MovDisordV3, Main, Curation, bibRecord, 005695

Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve

Identifieur interne : 005695 ( Main/Curation ); précédent : 005694; suivant : 005696

Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve

Auteurs : Franz X. Glocker [Allemagne] ; Deuschl [Allemagne] ; Benedikt Volk [Allemagne] ; Joachim Hasse [Allemagne] ; Carl H. Lücking [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 1996-09.

RBID : ISTEX:9D803678A52734C31C60684643094CC322EB1AAA

Descripteurs français

Pascal (Inist)
- Attitude, Homme, Moelle épinière pathologie, Muscle trapèze, Myoclonie, Nerf périphérique, Thorax, Traumatisme.
Wicri :
- topic : Homme, Traumatisme.

English descriptors

KwdEn :
- Accessory Nerve (physiopathology), Attitude, Cicatrix (complications), Cicatrix (surgery), Electromyography, Human, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Muscle, Skeletal (physiopathology), Myoclonus, Myoclonus (physiopathology), Neurons, Afferent, Periodicity, Peripheral Nerves (physiopathology), Peripheral Nerves (ultrastructure), Peripheral myoclonus, Peripheral nerve, Peripheral nerve lesion, Spinal cord disease, Spinal myoclonus, Thoracic Injuries (complications), Thorax, Trapezius muscle, Trauma.
MESH :
- complications : Cicatrix, Thoracic Injuries.
- physiopathology : Accessory Nerve, Muscle, Skeletal, Myoclonus, Peripheral Nerves.
- surgery : Cicatrix.
- ultrastructure : Peripheral Nerves.
- Electromyography, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neurons, Afferent, Periodicity.

Abstract

Observations of rhythmic or semirhythmic myoclonus due to a peripheral nerve lesion are exceptional. We report on a patient with thorax trauma with multiple bilateral hematomas of the paravertebral musculature. Eight years later he developed rhythmic myoclonus of both trapezius muscles and thoracic pain. Infiltration of a paramedially located scar at the level of D5–6 with a local anesthetic agent led to an intermittent relief of the myoclonus as did anesthetic blockade of the left accessory nerve. Surgical excision of the scar, which contained multiple dystrophic axons on histological examination, cured the patient's symptoms as illustrated in a videotape. This indicates that peripheral afferents contributed to the myoclonus. Ephaptic transmission, ectopic excitation, or misdirected neuronal sprouting secondary to the trauma are possible peripheral mechanisms responsible for the movement disorder. Successful blockade of the left accessory nerve with bilateral relief of the symptoms suggests a secondary, more centrally located mechanism, e.g., in the brain stem, probably driven by an altered afferent input. It is concluded that rhythmic or semirhythmic and focal myoclonus need a careful workup to look for a peripheral cause because such a condition would be accessible for surgical treatment.

Url:

https://api.istex.fr/document/9D803678A52734C31C60684643094CC322EB1AAA/fulltext/pdf

DOI: 10.1002/mds.870110514

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ISTEX:9D803678A52734C31C60684643094CC322EB1AAA

