Acute Myoclonic Jerk Terminated by A Simple Procedure - A Case Report

Abstract

Myoclonic jerks are brief involuntary twitching of a muscle or a group of muscles. It is a medical sign and not a diagnosis of a disease. It occurs in number of secondary conditions like hepatic failure, renal failure, dyselectrolytaemia, etc in addition to the physiologic, epileptic, essential and psychogenic causes. Myoclonic jerks secondary to uraemia usually occur in the end stage renal failure and is resolved by renal replacement therapy. Here we report a case of uremic myoclonic jerk presented to our emergency department which occurred secondary to obstructive uropathy secondary to neurogenic bladder caused by old traumatic paraparesis and it was resolved by simple and timely intervention by bladder catheterization and it prevented the patient from going into uremic encephalopathy.

Keywords: Neurogenic bladder; Obstructive uropathy; Uraemia.

[Table/Fig-1]:

EEG picture showing brief bursts of high potential spikes and poly spikes from both cerebral hemispheres suggestive of cortical myoclonus.

[Table/Fig-2]:

USG picture showing dilated renal calyces with dilated renal pelvis and proximal ureter in both the kidneys.

[Table/Fig-3]:

Picture showing 400 ml of frank pus in uroflowmeter and in urobag when patient was catheterized with Foleys.

[Table/Fig-4]:

MRI picture showing vertebral fracture at T 11 vertebra.