A Case of Time-locked Periodic Myoclonus in Pontine Infarction.
- Author:
Hyung Min KWON
1
;
Yong Seok LEE
;
Sang Bae KO
;
Seong Ho PARK
Author Information
1. Department of Neurology, Seoul Municipal Boramae Hospital, College of Medicine, Seoul National University, 395 Shindaebang 2-dong, Dongjak-gu, Seoul, 156-707, Korea. lys@brm.co.kr
- Publication Type:Case Report
- Keywords:
Myoclonus;
Time-locked phenomenon;
Stroke
- MeSH:
Ataxia;
Brain;
Clonazepam;
Dyskinesias;
Extremities;
Humans;
Infarction*;
Magnetic Resonance Imaging;
Middle Aged;
Myoclonus*;
Stroke
- From:Journal of the Korean Neurological Association
2003;21(1):109-110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Post-stroke involuntary movements are often noted but time-locked myoclonus has not yet been reported. A 53-year-old man was admitted with mild left side weakness and ataxia. He also had involuntary jerky movement of limbs from the onset, which occurred exactly at 11: 00 PM everyday. Symptoms lasted for 30 minutes and were relieved by clonazepam. Brain MRI showed high signal lesion on right pontine tegmentum. We suggest that this time-locked phenomenon may be related with reticular structures containing the so called, "human biological clock".