Movement Disorders (revue)

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Left hemibody myoclonus due to anomalous right vertebral artery

Identifieur interne : 003226 ( Istex/Corpus ); précédent : 003225; suivant : 003227

Left hemibody myoclonus due to anomalous right vertebral artery

Auteurs : Miguel Coelho ; Maria J. Marti ; Josep Valls-Solé ; Teresa Pujol ; Eduardo Tolosa

Source :

RBID : ISTEX:BACFCDBA4CF4FD6CA81DDB91BB8025D986D1EBE6

English descriptors

Abstract

A 43‐year‐old man presented with sporadic, sudden, brief, and involuntary jerks of his left limbs and trunk muscles. The electromyographic recordings showed short‐lasting highly synchronized bursts, compatible with myoclonus limited to the left hemibody. Blink reflex, masseter silent period, cortical and spinal magnetic stimulation, somatosensory cortical evoked potentials, and electroencephalogram (EEG) were normal; the EEG back‐averaging showed no spikes preceding the myoclonus. Magnetic resonance imaging and magnetic resonance angiography showed the presence of an anomalous nonectasic right vertebral artery compressing the right side of ventral medulla oblongata. We hypothesize that the aberrant right vertebral artery induced abnormal activation of descending motor tracts responsible for the myoclonus. © 2004 Movement Disorder Society

Url:
DOI: 10.1002/mds.20273

Links to Exploration step

ISTEX:BACFCDBA4CF4FD6CA81DDB91BB8025D986D1EBE6

Le document en format XML

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<p>A 43‐year‐old man presented with sporadic, sudden, brief, and involuntary jerks of his left limbs and trunk muscles. The electromyographic recordings showed short‐lasting highly synchronized bursts, compatible with myoclonus limited to the left hemibody. Blink reflex, masseter silent period, cortical and spinal magnetic stimulation, somatosensory cortical evoked potentials, and electroencephalogram (EEG) were normal; the EEG back‐averaging showed no spikes preceding the myoclonus. Magnetic resonance imaging and magnetic resonance angiography showed the presence of an anomalous nonectasic right vertebral artery compressing the right side of ventral medulla oblongata. We hypothesize that the aberrant right vertebral artery induced abnormal activation of descending motor tracts responsible for the myoclonus. © 2004 Movement Disorder Society</p>
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<title>Left hemibody myoclonus due to anomalous right vertebral artery</title>
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<namePart type="given">Miguel</namePart>
<namePart type="family">Coelho</namePart>
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<affiliation>Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut Clinic Malalties del Sistema Nervios, Hospital Clínic Universitari, University of Barcelona, Spain</affiliation>
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<namePart type="given">Maria J.</namePart>
<namePart type="family">Marti</namePart>
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<affiliation>Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut Clinic Malalties del Sistema Nervios, Hospital Clínic Universitari, University of Barcelona, Spain</affiliation>
<description>Correspondence: Parkinson's Disease and Movement Disorders Unit, Neurology Service, Institut Clinic Malaltias del Sistema Nervios, Escala 8, planta 4, Hospital Clínic Universitari, Villarroel, 170, Barcelona 08036, Spain</description>
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<affiliation>Neuroradiology Department, Hospital Clínic Universitari, University of Barcelona, Spain</affiliation>
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<namePart type="family">Tolosa</namePart>
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<abstract lang="en">A 43‐year‐old man presented with sporadic, sudden, brief, and involuntary jerks of his left limbs and trunk muscles. The electromyographic recordings showed short‐lasting highly synchronized bursts, compatible with myoclonus limited to the left hemibody. Blink reflex, masseter silent period, cortical and spinal magnetic stimulation, somatosensory cortical evoked potentials, and electroencephalogram (EEG) were normal; the EEG back‐averaging showed no spikes preceding the myoclonus. Magnetic resonance imaging and magnetic resonance angiography showed the presence of an anomalous nonectasic right vertebral artery compressing the right side of ventral medulla oblongata. We hypothesize that the aberrant right vertebral artery induced abnormal activation of descending motor tracts responsible for the myoclonus. © 2004 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>myoclonus</topic>
<topic>brainstem</topic>
<topic>vertebral artery</topic>
<topic>vascular malformation</topic>
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<title>Movement Disorders</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
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<date>2005</date>
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<caption>vol.</caption>
<number>20</number>
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