Young patients with movement disorders.
نویسندگان
چکیده
A 27-year old man presented with a complaint of ‘difficulty in walking’. He had stiffness in the left upper and lower limb on walking, motivating him to sit down and rest after walking some distance. Prolonged grip of an object produced stiffness in his fingers. He also had slurring of speech, curiously also on walking. He was asymptomatic at rest. Distal arterial pulses were normal and there was no blood pressure gradient in the limbs. Duplex scanning of the carotid, vertebral and leg vessels, and myelography were normal. Neurological examination at rest was normal. On walking a short distance, he developed dystonia involving the left upper and lower limbs, with dysarthria. Magnetic resonance imaging (MRI) of the brain and cervical cord, nerve conduction testing and electromyography, and serum creatine kinase levels were normal. A diagnosis of paroxysmal exerciseinduced dystonia was made. He improved with clonazepam and remains reasonably symptom free.
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عنوان ژورنال:
- The Ceylon medical journal
دوره 48 4 شماره
صفحات -
تاریخ انتشار 2003