Tremor and Other Hyperkinetic Movements (Jul 2019)

Facio-Oculo-Palatal Myoclonus Complicated by a Recurrent Brainstem Stroke

  • Yuvadee Pitakpatapee,
  • Prachaya Srivanitchapoom

DOI
https://doi.org/10.7916/tohm.v0.658
Journal volume & issue
Vol. 9, no. 0
pp. 1 – 2

Abstract

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Background: A 54-year-old Thai male who has suffered from multiple episodes of ischemic and hemorrhagic strokes developed facio-oculo-palatal myoclonus (FOPM) 1 month after the latest episode of the brainstem stroke. Phenomenology Shown: The patient presented with semirhythmic, involuntary, horizontal jerky, and rotatory ocular oscillation concomitant with asymmetrical palatal and perioral myoclonus consistent with FOPM. Educational value: FOPM is a useful clinical clue for diagnosing brainstem lesions, specifically in the Guillain–Mollaret triangle. The commonest etiology is cerebrovascular diseases.

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