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

ABSTRACT: 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.

SUBMITTER: Pitakpatapee Y 

PROVIDER: S-EPMC6691908 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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

Pitakpatapee Yuvadee Y   Srivanitchapoom Prachaya P  

Tremor and other hyperkinetic movements (New York, N.Y.) 20190731

<h4>Background</h4>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.<h4>Phenomenology shown</h4>The patient presented with semirhythmic, involuntary, horizontal jerky, and rotatory ocular oscillation concomitant with asymmetrical palatal and perioral myoclonus consistent with FOPM.<h4>Educational value</h4>FOPM is a useful clinical clue for di  ...[more]

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