Myorhythmia: phenomenology, etiology, and treatment.
Identifieur interne : 000157 ( PubMed/Checkpoint ); précédent : 000156; suivant : 000158Myorhythmia: phenomenology, etiology, and treatment.
Auteurs : José Fidel Baizabal-Carvallo [États-Unis] ; Francisco Cardoso ; Joseph Jankovic [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
English descriptors
- KwdEn :
- Animals, Anti-N-Methyl-D-Aspartate Receptor Encephalitis (diagnosis), Anti-N-Methyl-D-Aspartate Receptor Encephalitis (etiology), Anti-N-Methyl-D-Aspartate Receptor Encephalitis (therapy), Humans, Movement Disorders (diagnosis), Movement Disorders (etiology), Movement Disorders (therapy), Multiple Sclerosis (diagnosis), Multiple Sclerosis (etiology), Multiple Sclerosis (therapy), Stroke (complications), Stroke (diagnosis), Stroke (therapy), Tremor (diagnosis), Tremor (etiology), Tremor (therapy), Whipple Disease (complications), Whipple Disease (diagnosis), Whipple Disease (etiology), Whipple Disease (therapy).
- MESH :
- complications : Stroke, Whipple Disease.
- diagnosis : Anti-N-Methyl-D-Aspartate Receptor Encephalitis, Movement Disorders, Multiple Sclerosis, Stroke, Tremor, Whipple Disease.
- etiology : Anti-N-Methyl-D-Aspartate Receptor Encephalitis, Movement Disorders, Multiple Sclerosis, Tremor, Whipple Disease.
- therapy : Anti-N-Methyl-D-Aspartate Receptor Encephalitis, Movement Disorders, Multiple Sclerosis, Stroke, Tremor, Whipple Disease.
- Animals, Humans.
Abstract
Myorhythmia is defined as repetitive, rhythmic, slow (1-4 Hz) movement affecting chiefly cranial and limb muscles. When occurring in the limbs it may be oscillatory and jerky, whereas oculo-masticatory myorhythmia, typically associated with Whipple's disease, is a slow, repetitive, often asymmetrical, facial and ocular movement. Thus, myorhythmia overlaps phenomenologically with tremor and segmental myoclonus. Although often present at rest, it must be differentiated from parkinsonian or dystonic tremor. Recognition of this movement disorder is important because it is usually associated with lesions involving the brainstem, thalamus, or other diencephalic structures with potentially treatable etiologies. In addition to Whipple's disease, myorhythmia has been described in patients with cerebrovascular disease, listeria encephalitis, anti-N-methyl-d-aspartate receptor encephalitis, steroid-responsive encephalopathy associated with autoimmune thyroiditis, multiple sclerosis, and other disorders. In addition to our own experience, we have systematically reviewed the medical literature, focusing on the phenomenology, pathophysiology, and etiology of this poorly recognized movement disorder. In this review, we aim to highlight the clinical features that differentiate myorhythmia from other movement disorders. Treatment should be directed against the underlying etiology.
DOI: 10.1002/mds.26093
PubMed: 25487777
Affiliations:
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last="Baizabal-Carvallo">José Fidel Baizabal-Carvallo</name><affiliation wicri:level="2"><nlm:affiliation>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Cardoso, Francisco" sort="Cardoso, Francisco" uniqKey="Cardoso F" first="Francisco" last="Cardoso">Francisco Cardoso</name></author><author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><affiliation><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName 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(therapy)</term><term>Tremor (diagnosis)</term><term>Tremor (etiology)</term><term>Tremor (therapy)</term><term>Whipple Disease (complications)</term><term>Whipple Disease (diagnosis)</term><term>Whipple Disease (etiology)</term><term>Whipple Disease (therapy)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term><term>Whipple Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anti-N-Methyl-D-Aspartate Receptor Encephalitis</term><term>Movement Disorders</term><term>Multiple Sclerosis</term><term>Stroke</term><term>Tremor</term><term>Whipple Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anti-N-Methyl-D-Aspartate Receptor Encephalitis</term><term>Movement Disorders</term><term>Multiple Sclerosis</term><term>Tremor</term><term>Whipple Disease</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anti-N-Methyl-D-Aspartate Receptor Encephalitis</term><term>Movement Disorders</term><term>Multiple Sclerosis</term><term>Stroke</term><term>Tremor</term><term>Whipple Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Myorhythmia is defined as repetitive, rhythmic, slow (1-4 Hz) movement affecting chiefly cranial and limb muscles. When occurring in the limbs it may be oscillatory and jerky, whereas oculo-masticatory myorhythmia, typically associated with Whipple's disease, is a slow, repetitive, often asymmetrical, facial and ocular movement. Thus, myorhythmia overlaps phenomenologically with tremor and segmental myoclonus. Although often present at rest, it must be differentiated from parkinsonian or dystonic tremor. Recognition of this movement disorder is important because it is usually associated with lesions involving the brainstem, thalamus, or other diencephalic structures with potentially treatable etiologies. In addition to Whipple's disease, myorhythmia has been described in patients with cerebrovascular disease, listeria encephalitis, anti-N-methyl-d-aspartate receptor encephalitis, steroid-responsive encephalopathy associated with autoimmune thyroiditis, multiple sclerosis, and other disorders. In addition to our own experience, we have systematically reviewed the medical literature, focusing on the phenomenology, pathophysiology, and etiology of this poorly recognized movement disorder. In this review, we aim to highlight the clinical features that differentiate myorhythmia from other movement disorders. Treatment should be directed against the underlying etiology.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25487777</PMID><DateCreated><Year>2015</Year><Month>02</Month><Day>04</Day></DateCreated><DateCompleted><Year>2015</Year><Month>10</Month><Day>22</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Myorhythmia: phenomenology, etiology, and treatment.</ArticleTitle><Pagination><MedlinePgn>171-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.26093</ELocationID><Abstract><AbstractText>Myorhythmia is defined as repetitive, rhythmic, slow (1-4 Hz) movement affecting chiefly cranial and limb muscles. When occurring in the limbs it may be oscillatory and jerky, whereas oculo-masticatory myorhythmia, typically associated with Whipple's disease, is a slow, repetitive, often asymmetrical, facial and ocular movement. Thus, myorhythmia overlaps phenomenologically with tremor and segmental myoclonus. Although often present at rest, it must be differentiated from parkinsonian or dystonic tremor. Recognition of this movement disorder is important because it is usually associated with lesions involving the brainstem, thalamus, or other diencephalic structures with potentially treatable etiologies. In addition to Whipple's disease, myorhythmia has been described in patients with cerebrovascular disease, listeria encephalitis, anti-N-methyl-d-aspartate receptor encephalitis, steroid-responsive encephalopathy associated with autoimmune thyroiditis, multiple sclerosis, and other disorders. In addition to our own experience, we have systematically reviewed the medical literature, focusing on the phenomenology, pathophysiology, and etiology of this poorly recognized movement disorder. In this review, we aim to highlight the clinical features that differentiate myorhythmia from other movement disorders. 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