The contribution of a spinal mechanism in developing peripheral myoclonus: A case report
Identifieur interne : 002B39 ( Main/Exploration ); précédent : 002B38; suivant : 002B40The contribution of a spinal mechanism in developing peripheral myoclonus: A case report
Auteurs : Hae-Won Shin [Corée du Sud] ; Byung S. Ye [Corée du Sud] ; Jinkwon Kim [Corée du Sud] ; Seung M. Kim [Corée du Sud] ; Young H. Sohn [Corée du Sud]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-07-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Anesthetics, Local (administration & dosage), Case study, Electromyography (methods), Femoral Nerve (injuries), Humans, Male, Myoclonus, Myoclonus (pathology), Myoclonus (therapy), Nervous system diseases, Peripheral nerve, Spinal cord, Spine (drug effects), Spine (physiology), central relay mechanism, myoclonus, peripheral nerve, spinal cord.
- MESH :
- chemical , administration & dosage : Anesthetics, Local.
- drug effects : Spine.
- injuries : Femoral Nerve.
- methods : Electromyography.
- pathology : Myoclonus.
- physiology : Spine.
- therapy : Myoclonus.
- Adult, Humans, Male.
Abstract
Focal myoclonus of peripheral origin, i.e., peripheral myoclonus (PM), is a rare disorder. Although PM always accompanies a lesion in the peripheral nerve, supplying the affected muscles, its mechanism remains unclear. Here we present a patient with focal myoclonus of the thigh muscles following a traumatic lesion in the femoral nerve. Lumbar spinal anesthesia, as well as local anesthetic block of the femoral nerve, completely abolished the patient's myoclonus temporarily. This movement was remarkably diminished after a surgical exploration of the wound with the removal of fibrous tissue beneath the scar and liberation of the femoral nerve. This case suggests the contribution of a spinal relay mechanism in the development of PM, in addition to the contribution of a nerve lesion. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21418
Affiliations:
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Kim</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Neurology and Brain Research Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author><author><name sortKey="Sohn, Young H" sort="Sohn, Young H" uniqKey="Sohn Y" first="Young H." last="Sohn">Young H. Sohn</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Neurology and Brain Research Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement></placeName></affiliation></author></analytic><monogr></monogr><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><date type="published" when="2007-07-15">2007-07-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1350">1350</biblScope><biblScope unit="page" to="1352">1352</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">00AC6F36FB7978B55B9A9C2B88C6FC3295591FD3</idno><idno type="DOI">10.1002/mds.21418</idno><idno type="ArticleID">MDS21418</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anesthetics, Local (administration & dosage)</term><term>Case study</term><term>Electromyography (methods)</term><term>Femoral Nerve (injuries)</term><term>Humans</term><term>Male</term><term>Myoclonus</term><term>Myoclonus (pathology)</term><term>Myoclonus (therapy)</term><term>Nervous system diseases</term><term>Peripheral nerve</term><term>Spinal cord</term><term>Spine (drug effects)</term><term>Spine (physiology)</term><term>central relay mechanism</term><term>myoclonus</term><term>peripheral nerve</term><term>spinal cord</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Anesthetics, Local</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Spine</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Femoral Nerve</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electromyography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Myoclonus</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Spine</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Myoclonus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Etude cas</term><term>Moelle épinière</term><term>Myoclonie</term><term>Nerf périphérique</term><term>Système nerveux pathologie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Focal myoclonus of peripheral origin, i.e., peripheral myoclonus (PM), is a rare disorder. Although PM always accompanies a lesion in the peripheral nerve, supplying the affected muscles, its mechanism remains unclear. Here we present a patient with focal myoclonus of the thigh muscles following a traumatic lesion in the femoral nerve. Lumbar spinal anesthesia, as well as local anesthetic block of the femoral nerve, completely abolished the patient's myoclonus temporarily. This movement was remarkably diminished after a surgical exploration of the wound with the removal of fibrous tissue beneath the scar and liberation of the femoral nerve. This case suggests the contribution of a spinal relay mechanism in the development of PM, in addition to the contribution of a nerve lesion. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Shin, Hae On" sort="Shin, Hae On" uniqKey="Shin H" first="Hae-Won" last="Shin">Hae-Won Shin</name></noRegion><name sortKey="Kim, Jinkwon" sort="Kim, Jinkwon" uniqKey="Kim J" first="Jinkwon" last="Kim">Jinkwon Kim</name><name sortKey="Kim, Seung M" sort="Kim, Seung M" uniqKey="Kim S" first="Seung M." last="Kim">Seung M. Kim</name><name sortKey="Sohn, Young H" sort="Sohn, Young H" uniqKey="Sohn Y" first="Young H." last="Sohn">Young H. Sohn</name><name sortKey="Ye, Byung S" sort="Ye, Byung S" uniqKey="Ye B" first="Byung S." last="Ye">Byung S. Ye</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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