Journal of Postgraduate Medicine
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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.

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.

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Source of Support: None, Conflict of Interest: None

PMID: 0001512726

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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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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow