Movement Disorders (revue)

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Elemental mercury poisoning probably causes cortical myoclonus

Identifieur interne : 001819 ( PascalFrancis/Curation ); précédent : 001818; suivant : 001820

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

Descripteurs français

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.
pA  
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A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 13
A08 01  1  ENG  @1 Elemental mercury poisoning probably causes cortical myoclonus
A11 01  1    @1 RAGOTHAMAN (Mona)
A11 02  1    @1 KULKARNI (Girish)
A11 03  1    @1 ASHRAF (Valappil V.)
A11 04  1    @1 PAL (Pramod K.)
A11 05  1    @1 CHICKABASAVAIAH (Yasha)
A11 06  1    @1 SHANKAR (Susarla K.)
A11 07  1    @1 GOVINDAPPA (Srikanth S.)
A11 08  1    @1 SATISHCHANDRA (Parthasarthy)
A11 09  1    @1 MUTHANE (Uday B.)
A14 01      @1 Department of Neurology, National Institute of Mental Health & Neurosciences @2 Bangalore @3 IND @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 8 aut. @Z 9 aut.
A14 02      @1 Department of Neurology, Malabar Institute of Medical Sciences @2 Calicut @3 IND @Z 3 aut.
A14 03      @1 Department of Neuropathology, National Institute of Mental Health & Neurosciences @2 Bangalore @3 IND @Z 5 aut. @Z 6 aut.
A14 04      @1 Department of Neuroradiology, National Institute of Mental Health & Neurosciences @2 Bangalore @3 IND @Z 7 aut.
A20       @1 1964-1968
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000173554140200
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 10 ref.
A47 01  1    @0 08-0015801
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C02 02  X    @0 002B17A01
C02 03  X    @0 002B17H
C03 01  X  FRE  @0 Pathologie du système nerveux @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Myoclonie @5 02
C03 02  X  ENG  @0 Myoclonus @5 02
C03 02  X  SPA  @0 Mioclonia @5 02
C03 03  X  FRE  @0 Tremblement @5 03
C03 03  X  ENG  @0 Tremor @5 03
C03 03  X  SPA  @0 Temblor @5 03
C03 04  X  FRE  @0 Mercure @2 NC @2 FX @5 09
C03 04  X  ENG  @0 Mercury @2 NC @2 FX @5 09
C03 04  X  SPA  @0 Mercurio @2 NC @2 FX @5 09
C03 05  X  FRE  @0 Intoxication @5 10
C03 05  X  ENG  @0 Poisoning @5 10
C03 05  X  SPA  @0 Intoxicación @5 10
C03 06  X  FRE  @0 Ataxie cérébelleuse @2 NM @5 11
C03 06  X  ENG  @0 Cerebellar ataxia @2 NM @5 11
C03 06  X  SPA  @0 Ataxia cerebelosa @2 NM @5 11
C07 01  X  FRE  @0 Métal lourd @5 37
C07 01  X  ENG  @0 Heavy metal @5 37
C07 01  X  SPA  @0 Metal pesado @5 37
C07 02  X  FRE  @0 Mouvement involontaire @5 38
C07 02  X  ENG  @0 Involuntary movement @5 38
C07 02  X  SPA  @0 Movimiento involuntario @5 38
C07 03  X  FRE  @0 Trouble neurologique @5 40
C07 03  X  ENG  @0 Neurological disorder @5 40
C07 03  X  SPA  @0 Trastorno neurológico @5 40
N21       @1 009
N44 01      @1 OTO
N82       @1 OTO

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Pascal:08-0015801

Le document en format XML

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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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</fC02>
<fC02 i1="03" i2="X">
<s0>002B17H</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Myoclonie</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Myoclonus</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Mioclonia</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Tremblement</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Tremor</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Temblor</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Mercure</s0>
<s2>NC</s2>
<s2>FX</s2>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Mercury</s0>
<s2>NC</s2>
<s2>FX</s2>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Mercurio</s0>
<s2>NC</s2>
<s2>FX</s2>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Intoxication</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Poisoning</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Intoxicación</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Ataxie cérébelleuse</s0>
<s2>NM</s2>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Cerebellar ataxia</s0>
<s2>NM</s2>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Ataxia cerebelosa</s0>
<s2>NM</s2>
<s5>11</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Métal lourd</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Heavy metal</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Metal pesado</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>009</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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