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MYOCLONUS

MYOCLONUS: Excerpt from Differential Diagnosis in Primary Care

The differential diagnosis of this sign is similar to the differential diagnosis of tremors (see page 521), but a few additional possibilities should be kept in mind. Idiopathic myoclonus epilepsy, petit mal epilepsy (with the petit mal triad), grand mal epilepsy, and hysteria are the important ones to remember. Congenital hypsarrhythmia may present with salaam seizures. Decerebrate states are associated with myoclonic jerks in which there are flexion of the arms and extension of the legs. Phenothiazine and other tranquilizers may cause myoclonus. l-Dopa will cause oculogyric crisis and smacking of lips. The workup of these conditions includes a skull x-ray, EEG (preferably sleep), possibly a CT scan, and, if there is no evidence of increased intracranial pressure, a spinal tap. It is recommended that the patient be referred to a neurologist for this workup.

Book Source Details

  • Book Title: Differential Diagnosis in Primary Care
  • Author(s): R. Douglas Collins
  • Year of Publication: 2007
  • Copyright Details: Differential Diagnosis in Primary Care, Copyright © 2007 Lippincott Williams & Wilkins.

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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Differential Diagnosis in Primary Care
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2007
ISBN: 0-7817-6812-8

 » Next page: ABDOMINAL PAIN, GENERALIZED (Differential Diagnosis in Primary Care)

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