Focal neuromyotonia: do I love you?

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• 作者：A. R. Gantenbein ; M. Wiederkehr ; C. Meuli-Simmen and G. Schwegler
• 关键词：Focal neuromyotonia ; COPD ; Dupuytren ; EMG ; Neuromyotonic discharges
• 刊名：Journal of Neurology
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：257
• 期：10
• 页码：1727-1729
• 全文大小：225.0 KB

文摘

We present a rare case of focal neuromyotonia in a 73-year-old woman with a follow up of 5 years. The clinical picture showed a fixed contraction of the 3rd and 4th finger of the left hand. Similar to other published cases, our patient suffered from COPD and was treated with beta-2-sympathomimetics. This clinical picture shows a rare but rather salient differential diagnosis of Dupuytren’s contracture. EMG of the affected muscles may yield a diagnosis and prevent the patient from a long and ineffective treatment “odyssey”.