Segmental neuromyotonia
Unilateral focal neuromyotonia has been rarely reported in fingers or extraocular muscles. We report a case of segmental neuromyotonia in a 20-year-old boy who presented to us with intermittent tightness in right upper limb. Electromyography revealed myokymic and neuromyotonic discharges in proximal...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2015-03-01
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.154579 |
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doaj-31f1da882b2d48d285aaf50f9a26d6c52021-04-02T11:57:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552015-03-0160342542710.4103/0976-3147.154579Segmental neuromyotoniaAjay Panwar0Vivek Junewar1Ritesh Sahu2Rakesh Shukla3Department of Neurology, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Neurology, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Neurology, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Neurology, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaUnilateral focal neuromyotonia has been rarely reported in fingers or extraocular muscles. We report a case of segmental neuromyotonia in a 20-year-old boy who presented to us with intermittent tightness in right upper limb. Electromyography revealed myokymic and neuromyotonic discharges in proximal as well as distal muscles of the right upper limb. Patient’s symptoms responded well to phenytoin therapy. Such an atypical involvement of two contiguous areas of a single limb in neuromyotonia has not been reported previously. Awareness of such an atypical presentation of the disease can be important in timely diagnosis and treatment of a patient.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.154579myokymiamyotonianeuromyotonia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ajay Panwar Vivek Junewar Ritesh Sahu Rakesh Shukla |
spellingShingle |
Ajay Panwar Vivek Junewar Ritesh Sahu Rakesh Shukla Segmental neuromyotonia Journal of Neurosciences in Rural Practice myokymia myotonia neuromyotonia |
author_facet |
Ajay Panwar Vivek Junewar Ritesh Sahu Rakesh Shukla |
author_sort |
Ajay Panwar |
title |
Segmental neuromyotonia |
title_short |
Segmental neuromyotonia |
title_full |
Segmental neuromyotonia |
title_fullStr |
Segmental neuromyotonia |
title_full_unstemmed |
Segmental neuromyotonia |
title_sort |
segmental neuromyotonia |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2015-03-01 |
description |
Unilateral focal neuromyotonia has been rarely reported in fingers or extraocular muscles. We report a case of segmental neuromyotonia in a 20-year-old boy who presented to us with intermittent tightness in right upper limb. Electromyography revealed myokymic and neuromyotonic discharges in proximal as well as distal muscles of the right upper limb. Patient’s symptoms responded well to phenytoin therapy. Such an atypical involvement of two contiguous areas of a single limb in neuromyotonia has not been reported previously. Awareness of such an atypical presentation of the disease can be important in timely diagnosis and treatment of a patient. |
topic |
myokymia myotonia neuromyotonia |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.154579 |
work_keys_str_mv |
AT ajaypanwar segmentalneuromyotonia AT vivekjunewar segmentalneuromyotonia AT riteshsahu segmentalneuromyotonia AT rakeshshukla segmentalneuromyotonia |
_version_ |
1721570728849965056 |