断肢残端节段性肌阵挛1例:脊髓发生及生理病理假说的证据。

Italian journal of neurological sciences Pub Date : 1999-10-01 DOI:10.1007/s100720050049

F Devetag Chalaupka, M Bernardi

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引用次数: 12

摘要

我们描述了一位68岁的女性，她在右腿膝盖以上截肢后经历了疼痛和幻肢感。一个月后，病人的残肢出现肌阵挛性抽搐。多肌图记录显示右侧股内侧肌和大腿内收肌同步抽搐。病人对氯硝西泮有反应。我们的结论是，肌阵挛痉挛是脊髓起源。

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A case of segmental myoclonus in amputation stump: evidence for spinal generator and physiopathogenetic hypothesis.

We describe a 68-year-old woman who experienced pain and phantom limb sensation following an above-the-knee amputation of the right leg. A month later, the patient had myoclonic jerks of the stump. Polymyo-graphic recordings showed synchronous jerks in the vastus medialis and adductors of the thigh on the right side. The patient responded to clonazepam. We conclude that the myoclonic jerks were of spinal cord origin.

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Italian journal of neurological sciences

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