A movement disorder specialist gets a taste of his own medicine

Jay A van Gerpen; Erik H Middlebrooks; Philip W Tipton

doi:10.1016/j.parkreldis.2020.10.007

A movement disorder specialist gets a taste of his own medicine

Parkinsonism Relat Disord. 2020 Dec:81:18-19. doi: 10.1016/j.parkreldis.2020.10.007. Epub 2020 Oct 6.

Authors

Jay A van Gerpen¹, Erik H Middlebrooks², Philip W Tipton³

Affiliations

¹ Department of Neurology, University of Alabama at Birmingham, Birmingham, AL, USA.
² Department of Radiology, Mayo Clinic, Jacksonville, FL, USA.
³ Department of Neurology, Mayo Clinic, Rochester, MN, USA. Electronic address: tipton.philip@mayo.edu.

PMID: 33035801
DOI: 10.1016/j.parkreldis.2020.10.007

Abstract

We present a case in which a movement disorder neurologist developed two different hyperkinetic movements due to corticospinal tract hyperexcitability, which resolved completely with surgical removal of an epidural spinal canal tumor. The first-hand description of these movements creates a unique opportunity for enhanced insight into these complex movement phenomena.

Keywords: Hyperkinesia; Lhermitte's phenomenon; Spinal flexor spasm; Truncal clonus.

Publication types

Case Reports
Letter

MeSH terms

Decompression, Surgical
Epidural Neoplasms / complications*
Epidural Neoplasms / diagnostic imaging
Epidural Neoplasms / pathology
Epidural Neoplasms / surgery
Humans
Hyperkinesis / etiology*
Hyperkinesis / physiopathology
Lymphoma, Large B-Cell, Diffuse / complications*
Lymphoma, Large B-Cell, Diffuse / diagnostic imaging
Lymphoma, Large B-Cell, Diffuse / pathology
Lymphoma, Large B-Cell, Diffuse / surgery
Male
Middle Aged
Myoclonus / etiology*
Myoclonus / physiopathology
Neurosurgical Procedures
Reflex, Abnormal
Reflex, Startle
Spasm / etiology*
Spasm / physiopathology
Spinal Cord Compression / diagnostic imaging
Spinal Cord Compression / etiology*
Spinal Cord Compression / physiopathology
Spinal Cord Compression / surgery
Thoracic Vertebrae