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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Main Authors: Ajay Panwar, Vivek Junewar, Ritesh Sahu, Rakesh Shukla
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-03-01
Series:Journal of Neurosciences in Rural Practice
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.154579
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spelling 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
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