Movement Disorders (revue)

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Left hemibody myoclonus due to anomalous right vertebral artery

Identifieur interne : 003870 ( Main/Exploration ); précédent : 003869; suivant : 003871

Left hemibody myoclonus due to anomalous right vertebral artery

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

Source :

RBID : ISTEX:BACFCDBA4CF4FD6CA81DDB91BB8025D986D1EBE6

Descripteurs français

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


Affiliations:


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Le document en format XML

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<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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