J Korean Neurol Assoc.  1995 Dec;13(4):970-978.

Neurophysiological Studies in a Patient with Hyperekplexia

Affiliations
  • 1Department of Neurology, Severance Hoispital Yonsei University, College of Medicine, Korea.

Abstract

The results of neurophysiological studies in a 20 year-old man who had pathological jumps and falls following unexpected auditory stimuli is presented. He also had action induced hemidystonia and polymyoclonus involving fingers of the both hands. Somatosensory evoked potential study showed no giant cortical wave and jerk-locked back averaging electroencephalogram showed no jerk ,related cortical event. Polymyographic study after auditory stimuli showed electromyographic (EMG) bursts recruitment pattern consistent with hyprekplexia ai)d reticular reflex myocloniis. EMG bursts spread rostrally and caudally from the sternocleidomastoid muscle via a slowly conducting neuronal pathways. These findings are compatible. With hyperekplexia. Pathologically increased gain of the brainstem reticular formation seems to cause hyperekplexia.


MeSH Terms

Brain Stem
Electroencephalography
Evoked Potentials, Somatosensory
Fingers
Hand
Humans
Myoclonus
Neurons
Reflex
Reticular Formation
Stiff-Person Syndrome*
Young Adult
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr