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Hemifacial Spasm, Cramps, Myokymia and Stiff Person Syndrome

Оглавление

 Hemifacial spasm (Chapter 13) is probably an example of ephaptic transmission, that is transmission between adjacent VIIth nerve fibres. EMG: bursts of normal motor unit discharges, without denervation.

 Normal muscle cramps produce high frequency discharges. In myophosphorylase deficiency (McArdle’s disease; Chapter 10), cramps occur but these discharges are not found.

 Myokymia (Chapter 13) refers to two facial phenomena:Quivering movements around the eye, common and invariably innocent.Worm‐like wriggling, persistent and typically around the chin – occurs in brainstem gliomas and MS.

 In stiff person syndrome (Chapter 7), continuous motor unit activity is found simultaneously in opposing muscle groups, as one might expect from the stiffness.

Neurology

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