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CASE REPORT |
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Year : 1992 | Volume
: 38
| Issue : 1 | Page : 37-40,40A |
Persistent facial myokymia: a rare pathognomic physical sign of intrinsic brain-stem lesions: report of 2 cases and review of literature.
RR Sharma, NV Mathad, DN Joshi, TB Mazarelo, MM Vaidya
Dept. of Neurosurgery, Seth G.S. Medical College, Bombay, Maharashtra.
Correspondence Address:
R R Sharma Dept. of Neurosurgery, Seth G.S. Medical College, Bombay, Maharashtra.
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 0001512726 
Characteristically continuous facial myokymia is a pathognomonic, exceedingly rare physical sign of intrinsic brain-stem lesions e.g. multiple sclerosis (where the myokymia lasts only for a few months), pontine glioma (where it is unremitting for years). The physiopathogenesis is unclear. Electromyographic patterns are characteristic. Therapy and prognosis are related to the basic aetio-pathological process. Only two out of 132 cases of intrinsic brain-stem lesions in the department of Neurosurgery, Seth G.s. Medical College, Bombay over a period of 3 decades, exemplify its rarity. These two cases are reported here and the relevant literature is reviewed.
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