Movement Disorders (revue)

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Botulinum toxin treatment of facial myoclonus in suspected Rasmussen encephalitis

Identifieur interne : 003556 ( Main/Exploration ); précédent : 003555; suivant : 003557

Botulinum toxin treatment of facial myoclonus in suspected Rasmussen encephalitis

Auteurs : Nina Browner [États-Unis] ; Shaheda N. Azher [États-Unis] ; Joseph Jankovic [États-Unis]

Source :

RBID : ISTEX:3CA3D2F18756053E6ADD1E254A6C47D714F100CD

Descripteurs français

English descriptors

Abstract

Patients with Rasmussen encephalitis (RE) may develop a variety of involuntary movements. We report a 26‐year‐old woman who presented with a 3‐year history of progressive, continuous myoclonus of the left side of the face and left arm as well as left spastic hemiparesis. Magnetic resonance imaging of the brain showed right hemisphere and basal ganglia atrophy, and 24‐hour electroencephalogram demonstrated diffuse slowing with random sharp waves in both hemispheres. An 18‐fluoro‐deoxy‐glucose positron emission tomography scan indicated hypometabolism of the right cerebral hemisphere, including basal ganglia and thalamus. We successfully treated her myoclonus with injections of botulinum toxin A into the left zygomaticus muscle. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.20991


Affiliations:


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