Diário da Espinha

An Unusual Case of Spinal Myoclonus

Abstract

Shrikant D. Pande, Nilesh H.Pawar, Farah Hussain, Lorecar Lolong and Primvera Galinato

Study design: A case report of Spinal myoclonus.

Objectives: To illustrate an unusual case of spinal myoclonus and its management. Setting: Changi General Hospital, Singapore.

Case report: A 48 year old male was admitted with minor trauma to his lower back for which he needed epidural analgesia. He later developed focal myoclonus of the left lower limb. He was subsequently investigated and treated with a combination of valproate and clonazepam and responded well.

Conclusion: There are various known predisposing factors for the development of spinal myoclonus, which can be challenging to diagnose and treat. Clonazepam with or without sodium valproate can be used as first line agents. Some patients may require more than 2 agents for controlling the movements.