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Ultrasound as Diagnostic Tool for Diaphragmatic Myoclonus.


ABSTRACT:

Background

Diaphragmatic myoclonus is a rare disorder of repetitive diaphragmatic contractions, acknowledged to be a spectrum that includes psychogenic features. Electromyography has been the diagnostic tool most commonly used in the literature.

Methods

To test if we could perform a noninvasive technique to delineate the diaphragm as the source of abnormal movements and demonstrate distractibility and entrainability, we used B-mode ultrasound in a patient with diaphragmatic myoclonus.

Results

Ultrasound imaging clearly delineated the diaphragm as the source of her abdominal movements. We were able to demonstrate entrainability of the diaphragm to hand tapping to a prescribed rhythm set by examiner.

Conclusion

We recommend the use of ultrasound as a noninvasive, convenient diagnostic tool for further studies of diaphragmatic myoclonus. We agree with previous findings that diaphragmatic myoclonus may be a functional movement disorder, as evidenced by distractibility and entrainability demonstrated on real-time video with ultrasonography.

SUBMITTER: Llaneza Ramos VF 

PROVIDER: S-EPMC4941981 | biostudies-literature | 2016 May-Jun

REPOSITORIES: biostudies-literature

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Ultrasound as Diagnostic Tool for Diaphragmatic Myoclonus.

Llaneza Ramos Vesper Fe Marie VF   Considine Elaine E   Karp Barbara I BI   Lungu Codrin C   Alter Katharine K   Hallett Mark M  

Movement disorders clinical practice 20160109 3


<h4>Background</h4>Diaphragmatic myoclonus is a rare disorder of repetitive diaphragmatic contractions, acknowledged to be a spectrum that includes psychogenic features. Electromyography has been the diagnostic tool most commonly used in the literature.<h4>Methods</h4>To test if we could perform a noninvasive technique to delineate the diaphragm as the source of abnormal movements and demonstrate distractibility and entrainability, we used B-mode ultrasound in a patient with diaphragmatic myoclo  ...[more]

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