Neurophysiological Evidence and Significance for Motor Rehabilitation. MovementDisorders 2003; 18(11):1294-1300.
2. Nelles G, Cramer SC, Schaechter JD, Kaplan JD, Kinklestein SP. Quantitative Assessment of Mirror Movements After Stroke. Stroke 1998;29:1182-87.
3. Farmer SF. Mirror movements in Neurology. J Neurol Neurosurg Psychiatry 2005; 76:1330.
4. A. Bhattacharya, Lahiri A. Mirror Movement in Clinical Practice. JIACM 2 002;3: 177-81.
5. Cincotta M, Borgheresi A, Ragazzoni A, et al. Motor control in mirror movements: studies with transcranial magnetic stimulation. Suppl Clin Neurophysiol 2003;56: 75-80.
6. Kanouchi T, Yokota T, Isa F, et al. Role of the ipsilateral motor cortex in mirror movements. J Neurol Neurosurg Psychiatry 1997;62:629-32.
7. Kim Y-H, Jang SH, Chang Y, Byun WM, Son S, Ahn SH. Bilateral primary sensorimotor cortex activation of post-stroke mirror movements: an fMRI study. Neurorreport 2003;14(10): 1329-32.
8. Weiller C, Ramsay SC, Wise RJS, Friston KJ, Frackowiak RSJ. Individual patterns of functional reorganization in the human cerebral cortex after capsular infarction. Ann Neurol 1993;33:181-9.
9. Leonhardt G, Barkhausen C, Welschof A, Krams M, Muller S, Weiller C. Associated movements in poststroke patients studied with PET. Stroke 1997;28:268.
10. Cincotta M, Brogheresi A, Balzini L, Vannucchi L, Zeloni G, Ragazzoni A et al. Separate Ipsilateral and Contralateral Corticospinal Projections in Congenital Mirror Movements: Neurophysiological Evidence and Significance for Motor Rehabilitation. MovementDisorders 2003; 18(11):1294-1300.
How to Cite
1.
Pimentel S, Lopes I, Parada F, Toste T. Mirror movements. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2012 Apr. 14 [cited 2024 May 17];21(2):119-22. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/15
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