Le document en format XML

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<front><div type="abstract" xml:lang="en">Observations of rhythmic or semirhythmic myoclonus due to a peripheral nerve lesion are exceptional. We report on a patient with thorax trauma with multiple bilateral hematomas of the paravertebral musculature. Eight years later he developed rhythmic myoclonus of both trapezius muscles and thoracic pain. Infiltration of a paramedially located scar at the level of D5–6 with a local anesthetic agent led to an intermittent relief of the myoclonus as did anesthetic blockade of the left accessory nerve. Surgical excision of the scar, which contained multiple dystrophic axons on histological examination, cured the patient's symptoms as illustrated in a videotape. This indicates that peripheral afferents contributed to the myoclonus. Ephaptic transmission, ectopic excitation, or misdirected neuronal sprouting secondary to the trauma are possible peripheral mechanisms responsible for the movement disorder. Successful blockade of the left accessory nerve with bilateral relief of the symptoms suggests a secondary, more centrally located mechanism, e.g., in the brain stem, probably driven by an altered afferent input. It is concluded that rhythmic or semirhythmic and focal myoclonus need a careful workup to look for a peripheral cause because such a condition would be accessible for surgical treatment.</div>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude</term>
<term>Human</term>
<term>Myoclonus</term>
<term>Peripheral nerve</term>
<term>Spinal cord disease</term>
<term>Thorax</term>
<term>Trapezius muscle</term>
<term>Trauma</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Traumatisme</term>
<term>Thorax</term>
<term>Myoclonie</term>
<term>Muscle trapèze</term>
<term>Moelle épinière pathologie</term>
<term>Nerf périphérique</term>
<term>Attitude</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Traumatisme</term>
<term>Homme</term>
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<ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve</title>
<author><name sortKey="Glocker, Franz X" sort="Glocker, Franz X" uniqKey="Glocker F" first="Franz X." last="Glocker">Franz X. Glocker</name>
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<author><name sortKey="Deuschl" sort="Deuschl" uniqKey="Deuschl" last="Deuschl">Deuschl</name>
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<author><name sortKey="Volk, Benedikt" sort="Volk, Benedikt" uniqKey="Volk B" first="Benedikt" last="Volk">Benedikt Volk</name>
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<author><name sortKey="Hasse, Joachim" sort="Hasse, Joachim" uniqKey="Hasse J" first="Joachim" last="Hasse">Joachim Hasse</name>
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<author><name sortKey="Lucking, Carl H" sort="Lucking, Carl H" uniqKey="Lucking C" first="Carl H." last="Lücking">Carl H. Lücking</name>
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<idno type="wicri:source">PubMed</idno>
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<idno type="wicri:doubleKey">0885-3185:1996:Glocker F:bilateral:myoclonus:of</idno>
<idno type="wicri:Area/Main/Merge">008801</idno>
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve</title>
<author><name sortKey="Glocker, Franz X" sort="Glocker, Franz X" uniqKey="Glocker F" first="Franz X." last="Glocker">Franz X. Glocker</name>
<affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Departments of Neurology and Clinical Neurophysiology, University of Freiburg, Freiburg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Fribourg-en-Brisgau</region>
<settlement type="city">Fribourg-en-Brisgau</settlement>
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<author><name sortKey="Deuschl" sort="Deuschl" uniqKey="Deuschl" last="Deuschl">Deuschl</name>
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<wicri:regionArea>Departments of Neurology and Clinical Neurophysiology, University of Freiburg, Freiburg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Fribourg-en-Brisgau</region>
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<author><name sortKey="Volk, Benedikt" sort="Volk, Benedikt" uniqKey="Volk B" first="Benedikt" last="Volk">Benedikt Volk</name>
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<region type="district" nuts="2">District de Fribourg-en-Brisgau</region>
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<author><name sortKey="Hasse, Joachim" sort="Hasse, Joachim" uniqKey="Hasse J" first="Joachim" last="Hasse">Joachim Hasse</name>
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<wicri:regionArea>Department of Pulmonary Surgery, University of Freiburg, Freiburg</wicri:regionArea>
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<region type="district" nuts="2">District de Fribourg-en-Brisgau</region>
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<author><name sortKey="Lucking, Carl H" sort="Lucking, Carl H" uniqKey="Lucking C" first="Carl H." last="Lücking">Carl H. Lücking</name>
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<region type="district" nuts="2">District de Fribourg-en-Brisgau</region>
<settlement type="city">Fribourg-en-Brisgau</settlement>
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<series><title level="j">Movement Disorders</title>
<title level="j" type="sub">Official Journal of the Movement Disorder Society</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
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<idno type="DOI">10.1002/mds.870110514</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accessory Nerve (physiopathology)</term>
<term>Cicatrix (complications)</term>
<term>Cicatrix (surgery)</term>
<term>Electromyography</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Myoclonus (physiopathology)</term>
<term>Neurons, Afferent</term>
<term>Periodicity</term>
<term>Peripheral Nerves (physiopathology)</term>
<term>Peripheral Nerves (ultrastructure)</term>
<term>Peripheral myoclonus</term>
<term>Peripheral nerve lesion</term>
<term>Spinal myoclonus</term>
<term>Thoracic Injuries (complications)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cicatrix</term>
<term>Thoracic Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Accessory Nerve</term>
<term>Muscle, Skeletal</term>
<term>Myoclonus</term>
<term>Peripheral Nerves</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cicatrix</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrastructure" xml:lang="en"><term>Peripheral Nerves</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Electromyography</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurons, Afferent</term>
<term>Periodicity</term>
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<front><div type="abstract" xml:lang="en">Observations of rhythmic or semirhythmic myoclonus due to a peripheral nerve lesion are exceptional. We report on a patient with thorax trauma with multiple bilateral hematomas of the paravertebral musculature. Eight years later he developed rhythmic myoclonus of both trapezius muscles and thoracic pain. Infiltration of a paramedially located scar at the level of D5–6 with a local anesthetic agent led to an intermittent relief of the myoclonus as did anesthetic blockade of the left accessory nerve. Surgical excision of the scar, which contained multiple dystrophic axons on histological examination, cured the patient's symptoms as illustrated in a videotape. This indicates that peripheral afferents contributed to the myoclonus. Ephaptic transmission, ectopic excitation, or misdirected neuronal sprouting secondary to the trauma are possible peripheral mechanisms responsible for the movement disorder. Successful blockade of the left accessory nerve with bilateral relief of the symptoms suggests a secondary, more centrally located mechanism, e.g., in the brain stem, probably driven by an altered afferent input. It is concluded that rhythmic or semirhythmic and focal myoclonus need a careful workup to look for a peripheral cause because such a condition would be accessible for surgical treatment.</div>
</front>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve

Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve

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