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Neuromyotonia in idiopathic hypoparathyroidism

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Abstract

Α 62-year-old man was presented with bilateral cataract, proximal muscle weakness and difficulty in relaxing the hands after voluntary contraction. Idiopathic hypoparathyroidism was diagnosed. Electrophysiological study showed spontaneous motor unit action potentials, occurring and disappearing abruptly, as duplets, triplets and multiplets, with an intra-burst frequency of up to 100 Hz and some of them waning in amplitude, findings consistent with neuromyotonia.

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References

  1. Shoback D (2008) Hypoparathyroidism. N Engl J Med 359:391–403

    Article  CAS  PubMed  Google Scholar 

  2. Bindu M, Harinarayana CV (2006) Hypoparathyroidism: a rare treatable cause of epilepsy—report of two cases. Eur J Neurol 13:786–788

    Article  CAS  PubMed  Google Scholar 

  3. Brick FB, Gutmann L, McComas CF (1982) Calcium effect on generation and amplification of myokymic discharges. Neurology 32:618–622

    CAS  PubMed  Google Scholar 

  4. Gutmann L (1991) Facial and limb myokymia. Muscle Nerve 14:1043–1049

    Article  CAS  PubMed  Google Scholar 

  5. Newsom-Davis J, Mills KR (1993) Immunological associations of acquired neuromyotonia (Isaacs’syndrome). Report of five cases and literature review. Brain 116:453–469

    Article  PubMed  Google Scholar 

  6. AAEM (2001) Glossary of terms in electrodiagnostic medicine. Muscle Nerve 24(S10):S5–S28

    Article  Google Scholar 

  7. Maddison P (2006) Neuromyotonia. Clin Neurophysiol 117:2118–2127

    Article  PubMed  Google Scholar 

  8. Goswami R, Bhatia M, Kochupillai N (2002) Reversible peripheral neuropathy in Idiopathic hypoparathyroidism. Acta Neurol Scand 105:128–131

    Article  CAS  PubMed  Google Scholar 

  9. Shillito P, Molenaar PC, Vincent A et al (1995) Acquired neuromyotonia: evidence for auto-antibodies directed against K+ channels of peripheral nerves. Ann Neurol 38:714–722

    Article  CAS  PubMed  Google Scholar 

  10. Gutmann L, Gutmann L (2004) Myokymia and neuromyotonia 2004. J Neurol 251:138–142

    Article  PubMed  Google Scholar 

  11. Brick JF, Gutmann L, Brick J, Apelgren KN, Riggs JE (1987) Timber rattlesnake venom-induced myokymia: evidence for peripheral nerve origin. Neurology 37:1545–1546

    CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Neurology, Aeghinition Hospital, University of Athens, 74, Vassilissis Sofias Avenue, 11528, Athens, Greece

    Thomas Zambelis, Dimitrios Licomanos, Athanassios Leonardos & Constantinos Potagas

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  1. Thomas Zambelis
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  2. Dimitrios Licomanos
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  3. Athanassios Leonardos
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  4. Constantinos Potagas
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Correspondence to Thomas Zambelis.

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Zambelis, T., Licomanos, D., Leonardos, A. et al. Neuromyotonia in idiopathic hypoparathyroidism. Neurol Sci 30, 495–497 (2009). https://doi.org/10.1007/s10072-009-0140-9

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  • DOI: https://doi.org/10.1007/s10072-009-0140-9

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