Myoclonus- A Review.

Classification electrophysiology etiology myoclonus treatment

Journal

Annals of Indian Academy of Neurology
ISSN: 0972-2327
Titre abrégé: Ann Indian Acad Neurol
Pays: India
ID NLM: 101273955

Informations de publication

Date de publication:
Historique:
received: 19 11 2020
revised: 29 11 2020
accepted: 09 12 2020
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 28 8 2021
Statut: ppublish

Résumé

Myoclonus is a hyperkinetic movement disorder characterized by a sudden, brief, involuntary jerk. Positive myoclonus is caused by abrupt muscle contractions, while negative myoclonus by sudden cessation of ongoing muscular contractions. Myoclonus can be classified in various ways according to body distribution, relation to activity, neurophysiology, and etiology. The neurophysiological classification of myoclonus by means of electrophysiological tests is helpful in guiding the best therapeutic strategy. Given the diverse etiologies of myoclonus, a thorough history and detailed physical examination are key to the evaluation of myoclonus. These along with basic laboratory testing and neurophysiological studies help in narrowing down the clinical possibilities. Though symptomatic treatment is required in the majority of cases, treatment of the underlying etiology should be the primary aim whenever possible. Symptomatic treatment is often not satisfactory, and a combination of different drugs is often required to control the myoclonus. This review addresses the etiology, classification, clinical approach, and management of myoclonus.

Identifiants

pubmed: 34446993
doi: 10.4103/aian.AIAN_1180_20
pii: AIAN-24-327
pmc: PMC8370153
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

327-338

Informations de copyright

Copyright: © 2006 - 2021 Annals of Indian Academy of Neurology.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Mitesh Chandarana (M)

Comprehensive Care Centre for Movement Disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Udit Saraf (U)

Comprehensive Care Centre for Movement Disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

K P Divya (KP)

Comprehensive Care Centre for Movement Disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Syam Krishnan (S)

Comprehensive Care Centre for Movement Disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Asha Kishore (A)

Comprehensive Care Centre for Movement Disorders, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Classifications MeSH