We describe three patients with unilateral asterixis. One diabetic patient with a moderately-sized haematoma in the left putamen initially developed bilateral and symmetrical asterixis, which became confined to the right side as his diabetes mellitus was controlled. Two patients showed unilateral as
Midbrain asterixis
โ Scribed by Vera Bril; Dr James A. Sharpe; Peter Ashby
- Publisher
- John Wiley and Sons
- Year
- 1979
- Tongue
- English
- Weight
- 373 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0364-5134
No coin nor oath required. For personal study only.
โฆ Synopsis
Abstract
Asterixis is usually a manifestation of metabolic encephalopathy. It was the only skeletal motor sign in a patient with ophthalmoplegia caused by midbrain infarction; no metabolic abnormality was present. The asterixis was accompanied by signs of damage to the mesencephalic reticular formation. We propose that episodic lapses of postural control by the reticular formation are responsible for midbrain asterixis and suggest that this asterixis is a segmental form of drop attack.
๐ SIMILAR VOLUMES
## Abstract We describe a patient with chronic renal failure who suffered multifocal actionโinduced jerks. Electromyography (EMG) recorded the typical silence of asterixis. Backโaveraging the EEG activity preceding the EMG silent periods in the forearm showed a biphasic wave antedating the asterixi