神経学的障害

Spinal Myoclonus due to Cervical Disc Herniation: A Case Report

Abstract

Nor Osman Sidow* and Mohamed Sheikh Hassan

Background: Spinal myoclonus is a rare movement disorder characterized by myoclonic involvement of a group of muscles supplied by a few contiguous segments of the spinal cord.

Case presentation: We present here a case of 35 year old male with spastic paraparesis for two months associated with involuntary spontaneous abdominal contractions, accompanied by involuntary jerks of his legs. MRI findings pointed C3-C4 of disc herniation. He was treated with infusion dose of diazepam (0.1 mg/kg) and levetiracetam 500 mg twice daily with marked improvement of the jerky movement.

Conclusion: It is rare spinal myoclonus due to cervical disc herniation. We reported a male with C3-C4 of disc herniation as the origin of the myoclonus.