Síndrome de la mano inútil con astereognosia secundaria a un astrocitoma cervical

dc.coverageDOI: 10.4067/S0717-92272022000100124
dc.creatorVergara, Fernando
dc.creatorRamos, Teresita
dc.creatorRebolledo, Nicolás
dc.creatorSoto, Sergio
dc.date2022
dc.date.accessioned2026-01-05T21:22:50Z
dc.date.available2026-01-05T21:22:50Z
dc.description<p>The present case is an example of the useless hand syndrome of Oppenheim secondary to a high cervical astrocytoma. The suspended proprioceptive and discriminative sensory loss with conservation of thermoalgesia and crude touch in both upper extremities is secondary to damage to dorsal root entry and cuneate nucleus. The clumsiness and difficulties in precise grasping with the hand are due to damage of the propriospinal nucleus in the dorsal horns at C3-C4 level. This nucleus integrates descending excitatory influences from corticospinal tract and inhibitory interneurons controlled by descending systems and the forelimb afferents. Probably the loss of the inhibitory proprioceptive cervical afferents is the culprit of the difficulties in grasping by the hands.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/62e94707-592e-4c65-ab73-1840500e465d
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/70061
dc.languagespa
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.60 (2022) nr.1 p.124-129
dc.subjectastereognosis
dc.subjectpropriospinal cervical nucleus
dc.subjectUseless hand
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSíndrome de la mano inútil con astereognosia secundaria a un astrocitoma cervicalspa
dc.titleUseless hand syndrome with astereognosis secondary to a cervical astrocytomaeng
dc.typeConference articleeng
dc.typeArtículo de la conferenciaspa
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