Focal Predominant Forms of Posthypoxic Action Myoclonus
| Autor: | Anthony E. Lang, Carmen Gasca-Salas |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
congenital
hereditary and neonatal diseases and abnormalities 030506 rehabilitation Pediatrics medicine.medical_specialty Ataxia Action myoclonus Facial myoclonus nervous system diseases 03 medical and health sciences 0302 clinical medicine Neurology Anesthesia Ischemic stroke medicine Case Series Neurology (clinical) medicine.symptom Focal myoclonus 0305 other medical science Severe disability Psychology Myoclonus 030217 neurology & neurosurgery |
| Zdroj: | Movement Disorders Clinical Practice. 3:417-420 |
| ISSN: | 2330-1619 |
| DOI: | 10.1002/mdc3.12259 |
| Popis: | Chronic posthypoxic action myoclonus is usually recognized as multifocal or generalized and, in most cases, causes severe disability. It is also commonly associated with other neurological symptoms, such as ataxia. We report two cases of focal predominant postanoxic action myoclonus and review the limited relevant literature. The first case presented with action and stimulus sensitive myoclonus in the lower limbs that caused him limited disability. He had not received any diagnosis in almost 2 years. The second patient exhibited predominantly focal facial myoclonus, although she was more limited by dysphasia and hemiplegia as a consequence of an ischemic stroke. Both patients responded to antiepileptic drugs. We found 9 of 159 previously reported cases with this focal distribution. Physicians should be aware of this limited phenotype given that the unusual focal nature of the movements may result in incorrect diagnosis and treatment. |
| Databáze: | OpenAIRE |
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