Case of symptomatic propriospinal myoclonus evolving toward acute “myoclonic status”
✍ Scribed by Mauro Manconi; Barbara Sferrazza; Sandro Iannaccone; Antonio Massimo; Marco Zucconi; Luigi Ferini-Strambi
- Book ID
- 102506949
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 217 KB
- Volume
- 20
- Category
- Article
- ISSN
- 0885-3185
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✦ Synopsis
Abstract
Propriospinal myoclonus is a rare motor disorder consisting of involuntary spinal‐generated muscular jerks. Here, we report a severe and uncommon case of propriospinal myoclonus that appeared after a vertebral fracture of T11. In this patient, the polysomnographic investigation showed continuing focal myoclonic activity in axial muscles during stable sleep and an acute progression into a myoclonic “status” associated with respiratory failure and loss of consciousness. It is necessary to consider this severe progression and support it with prompt emergency maneuvers and adequate pharmacotherapy. © 2005 Movement Disorder Society