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Figure 4 shows the average MEP latency for the biceps and FDS muscles on the intact and missing limb sides.
To do this we used image-guided TMS to systematically map the biceps brachii (BB) and flexor digitorum superficialis (FDS) on the intact and missing limb sides.
Figure 3 shows the distance from the midline for the biceps and FDS map CoGs on the missing and intact limb sides.
When compared with the same type of map for the intact sides (data not shown) there was no systematic difference in the degree of overlap between the biceps and FDS muscles on the intact and missing limb sides.
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However, development of a preferred limb side is a natural occurrence.
Cerebellar atrophy in 1 pt Our case Case report 1 13 years HM with transient left hemiparesis, vision loss and paresthesia in right limbs 6/year <1 Permanent cerebellar ataxia Decreased level of consciousness, dysarthria, vision loss and sensory deficit alternating in limb side 50 years Cerebellar atrophy N.r.
A 54-year-old woman (PV) was admitted in 2009 to the Stroke Unit of Azienda Ospedaliera Ospedale di Circolo di Busto Arsizio, Saronno, Tradate for recurrent attacks of right temporal migraine followed by a sudden sequence of left hemiparesis, associated with a decreased level of consciousness, dysarthria, vision loss and sensory deficit alternating in limb side.
In contrast, forearm muscle thresholds were always higher for the missing limb side.
While FDS thresholds were always higher on the missing limb side, biceps thresholds on the missing limb side were either equal to (S1 and S2) or lower (S3 and S4) than the intact-side thresholds (Figure 1).
Thresholds were always higher by an average of 12% MSO for the stump muscle (FDS on the missing limb side).
In three of the four subjects MEP latencies were slightly shorter for the biceps on the missing limb side than the intact side.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com