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Facio-Oculo-Palatal Myoclonus Complicated by a Recurrent Brainstem Stroke

BACKGROUND: A 54-year-old Thai male who has suffered from multiple episodes of ischemic and hemorrhagic strokes developed facio-oculo-palatal myoclonus (FOPM) 1 month after the latest episode of the brainstem stroke. PHENOMENOLOGY SHOWN: The patient presented with semirhythmic, involuntary, horizont...

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Detalles Bibliográficos
Autores principales: Pitakpatapee, Yuvadee, Srivanitchapoom, Prachaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691908/
https://www.ncbi.nlm.nih.gov/pubmed/31498332
http://dx.doi.org/10.7916/tohm.v0.658
Descripción
Sumario:BACKGROUND: A 54-year-old Thai male who has suffered from multiple episodes of ischemic and hemorrhagic strokes developed facio-oculo-palatal myoclonus (FOPM) 1 month after the latest episode of the brainstem stroke. PHENOMENOLOGY SHOWN: The patient presented with semirhythmic, involuntary, horizontal jerky, and rotatory ocular oscillation concomitant with asymmetrical palatal and perioral myoclonus consistent with FOPM. EDUCATIONAL VALUE: FOPM is a useful clinical clue for diagnosing brainstem lesions, specifically in the Guillain–Mollaret triangle. The commonest etiology is cerebrovascular diseases.