Hostname: page-component-788cddb947-xdx58 Total loading time: 0 Render date: 2024-10-13T05:37:22.768Z Has data issue: false hasContentIssue false

Degenerative Progressive Myoclonic Epilepsy Electrokymographic Observations

Published online by Cambridge University Press:  18 September 2015

Iraj Derakhshan*
Affiliation:
Departments of Neurology and Neuro-surgery, Dariush-Kabir Medical School, Tehran University, Tehran, Iran
Jamshid Lotfi
Affiliation:
Departments of Neurology and Neuro-surgery, Dariush-Kabir Medical School, Tehran University, Tehran, Iran
Kazem Abbsssioun
Affiliation:
Departments of Neurology and Neuro-surgery, Dariush-Kabir Medical School, Tehran University, Tehran, Iran
*
1670 Sheridan Road, South Euclid, Ohio 44121 U.S.A.
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Clinical and pathological findings in two cases of degenerative progressive myoclonic epilepsy (PME) are described. The clinically difficult task of differentiating a “cerebellar” tremor from an action myoclonus is emphasized. Simultaneous elect roencephalography and electrokymography was done, using capacity to ground transients for recording hand movements. This method was found useful in corroborating the cerebellar nature of the remaining disorder, after successful treatment of the myoclonic element with anticonvulsants.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1979

References

Debarsy, T., Myle, G., Troch, D., Mathys, R., and Martin, J. (1968). La dyssynergic cérébelleuse myoclonic (R. Hunt). J. Neurol. Sci., 8, 111127.Google Scholar
Eccles, J. C. (1969). The inhibitory pathways of the central nervous system. Illinois: Charles C. Thomas, pp. 74100.Google Scholar
Grinker, R. R., Serota, H., and Stein, S. I. (1938). Myoclonic epilepsy. Arch. Neurol. Psychiat., 40, 968980.CrossRefGoogle Scholar
Hallett, M., Chadwick, D., Adam, J., and Marsden, C. D. (1977a). Reticular reflex myoclonus: a physiological type of post-hypoxic myoclonus. J. Neurol. Neurosurg. Psychiat., 40, 253264.CrossRefGoogle ScholarPubMed
Hallett, M., Chadwick, D., and Marsden, C. D. (1977b). Ballistic movement overflow myoclonus: a form of essential myoclonus. Brain, 100, 299312.CrossRefGoogle ScholarPubMed
Halliday, A. M. (1967). The clinical incidence of myoclonus.In: Modern Trends of Neurology, Vol. 4. Edited by Williams, D.. London: Butterworths. pp. 69105.Google Scholar
Halliday, A. M. (1975). The neurophysio-logy of myoclonic jerking a reappraisal. In: Myoclonic Seizures. Edited by Charlton, M. H.. Amsterdam: Excerpta Medica International Congress Series. No. 307, pp. 129.Google Scholar
Harriman, D. G. F., Millar, J. H. D., and Stevenson, A. C. (1955). Progressive familial myoclonic epilepsy in three families: its clinical features and pathological basis. Brain, 78, 325349.CrossRefGoogle ScholarPubMed
Hunt, J. R. (1921). Dyssynergia cerebellaris myoclonica-primary atrophy of the dentate system: a contribution to the pathology and symptomatology of the cerebellum. Brain, 44, 490538.CrossRefGoogle Scholar
King, J. O. (1975). Progressive myoclonic epilepsy due to Gaucher's disease in an adult. J. Neurol. Neurosurg. Psychiat., 38, 849854.CrossRefGoogle ScholarPubMed
Mathews, W. B., Howell, D. A., and Stevens, D. L. (1969). Progressive myoclonus epilepsy without Lafora bodies. J. Neurol. Neurosurg. Psychiat., 32, 116122.CrossRefGoogle Scholar
Noad, K. B., and Lance, J. W. (1960). Familial myoclonic epilepsy and its association with cerebellar disturbance. Brain, 83, 618630.CrossRefGoogle ScholarPubMed
Pallis, c. A., Duckett, S., and Pearse, A. F. E. (1967). Diffuse lipofuscinosis of the central nervous system. Neurology, 17, 381394.CrossRefGoogle ScholarPubMed
Radermecker, F. J. (1977). Degenerative disorder. In: Handbook of Electroence-phalography and Clinical Neurophysiolpgy. Edited by Remond, A.. Amsterdam: Elsevier. pp. 169175.Google Scholar
Roger, J., Soulayrol, R., and Hassoun, J. (1968). La dyssynergie cérébelleuse myoclonique (syndrome de Ramsay Hunt). Rev. Neurol., 119, 85106.Google Scholar
Scelsi, R., Mazella, G. L., and Lombardi, M. (1976). Myoclonus epilepsy with cerebellar Lafora bodies. J. Neurol. Neurosurg. Psychiat., 39, 357381.CrossRefGoogle ScholarPubMed
Shibasaki, J., and Kuroiwa, Y. (1975). Electroencephalographic correlates of myoclonus. Electroencephalography and Clinical Neurophsiology, 39, 455463.CrossRefGoogle ScholarPubMed
Thach, W. T. (1968). Discharge of Purkinje and cerebellar nuclear neurons during rapidly alternating arm movements in the monkey. J. Neurophysiol., 31, 785797.CrossRefGoogle ScholarPubMed
Warwick, P., and Williams, P. L. (1973). Gray's Anatomy. Saunders, W. B., 35th British edition, pp. 859864.Google Scholar