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[Muscular spasms associated with a reflex sympathetic dystrophy]
M A Tola1, J M Gutiérrez, O Llamazares
1Servicio de Neurologia, Hospital Clínico Universitario, Valladolid, España.
Revista De Neurologia
|October 1, 1996
Summary
Involuntary movements like muscle spasms can occur in reflex sympathetic dystrophy (RSD). This case suggests a central origin for these rare RSD complications, improving with benzodiazepine treatment.
Area of Science:
- Neurology
- Pain Management
- Movement Disorders
Background:
- Reflex sympathetic dystrophy (RSD) is a rare disorder characterized by involuntary movements.
- Movement abnormalities in RSD, including spasms and dystonia, are uncommon and poorly understood.
- RSD typically affects young women, often in the lower limbs, and is usually secondary to trauma.
Observation:
- A 62-year-old woman presented with bilateral leg and foot muscle spasms.
- These spasms were a complication of spontaneously developing reflex sympathetic dystrophy.
- Electromyography revealed continuous, non-rhythmic discharges in the anterior tibial muscles.
Findings:
- The patient experienced symptomatic improvement with benzodiazepine treatment.
- The clinical presentation and response to treatment suggest a central nervous system origin.
- Continuous non-rhythmic electromyographic discharges indicate abnormal neuromuscular activity.
Implications:
- This case highlights a rare presentation of reflex sympathetic dystrophy with involuntary movements.
- The findings suggest that central mechanisms may underlie some movement disorders in RSD.
- Benzodiazepines may be a viable treatment option for these specific RSD complications.