MovDisordV3, PascalFrancis, Curation, bibRecord, 001D36

Myoclonus of Peripheral Origin : Two Case Reports

Identifieur interne : 001D36 ( PascalFrancis/Curation ); précédent : 001D35; suivant : 001D37

Myoclonus of Peripheral Origin : Two Case Reports

Auteurs : Louise Tyvaert [France] ; Pierre Krystkowiak [France] ; Francois Cassim [France] ; Elise Houdayer [France] ; Alexandre Kreisler [France] ; Alain Destee [France] ; Luc Defebvre [France]

Source :

Movement disorders [ 0885-3185 ] ; 2009.

RBID : Pascal:09-0104581

Descripteurs français

Pascal (Inist)
- Myoclonie, Membre fantôme, Pathologie du système nerveux, Etude cas, Douleur.

English descriptors

KwdEn :
- Case study, Myoclonus, Nervous system diseases, Pain, Phantom limb.

Abstract

The concept of peripheral myoclonus is not yet fully accepted by the medical community because ot the difficulty in establishing a cause-and-effect relationship between trauma and subsequent movement disorders. Here, we report two cases of patients suffering from peripheral myoclonus after nerve injury. The first patient experienced myoclonus of the 4th dorsal interosseous muscle several days after trauma to the elbow. The second patient presented myoclonus of the arm stump (combined with phantom-limb pain) 1 year after amputation. In both cases, central nervous system function (spine and brain imaging, somesthetic evoked potentials, EEG back-averaging) was normal. For the second patient, local infiltration of xylocaine and botulinum toxin into the stump scar rapidly stopped myoclonus and pain. Nerve injury induces ephaptic transmission and ectopic excitation. The physiopathological mechanisms of this type of myoclonus involve a peripheral generator that induces central (spinal) generator activity.

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A11	`02`	`1`		`@1 KRYSTKOWIAK (Pierre)`
A11	`03`	`1`		`@1 CASSIM (Francois)`
A11	`04`	`1`		`@1 HOUDAYER (Elise)`
A11	`05`	`1`		`@1 KREISLER (Alexandre)`
A11	`06`	`1`		`@1 DESTEE (Alain)`
A11	`07`	`1`		`@1 DEFEBVRE (Luc)`
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A14	`03`			`@1 Department of Clinical Neurophysiology, Lille University Hospital @2 Lille @3 FRA`
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C01	`01`		`ENG`	@0 The concept of peripheral myoclonus is not yet fully accepted by the medical community because ot the difficulty in establishing a cause-and-effect relationship between trauma and subsequent movement disorders. Here, we report two cases of patients suffering from peripheral myoclonus after nerve injury. The first patient experienced myoclonus of the 4th dorsal interosseous muscle several days after trauma to the elbow. The second patient presented myoclonus of the arm stump (combined with phantom-limb pain) 1 year after amputation. In both cases, central nervous system function (spine and brain imaging, somesthetic evoked potentials, EEG back-averaging) was normal. For the second patient, local infiltration of xylocaine and botulinum toxin into the stump scar rapidly stopped myoclonus and pain. Nerve injury induces ephaptic transmission and ectopic excitation. The physiopathological mechanisms of this type of myoclonus involve a peripheral generator that induces central (spinal) generator activity.
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C03	`01`	`X`	`FRE`	`@0 Myoclonie @5 01`
C03	`01`	`X`	`ENG`	`@0 Myoclonus @5 01`
C03	`01`	`X`	`SPA`	`@0 Mioclonia @5 01`
C03	`02`	`X`	`FRE`	`@0 Membre fantôme @5 02`
C03	`02`	`X`	`ENG`	`@0 Phantom limb @5 02`
C03	`02`	`X`	`SPA`	`@0 Miembro fantasma @5 02`
C03	`03`	`X`	`FRE`	`@0 Pathologie du système nerveux @5 03`
C03	`03`	`X`	`ENG`	`@0 Nervous system diseases @5 03`
C03	`03`	`X`	`SPA`	`@0 Sistema nervioso patología @5 03`
C03	`04`	`X`	`FRE`	`@0 Etude cas @5 09`
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C03	`04`	`X`	`SPA`	`@0 Estudio caso @5 09`
C03	`05`	`X`	`FRE`	`@0 Douleur @5 10`
C03	`05`	`X`	`ENG`	`@0 Pain @5 10`
C03	`05`	`X`	`SPA`	`@0 Dolor @5 10`
C07	`01`	`X`	`FRE`	`@0 Mouvement involontaire @5 37`
C07	`01`	`X`	`ENG`	`@0 Involuntary movement @5 37`
C07	`01`	`X`	`SPA`	`@0 Movimiento involuntario @5 37`
C07	`02`	`X`	`FRE`	`@0 Trouble neurologique @5 39`
C07	`02`	`X`	`ENG`	`@0 Neurological disorder @5 39`
C07	`02`	`X`	`SPA`	`@0 Trastorno neurológico @5 39`
N21				`@1 075`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

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Pascal:09-0104581

Le document en format XML

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<front><div type="abstract" xml:lang="en">The concept of peripheral myoclonus is not yet fully accepted by the medical community because ot the difficulty in establishing a cause-and-effect relationship between trauma and subsequent movement disorders. Here, we report two cases of patients suffering from peripheral myoclonus after nerve injury. The first patient experienced myoclonus of the 4th dorsal interosseous muscle several days after trauma to the elbow. The second patient presented myoclonus of the arm stump (combined with phantom-limb pain) 1 year after amputation. In both cases, central nervous system function (spine and brain imaging, somesthetic evoked potentials, EEG back-averaging) was normal. For the second patient, local infiltration of xylocaine and botulinum toxin into the stump scar rapidly stopped myoclonus and pain. Nerve injury induces ephaptic transmission and ectopic excitation. The physiopathological mechanisms of this type of myoclonus involve a peripheral generator that induces central (spinal) generator activity.</div>
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<fC01 i1="01" l="ENG"><s0>The concept of peripheral myoclonus is not yet fully accepted by the medical community because ot the difficulty in establishing a cause-and-effect relationship between trauma and subsequent movement disorders. Here, we report two cases of patients suffering from peripheral myoclonus after nerve injury. The first patient experienced myoclonus of the 4th dorsal interosseous muscle several days after trauma to the elbow. The second patient presented myoclonus of the arm stump (combined with phantom-limb pain) 1 year after amputation. In both cases, central nervous system function (spine and brain imaging, somesthetic evoked potentials, EEG back-averaging) was normal. For the second patient, local infiltration of xylocaine and botulinum toxin into the stump scar rapidly stopped myoclonus and pain. Nerve injury induces ephaptic transmission and ectopic excitation. The physiopathological mechanisms of this type of myoclonus involve a peripheral generator that induces central (spinal) generator activity.</s0>
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<fC03 i1="05" i2="X" l="ENG"><s0>Pain</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Dolor</s0>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>39</s5>
</fC07>
<fN21><s1>075</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Myoclonus of Peripheral Origin : Two Case Reports

Myoclonus of Peripheral Origin : Two Case Reports

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