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Involvement of the esophagus in the cramp–fasciculation syndrome

✍ Scribed by S. Braune; M. Hentschel; F. X. Glocker; C. H. Lücking

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

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✦ Synopsis

A 35-year-old male patient presented with symptoms of a cramp-fasciculation syndrome, but also reported difficulties swallowing. Esophageal manometry showed spontaneous nonperistaltic contractions, pathologically increased amplitudes and duration of the contractile complexes, and an asynchronous propagation. Electromyographic evidence of fasciculations in the sternocleidomastoid and pectoralis muscles was found. Apparently all types of peripheral motor fibers can be involved in this heterogeneous syndrome, including cranial motor nerves, the vagal nerve, and enteric motor fibers of the gastrointestinal tract.

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