Document Detail


Non-epileptic myoclonus and mitochondrial encephalomyopathy.
MedLine Citation:
PMID:  2619613     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two brothers presented to us with a progressive myoclonic syndrome with slight cerebellar symptoms. Neurological examination disclosed moderate cerebellar signs and pale optic discs; asymmetric, asynchronous and arrhythmic myoclonus, an arrthesthesic deficit and no muscular weakness. EEG background activity was moderately slow with no irritative discharges. CT was normal in both cases. Intermittent photic stimulation increased the frequency of the myoclonic jerks, which became bilateral and synchronous, progressing to a generalized tonic-clonic seizure. EPs and MRI in one case were normal. Anticonvulsant drugs were ineffective. The diagnosis of mitochondrial encephalomyopathy was based on the finding, in muscle specimens, of thickened basement membranes with myofibrillary degeneration and increased number of mitochondria peripherally distributed and with a dense granular matrix and some vacuoles. The clinical and EEG data suggest a subcortical origin for this type of myoclonic syndrome.
Authors:
A Cukiert; F G Naylor; H B Scapolan; M M Vilela; F S Aloe; J O Siffert; A M Tsanaclis; M Haddad; T C Machado; M Carvalho-Alegro
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  47     ISSN:  0004-282X     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1990-03-15     Completed Date:  1990-03-15     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  BRAZIL    
Other Details:
Languages:  eng     Pagination:  346-51     Citation Subset:  IM    
Affiliation:
Faculty of Medicine, University of São Paulo, Brasil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain Diseases / physiopathology*
Cerebral Cortex / physiopathology
Electroencephalography
Evoked Potentials
Humans
Male
Middle Aged
Mitochondria, Muscle / ultrastructure*
Myoclonus / diagnosis*,  etiology
Neuromuscular Diseases / pathology*

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