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mise à jour du
9 septembre 2004
J Neuroscience Research
1998, sup, 392
lexique
Forced yawning as a pseudobulbar sign in amyotrophic lateral sclerosis (als)
Elisabeth S. Louwerse, F. Eelco Posthumus-Meyjes, Dirk Troost and J.M.B. Vianney de Jong
Dept. Neurology, Academic Centre at the University of Amsterdam, The Nelherlands

Chat-logomini

In a series of 200 consecutive ALS patients, 23 exhibited bouts of prolonged, intensive and uncontrolled yawning. All of the patients with symptoms of yawning had signs of pseudobulbar and bulbar paresis, with positive pseudobulbar reflexes and forced crying or forced laughter.
 
In one woman, bouts of yawning caused habitual subluxation of the mandible several times per night. Yawning caused great embarrassment to a patient in whom it came on whenever she was happy about being visited by close friends. In another, we could provoke yawning by eliciting the plantar responses. Synchronously with the bouts of yawning, one patient exhibited forced extension of a paretic arm. We will report the autopsy findings in one case.
 
We conclude that, like forced crying and forced laughter, forced yawning is a sign of pseudobulbar involvement in ALS.
 
la parakinésie brachiale oscitante
 
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