Left hemibody myoclonus due to anomalous right vertebral artery
Identifieur interne : 003226 ( Istex/Corpus ); précédent : 003225; suivant : 003227Left hemibody myoclonus due to anomalous right vertebral artery
Auteurs : Miguel Coelho ; Maria J. Marti ; Josep Valls-Solé ; Teresa Pujol ; Eduardo TolosaSource :
- Movement Disorders [ 0885-3185 ] ; 2005-01.
English descriptors
- KwdEn :
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
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DOI: 10.1002/mds.20273
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<front><div type="abstract" xml: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</div>
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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>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Josep</namePart>
<namePart type="family">Valls‐Solé</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>EMG Unit, Neurology Service, Institut Clinic Malaltias del Sistema Nervios, Hospital Clínic Universitari, University of Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Teresa</namePart>
<namePart type="family">Pujol</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Neuroradiology Department, Hospital Clínic Universitari, University of Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Eduardo</namePart>
<namePart type="family">Tolosa</namePart>
<namePart type="termsOfAddress">MD</namePart>
<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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<genre authority="originalCategForm">article</genre>
<originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<place><placeTerm type="text">Hoboken</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2005-01</dateIssued>
<dateCaptured encoding="w3cdtf">2004-01-07</dateCaptured>
<dateValid encoding="w3cdtf">2004-03-09</dateValid>
<copyrightDate encoding="w3cdtf">2005</copyrightDate>
</originInfo>
<language><languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
</language>
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<extent unit="figures">2</extent>
<extent unit="references">9</extent>
<extent unit="words">1635</extent>
</physicalDescription>
<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>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated"><title>Mov. Disord.</title>
</titleInfo>
<subject><genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<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>
<part><date>2005</date>
<detail type="volume"><caption>vol.</caption>
<number>20</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>1</number>
</detail>
<extent unit="pages"><start>72</start>
<end>75</end>
<total>3</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">BACFCDBA4CF4FD6CA81DDB91BB8025D986D1EBE6</identifier>
<identifier type="DOI">10.1002/mds.20273</identifier>
<identifier type="ArticleID">MDS20273</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2004 Movement Disorder Society</accessCondition>
<recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
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