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Target Concepts:
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Query: UMLS:C0027066 (
myoclonus
)
4,275
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The appearance of involuntary movements in the clinical course of
reflex sympathetic dystrophy
(DSR) constitutes a rare clinical entity. In this context, the most frequent changes in movements are muscle spasms and focal dystonia, although postural tremor, muscle weakness and rhythmic
myoclonus
have also been described. The disorder is more frequent in young women and in the lower limbs. It may have a focal, segmental, multifocal, hemicorporal or symmetrical distribution. It is almost always secondary to local trauma. The pathogenesis and most effective treatment are unknown. We present the case of a 62 year old woman with muscle spasms of both legs and feet as a complication of spontaneously appearing DSR. The electromyogram showed continuous non-rhythmic discharges with morphologically normal motor unit potentials in both anterior tibial muscles. The clinical course and symptomatic improvement following treatment with benzodiazepine seems to suggest that the disorder is of central origin.
...
PMID:[Muscular spasms associated with a reflex sympathetic dystrophy]. 898 30
Reflex sympathetic dystrophy
is characterized by constant burning pain and hyperesthesia in an extremity. Lower extremities are usually affected. Pain is accompanied by swelling, sweating, vasomotor instability and sometimes trophic changes. There may be a history of minor injury or not. Muscle spasms,
myoclonus
or focal dystonia may occur. Diffuse pain, loss of function and autonomic dysfunction are three main criteria suggested for diagnosis. Symptoms can last a few days to as long as a year. In this report we present a girl with multiple limb involvement of stage I RSD. The sympathetic skin responses were tested during a remission period. She had milder attacks with a recurrence rate of 4 per year in the following three years from onset.
...
PMID:Reflex sympathetic dystrophy in childhood. 1201 58