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The contribution of a spinal mechanism in developing peripheral myoclonus: A case report

Authors
 Hae-Won Shin  ;  Byung S. Ye  ;  Young H. Sohn  ;  Seung M. Kim  ;  Jinkwon Kim 
Citation
 MOVEMENT DISORDERS, Vol.22(9) : 1350-1352, 2007 
Journal Title
 MOVEMENT DISORDERS 
ISSN
 0885-3185 
Issue Date
2007
Abstract
Focal myoclonus of peripheral origin, i.e., peripheral myoclonus (PM), is a rare disorder. Although PM always accompanies a lesion in the peripheral nerve, supplying the affected muscles, its mechanism remains unclear. Here we present a patient with focal myoclonus of the thigh muscles following a traumatic lesion in the femoral nerve. Lumbar spinal anesthesia, as well as local anesthetic block of the femoral nerve, completely abolished the patient's myoclonus temporarily. This movement was remarkably diminished after a surgical exploration of the wound with the removal of fibrous tissue beneath the scar and liberation of the femoral nerve. This case suggests the contribution of a spinal relay mechanism in the development of PM, in addition to the contribution of a nerve lesion.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/mds.21418/abstract
DOI
10.1002/mds.21418
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seung Min(김승민) ORCID logo https://orcid.org/0000-0002-4384-9640
Sohn, Young Ho(손영호) ORCID logo https://orcid.org/0000-0001-6533-2610
Shin, Hye Won(신혜원)
Ye, Byoung Seok(예병석) ORCID logo https://orcid.org/0000-0003-0187-8440
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97162
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