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Acquired neuromyotonia in a patient with spinal epidural abscess

✍ Scribed by Paul Maddison; Nicholas Lawn; Kerry R. Mills; Angela Vincent; Michael Donaghy


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
94 KB
Volume
21
Category
Article
ISSN
0148-639X

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✦ Synopsis


We report a case of acquired neuromyotonia in a patient with Staphylococcus aureus septicemia and a spinal epidural abscess. Autoantibodies to voltage-gated potassium channels, which are associated with acquired neuromyotonia, were present during the patient's acute illness but became undetectable on clinical recovery. The spinal epidural abscess may have triggered the production of these specific autoantibodies, resulting in clinically and electromyographically detectable neuromyotonia.


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Acquired neuromyotonia and peripheral ne
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## Abstract Acquired neuromyotonia is characterized by hyperexcitability of motor nerves resulting in continuous muscle fiber activity. It occurs most often as a paraneoplastic syndrome in patients with cancers of the immune system. Antibodies against voltage‐gated potassium channels (VGKCs) have b