Postradiation Segmental Myoclonus Selectively Inhibited by REM Sleep (Sleep-Wake Myoclonus)
作者:
J.J.M. Askenasy,
P. Brune,
J.M. Leger,
P. Bouche,
F. Lafont,
H.P. Cathala,
P. Castaigne,
期刊:
European Neurology
(Karger Available online 1988)
卷期:
Volume 28,
issue 6
页码: 317-320
ISSN:0014-3022
年代: 1988
DOI:10.1159/000116293
出版商: S. Karger AG
关键词: Radiation myelopathy;Segmental myoclonus;Sleep-wake myoclonus;Urethral sphincter myoclonus
数据来源: Karger
摘要:
A 46-year-old male patient was irradiated following left orchiectomy for seminoma. Three months after radiation, segmental myoclonus appeared involving all skeletal muscle groups up to the level of D10, the area of radiation. Urodynamic testing showed the presence of segmental myoclonus in the urethral sphincter. An around-the-clock ‘continuous segmental myoclonus’ during sleep and wakefulness with a frequency of 1 c/s and an amplitude of 400 µV selectively inhibited by REM sleep was not found in the literature. This continuous segmental myoclonus caused by a radiation myelopathy at D10-D11 was followed up for 2 years. It was partially controlled by carbama-ze
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