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KMID : 1201420100030020042
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Journal of Neurocritical Care
2010 Volume.3 No. 2 p.42 ~ p.44
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A Case of Facial Myorhythmia after Subdural Hemorrhage
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Kwon Yong-Uk
Lee Jong-Yun
Kim Kwang-Sun
Park Se-Ho
Sim Suk-Young
Koh Im-Seok
Cho Phil-Za
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Abstract
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Background: Myorhythmia is characterized by regular and rhythmic 1 to 3 Hz muscle contractions and usually involves isolated limbs or appears in combination with other body regions. Etiology of myorhythmia is known to be diverse.
Case Report: A 58-year-old man was hospitalized with traumatic subdural hematoma (SDH). On 5 days after burr-hole trephination, involuntary 2-3 Hz rhythmic facial movement developed. Brain MRI showed SDH in the right temporo-parietal lesions. His myorhythmia completely improved with carbamazepin, clonazepam and baclofen. Two months later, after stopping medications, facial myorhythmia spreading to left arm recurred. After restarting the medication, symptoms were improved.
Conclusions: SDH may be one of the causes of myorhythmia.
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KEYWORD
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Facial myorhythmia, Subdural hematoma
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