Multiple sclerosis and related disorders · 2017
Spastic paretic hemifacial contracture as a presenting feature of multiple sclerosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Koutsis Georgios, Breza Marianthi, Evangelopoulos Maria-Eleftheria, Anagnostouli Maria, Andreadou Elisavet, Karagiorgis Georgios, Kokotis Panagiotis, Kilidireas Costas, Karandreas Nikolaos
Аннотация
BACKGROUND: Spastic paretic hemifacial contracture (SPHC) is characterized by sustained unilateral contraction of the facial muscles associated with mild ipsilateral facial paresis. Rarely described in the context of multiple sclerosis (MS), it has never been reported as presenting symptom of MS.
CASE REPORTS: Two patients developed SPHC within the context of a clinically isolated syndrome suggestive of MS. EMG revealed continuous resting activity of irregularly firing motor unit potentials, associated with impaired recruitment upon voluntary contraction. SPHC remitted fully in both patients.
CONCLUSIONS: SPHC, a rare but distinct clinical and EMG entity, can occasionally be the presenting feature of MS.
CASE REPORTS: Two patients developed SPHC within the context of a clinically isolated syndrome suggestive of MS. EMG revealed continuous resting activity of irregularly firing motor unit potentials, associated with impaired recruitment upon voluntary contraction. SPHC remitted fully in both patients.
CONCLUSIONS: SPHC, a rare but distinct clinical and EMG entity, can occasionally be the presenting feature of MS.