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Spasms of amputation stumps.

J Kulisevsky1, J Martí-Fàbregas, J M Grau

  • 1Hospital de la Santa Creu i Sant Pau, Department of Neurology, Spain.

Journal of Neurology, Neurosurgery, and Psychiatry
|July 1, 1992
PubMed
Summary
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Muscle spasms in amputation stumps can occur without pain. One patient experienced long-term spasms, while another recovered spontaneously, highlighting the need to consider natural recovery when evaluating treatments.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Amputee Care

Background:

  • Muscle spasms in amputation stumps are often associated with neuropathic pain and phantom sensations.
  • Reported cases typically involve severe pain and resistance to treatment.

Observation:

  • This report details two cases of stump muscle spasms without associated neuropathic pain or phantom sensations.
  • One patient, a 75-year-old male, presented with persistent myoclonic activity for over two years.
  • A 79-year-old female patient experienced spontaneous recovery within three months, remaining symptom-free at one-year follow-up.

Findings:

  • The absence of pain and phantom sensations in these cases challenges typical presentations.
  • Spontaneous remission of stump myoclonus is possible and can occur without intervention.

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  • The duration of symptoms varied significantly between the two patients.

    • Implications:

    • These findings suggest that stump myoclonus may not always be linked to pain or require aggressive treatment.
    • The possibility of spontaneous recovery should be considered when assessing treatment efficacy for stump muscle spasms.
    • Further research is needed to understand the diverse etiologies and prognoses of post-amputation stump myoclonus.