1.Morvan’s syndrome after intra-scrotal injection of lignocaine and denatured spirit for hydrocoele
Sanjay Sharma ; Kamala Kant Bhoi ; Pranita Sharma ; Sheela Anant ; Ajay Parashar
Neurology Asia 2010;15(2):133-135
Morvan’s syndrome is a rare form of neuromyotonia having prominent central symptoms. We present
a series of 9 patients who developed Morvan’s syndrome after scrotal tap and local instillation of
lignocaine and denatured spirit into scrotal sac to treat hydrocoele. The course of the disease was
self-limiting. All patients improved within 3 months of onset of symptoms.
2.Reversible parkinsonism in central pontine and extrapontine myelinolysis: A report of five cases from India and review of the literature
Kamala Kant Bhoi ; Alak Pandit ; Gautam Guha ; Punnabrata Barma, Amar Kumar Misra ; Prabhat Kumar Garai ; Shyamal Kumar Das
Neurology Asia 2007;12(1):101-109
Parkinsonism with or without dystonia has been rarely described following central pontine myelinolysis
and extrapontine myelinolysis. We report 5 cases of reversible parkinsonism and dystonia with
imaging evidences of central pontine myelinolysis and extrapontine myelinolysis associated with
hyponatremia from a center in Eastern India. Their presentations varied from mild masked facies to
extra pyramidal syndromes characterized by progressive supranuclear palsy like feature and marked
dystonia. Two cases presented with flaccid quadriplegia later evolved into spasticity and dystonia.
The cause of hyponatremia was due to vomiting in two, diuretic-induced, nutritional and psychogenic
polydipsia one each. The onset was acute in 4, and gradual in one from psychogenic polydipsia. They
responded well to gradual correction of electrolyte imbalance, dopaminergic and antidystonic agents
including botulinum toxin. The movement disorders of central pontine myelinolysis with extrapontine
myelinolysis represent a treatable manifestationof the osmotic demyelination syndrome and rewarding
result can be achieved.