Mão instável atáxica de Alajouanine-Akerman: resgate de um sinal semiológico

Abstract

os olhos fechados e estava acompanhada por ataxia sensitiva, astereognosia e comprometimento da sensibilidade profunda no membro acometido. A partir do artigo original, é possível atualmente considerar-se a alteração semiológica descrita como uma forma de pseudoatetose localizada na mão.PALAVRAS-CHAVE: Akerman, pseudoatetose, semiologia neurológica. Ataxic unstable hand of Alajouanine-Akerman: recovery of a semiologic signABSTRACT -It is aimed to recover, considering its historical value, a semiological sign described in 1931 by an eminent neurologist of Rio de Janeiro, together with a master of the French neurology. In the article by Alajouanine and Akerman, named "Attitude of the hand in an astereognostic monobrachial crisis of multiple esclerosis", a semiologic alteration was described which was characterized by "an instability in the attitude of the fingers, which is observed mainly with the hand extended in the attitude of swearing". This attitude of the hand worsened a lot with the eyes closed and was accompanied by sensory ataxia, astereognosis, and impaired deep sensation in the affected member. From the original article, it is possible to consider at the present time the described semiologic alteration as a form of pseudoathetosis localized in the hand.

Professor Abraham Akerman

“…In 1933, Akerman returned to Rio de Janeiro and worked with professors Antônio Austregésilo, José Ribeiro Portugal, Paulo Niemayer, and, later, Deolindo Couto [7][8][9] . Between 1938 and 1940, he trained in the Department of Neuropathology at the Universidade de São Paulo.…”

“…Akerman had a private practice and was one of the most highly regarded and successful neurologists of his time. He died in 1985 at the age of 77 [7][8][9] .…”

“…Abraham Akerman, who was of Jewish origin, was born to a family from Eastern Europe in 1908 and came to Brazil as a child, where he lived in the city of Rio de Janeiro [7][8][9] . In 1924, Akerman traveled to Paris, France, and studied in the Faculty of Sciences at the University of Paris.…”

“…In 1924, Akerman traveled to Paris, France, and studied in the Faculty of Sciences at the University of Paris. In 1926, he enrolled in the Faculty of Medicine at the same university, going on to graduate in 1930 [7][8][9] . After obtaining his PhD from the University of Paris with a thesis on brucellosis in 1933, Akerman went on to train with various leading French neurologists, such as Guillain, Crouzon, Nageotte, and Théophile Alajouanine [7][8][9] .…”

“…In 1926, he enrolled in the Faculty of Medicine at the same university, going on to graduate in 1930 [7][8][9] . After obtaining his PhD from the University of Paris with a thesis on brucellosis in 1933, Akerman went on to train with various leading French neurologists, such as Guillain, Crouzon, Nageotte, and Théophile Alajouanine [7][8][9] . His period with Professor Alajouanine was the most productive, and Akerman considered him to be his true mentor [7][8][9] .…”