Hyperekplexia and stiff-man syndrome: abnormal brainstem reflexes suggest a physiological relationship

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Hyperekplexia and stiff-man syndrome: abnormal brainstem reflexes suggest a physiological relationship.

BACKGROUND AND OBJECTIVES Hyperekplexia and the stiff-man syndrome (SMS) are both conditions with exaggerated startle suggesting abnormal brainstem function. Investigation of brainstem reflexes may provide insight into disturbed reflex excitation and inhibition underlying these movement disorders. PATIENTS AND METHODS Using four-channel EMG, we examined four trigeminal brainstem reflexes (mon...

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Neonatal hyperekplexia: the Stiff-Baby syndrome.

Neonatal hyperekplexia is a rare autosomal dominant startle disorder. Presenting soon after birth, it is often mistakenly diagnosed as spastic quadriparesis, epilepsy etc. While the long-term prognosis is relatively benign, sudden death due to severe spasms have been seen in sporadic cases. We report a case of hyperekplexia with some typical and some unusual findings.

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Jerking stiff-man syndrome.

A female patient had permanent axial muscular rigidity similar to the "stiff-man syndrome", together with axial myoclonus triggered by stretch reflexes and by supramaximal stimulation of the supraorbital nerve. The disorder responded to treatment with diazepam and baclofen. This disorder bore a marked similarity to the so-called "jerking stiff-man syndrome".

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The 'stiff man syndrome' in a boy.

In October, 1958, a Chinese boy, aged 7 years, was transferred to the Children's Unit with a diagnosis of recurrent tetanus. According to the mother, he had been ill intermittently since 1957 when he was first admitted to hospital complaining of stiffness of the body and inability to open his mouth. He apparently recovered from this illness, but was readmitted on two further occasions with simi...

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Stiff man syndrome in a black girl.

A patient suffering from severe and continuous muscular spasms is presented. The condition has been classified as the stiff man syndrome and is the first case recorded of the condition in a young African girl. The electrophysiological, biochemical, histochemical, and ultramicroscopic aspects of this disorder have been studied. The spasm appears to be related to overproduction of brain noradrena...

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ژورنال

عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry

سال: 2004

ISSN: 0022-3050

DOI: 10.1136/jnnp.2003.018135