Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan

Background: Spinal myoclonus is a very rare movement disorder characterized by myoclonic involvement of the whole body. Structural lesions are usually the cause, however, in primary spinal myoclonus, the etiology remains unknown. Case description: We report a case of 50 year-old farmer from the east...

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Main Authors: Etedal Ahmed A. Ibrahim, Asmhan M. Osman
Format: Article
Language:English
Published: Knowledge E 2020-06-01
Series:Sudan Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.18502/sjms.v15i2.7272
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author Etedal Ahmed A. Ibrahim
Asmhan M. Osman
author_facet Etedal Ahmed A. Ibrahim
Asmhan M. Osman
author_sort Etedal Ahmed A. Ibrahim
collection DOAJ
description Background: Spinal myoclonus is a very rare movement disorder characterized by myoclonic involvement of the whole body. Structural lesions are usually the cause, however, in primary spinal myoclonus, the etiology remains unknown. Case description: We report a case of 50 year-old farmer from the eastern part of Sudan presented with jerky movement affecting his entire body, and diagnosed clinically with a spinal myoclonus. Laboratory study was normal and the MRI of brain and cervical and dorsal spines were also normal. The patient received clonazepam with marked improvement. Conclusion: In any case of spinal myoclonus, EEG, EMG, and MRI of brain and spinal cord must be done to exclude structural lesions. Clonazepam is the drug of choice with significant improvement. In segmental spinal myoclonus, botulinum toxin is the best treatment.
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spelling doaj.art-ccafcfc1a09d4a61bf5967412f5523742022-12-21T20:03:43ZengKnowledge ESudan Journal of Medical Sciences1858-50512020-06-011510.18502/sjms.v15i2.7272sjms.v15i2.7272Spinal Myoclonus As a Rare Presentation of Neurological Disease in SudanEtedal Ahmed A. Ibrahim0Asmhan M. Osman1 Nile Valley University, Atbara, Sudan Nile Valley University, Atbara, SudanBackground: Spinal myoclonus is a very rare movement disorder characterized by myoclonic involvement of the whole body. Structural lesions are usually the cause, however, in primary spinal myoclonus, the etiology remains unknown. Case description: We report a case of 50 year-old farmer from the eastern part of Sudan presented with jerky movement affecting his entire body, and diagnosed clinically with a spinal myoclonus. Laboratory study was normal and the MRI of brain and cervical and dorsal spines were also normal. The patient received clonazepam with marked improvement. Conclusion: In any case of spinal myoclonus, EEG, EMG, and MRI of brain and spinal cord must be done to exclude structural lesions. Clonazepam is the drug of choice with significant improvement. In segmental spinal myoclonus, botulinum toxin is the best treatment.https://doi.org/10.18502/sjms.v15i2.7272spinal myoclonus, sudan
spellingShingle Etedal Ahmed A. Ibrahim
Asmhan M. Osman
Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
Sudan Journal of Medical Sciences
spinal myoclonus, sudan
title Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
title_full Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
title_fullStr Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
title_full_unstemmed Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
title_short Spinal Myoclonus As a Rare Presentation of Neurological Disease in Sudan
title_sort spinal myoclonus as a rare presentation of neurological disease in sudan
topic spinal myoclonus, sudan
url https://doi.org/10.18502/sjms.v15i2.7272
work_keys_str_mv AT etedalahmedaibrahim spinalmyoclonusasararepresentationofneurologicaldiseaseinsudan
AT asmhanmosman spinalmyoclonusasararepresentationofneurologicaldiseaseinsudan