A CASE OF POSTANOXIC ENCEPHALOPATHY WITH CORTICAL ACTION AND BRAIN-STEM RETICULAR REFLEX MYOCLONUS

被引：34

作者：

BROWN, P ^{[1
]}

THOMPSON, PD ^{[1
]}

ROTHWELL, JC ^{[1
]}

DAY, BL ^{[1
]}

MARSDEN, CD ^{[1
]}

机构：

[1] UNIV LONDON,INST NEUROL,DEPT CLIN NEUROL,QUEEN SQ,LONDON WC1N 3BG,ENGLAND

来源：

MOVEMENT DISORDERS | 1991年 / 6卷 / 02期

关键词：

Brainstem reticular reflex myoclonus; Cortical myoclonus;

D O I：

10.1002/mds.870060209

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A patient with postanoxic encephalopathy, with both action- and stimulus-sensitive reflex myoclonus, is described. The action myoclonus was multifocal and cortical in origin. In contrast, reflex myoclonus elicited by somaesthetic and auditory stimulation was generalised. The earliest reflex electromyograph activity was recorded in the sternocleidomastoid; myoclonic activity then spread up the brainstem and down the spinal cord, suggesting that this reflex myoclonus had its origin in the caudal brainstem. Stimulus sensitivity was greatest in the limbs. The bulbospinal motor pathways involved in the generalised reflex myoclonus were rapidly conducting, and this characteristic distinguishes this form of brainstem reflex myoclonus from that described in hyperekplexia.

引用

页码：139 / 144

页数：6

共 21 条

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Brown P, Thompson PD, Rothwell JC, Britton TC, Day BL, Marsden CD.

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[10]

Brown P, Thompson PD, Rothwell JC, Britton TC, Day BL, Marsden CD.

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