Movement Disorders (revue)

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Elemental mercury poisoning probably causes cortical myoclonus

Identifieur interne : 004277 ( Main/Merge ); précédent : 004276; suivant : 004278

Elemental mercury poisoning probably causes cortical myoclonus

Auteurs : Mona Ragothaman [Inde] ; Girish Kulkarni [Inde] ; Valappil V. Ashraf [Inde] ; Pramod K. Pal [Inde] ; Yasha Chickabasavaiah [Inde] ; Susarla K. Shankar [Inde] ; Srikanth S. Govindappa [Inde] ; Parthasarthy Satishchandra [Inde] ; Uday B. Muthane [Inde]

Source :

RBID : Pascal:08-0015801

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English descriptors

Abstract

Mercury toxicity causes postural tremors, commonly referred to as "mercurial tremors," and cerebellar dysfunction. A 23-year woman, 2 years after injecting herself with elemental mercury developed disabling generalized myoclonus and ataxia. Electrophysiological studies confirmed the myoclonus was probably of cortical origin. Her deficits progressed over 2 years and improved after subcutaneous mercury deposits at the injection site were surgically cleared. Myoclonus of cortical origin has never been described in mercury poisoning. It is important to ask patients presenting with jerks about exposure to elemental mercury even if they have a progressive illness, as it is a potentially reversible condition as in our patient.

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Pascal:08-0015801

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<term>Cerebellar ataxia</term>
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<term>Nervous system diseases</term>
<term>Poisoning</term>
<term>Tremor</term>
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<term>Pathologie du système nerveux</term>
<term>Myoclonie</term>
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<term>Intoxication</term>
<term>Ataxie cérébelleuse</term>
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<div type="abstract" xml:lang="en">Mercury toxicity causes postural tremors, commonly referred to as "mercurial tremors," and cerebellar dysfunction. A 23-year woman, 2 years after injecting herself with elemental mercury developed disabling generalized myoclonus and ataxia. Electrophysiological studies confirmed the myoclonus was probably of cortical origin. Her deficits progressed over 2 years and improved after subcutaneous mercury deposits at the injection site were surgically cleared. Myoclonus of cortical origin has never been described in mercury poisoning. It is important to ask patients presenting with jerks about exposure to elemental mercury even if they have a progressive illness, as it is a potentially reversible condition as in our patient.</div>
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