2007
DOI: 10.1002/mus.20906
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Normal axonal ion channel function in large peripheral nerve fibers following chronic ciguatera sensitization

Abstract: Although the acute clinical effects of ciguatera poisoning, due to ingestion of ciguatoxin, are mediated by activation of transient Na+ channels, the mechanisms underlying ciguatera sensitization remain undefined. Axonal excitability studies were performed by stimulating the median motor and sensory nerves in two patients with ciguatera sensitization. Excitability parameters were all within normal limits, thereby arguing against dysfunction of axonal membrane ion channels in large-diameter fibers in ciguatera … Show more

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Cited by 6 publications
(5 citation statements)
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“…Obviously, the presentation of all the pollen at once and the visitation rate is sufficient for fruiting. This high efficiency of pollination has also been observed in many other plant species (Vaughton and Ramsey 2008). In Melampyrum roseum var.…”
Section: Discussionsupporting
confidence: 74%
“…Obviously, the presentation of all the pollen at once and the visitation rate is sufficient for fruiting. This high efficiency of pollination has also been observed in many other plant species (Vaughton and Ramsey 2008). In Melampyrum roseum var.…”
Section: Discussionsupporting
confidence: 74%
“…The frequency of cases of so-called chronic ciguatera (i.e., chronic symptoms after acute exposure to CTX) has been estimated to be 5%–20% [ 88 , 89 ] but reached 34% in one study [ 90 ]. These symptoms persist intermittently without any particular triggering factor and/or reappear after the consumption of certain drinks or foods, especially alcohol but also peanuts, nonciguateric seafood, pork or poultry [ 64 , 66 , 91 ]. Occurring long after the incriminated meal, they make the diagnosis difficult, in particular for physicians unfamiliar with CFP.…”
Section: Clinical Features Of Ciguateramentioning
confidence: 99%
“…An interesting axonal excitability study was performed in two patients presenting with relapsing sensory disturbances many years after the acute phase of CFP [ 91 ]. The results obtained by stimulating the median nerve revealed no abnormalities of axonal Na v functions in both motor and sensory nerves.…”
Section: Pathophysiological Basis Of Ciguatera Neurological Disturmentioning
confidence: 99%
“…Mechanisms of neurotoxicity are diverse but include progressive axonal damage as well as acute modulation of ion channel function. Assessment of nerve excitability provides useful information about mechanisms of neurotoxicity in toxic neuropathy, with studies already completed in marine toxicology ( Kiernan et al, 2005a; Vucic and Kiernan, 2008 ) and chemotherapy‐induced neurotoxicity ( Krishnan et al, 2005c; 2006c; Kiernan and Krishnan, 2006 ).…”
Section: Toxic Neuropathymentioning
confidence: 99%