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Case Reports
. 2012 Jul 30:2012:bcr2012006399.
doi: 10.1136/bcr-2012-006399.

Peripheral (limb) myokymic discharges in motor neuron disease

Javeria Rauf  1 , Junaid Akhtar, Bhojo Assumal Khealani, Liaquat Ali
Affiliations
Case Reports

Peripheral (limb) myokymic discharges in motor neuron disease

Javeria Rauf et al. BMJ Case Rep. .

Abstract

We present the case of a 28-year-old gentleman who presented with weakness and wasting in the right arm. He complained about painful cramps in his left leg but there were no sensory, visual or swallowing problems. Neurological examination was significant for asymmetric weakness of both upper and lower limbs and deep tendon reflexes were asymmetrically brisk. Initial laboratory investigations, MRI brain and MRI spine were normal. Electromyography revealed active denervation and chronic neurogenic motor unit action potential. Myokymic discharges were noted in the left deltoid muscle.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Sensory nerve conduction studies.
Figure 2
Figure 2
Motor nerve conduction studies.
Figure 3
Figure 3
Electromyography.
See this image and copyright information in PMC

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