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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Autores principales: Panwar, Ajay, Junewar, Vivek, Sahu, Ritesh, Shukla, Rakesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481806/
https://www.ncbi.nlm.nih.gov/pubmed/26167035
http://dx.doi.org/10.4103/0976-3147.154579
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author Panwar, Ajay
Junewar, Vivek
Sahu, Ritesh
Shukla, Rakesh
author_facet Panwar, Ajay
Junewar, Vivek
Sahu, Ritesh
Shukla, Rakesh
author_sort Panwar, Ajay
collection PubMed
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.
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spelling pubmed-44818062015-07-12 Segmental neuromyotonia Panwar, Ajay Junewar, Vivek Sahu, Ritesh Shukla, Rakesh J Neurosci Rural Pract Case Report 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. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4481806/ /pubmed/26167035 http://dx.doi.org/10.4103/0976-3147.154579 Text en Copyright: © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Panwar, Ajay
Junewar, Vivek
Sahu, Ritesh
Shukla, Rakesh
Segmental neuromyotonia
title Segmental neuromyotonia
title_full Segmental neuromyotonia
title_fullStr Segmental neuromyotonia
title_full_unstemmed Segmental neuromyotonia
title_short Segmental neuromyotonia
title_sort segmental neuromyotonia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481806/
https://www.ncbi.nlm.nih.gov/pubmed/26167035
http://dx.doi.org/10.4103/0976-3147.154579
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AT junewarvivek segmentalneuromyotonia
AT sahuritesh segmentalneuromyotonia
AT shuklarakesh segmentalneuromyotonia

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