Monsoon Fasciculation - Paralysis Syndrome: Possibly a new Myasthenic Syndrome
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 7
Abstract
Background: Cases of quadriplegia, oculobulbar palsy and fasciculations are reported to two tertiary teaching hospitals of Hyderabad during monsoon season. Objective: To describe the clinical and electrophysiological features of cases of acute quadriplegia with oculobulbar palsy, fasciculations and myokymia reported during monsoon season. Materials and methods: All the patients with presentation of overnight onset rapidly progressive quadriplegia admitted in both teaching hospitals of Hyderabad, over the period of 11 years. All patients were subjected to routine biochemical tests and Electrodiagnostic tests. Patients were treated symptomatically along with invasive ventilator support when required. Results: A total of 97 such patients were identified. The clinical features observed were bilateral ptosis, external ophthalmoplegia, bulbar, facial, masticatory, axial and proximal muscle weakness. There were extensive fasciculations and myokymia. Respiratory insufficiency occurred at nadir of weakness. The electrodiagnostic tests showed normal motor, sensory conduction studies without any decrement on repetitive nerve stimulation tests. Concentric needle EMG showed fasciculation, fibrillation potentials and repetitive discharges with normal interference pattern. All patients made total functional recovery in a week time. Mortality was due to respiratory paralysis and its related complications. Conclusion: These unusual cases with typical clinical and electrophysiological features are not reported in the literature and might constitute “Monsoon Fasciculation - Paralysis Syndrome” possibly a new myasthenic syndrome of unknown etiology.
Authors and Affiliations
Dhairyawan Pokalkar
Keywords
Related Articles
- EP ID EP429265
- DOI -
- Views 157
- Downloads 0
Maternal and perinatal outcome in abruptio placenta – Study at teaching hospital
Background: Obstetric emergencies faced in India are much different from those faced by the western world. Out of them, Abruption leading to hemorrhagic shock is a major obstetric emergency, which requires adequate manag...
Comparative study of serum ferritin level in simple and complex febrile seizures in Government Tirunelveli Medical College
Background: Febrile seizures are one of the common reasons for emergency room visits in pediatric population affecting up to one in twenty children in various parts of the world. Though febrile seizures are commonly beni...
Association between ABO and RhD blood group and gestational hypertensive disorders - A retrospective study
Background: Hypertension is the most common problem facing by pregnant women. Nowadays in developing countries one of the major causes for maternal and fetal mortality is gestational hypertension disorders. Even though m...
Prospective Study on Road Traffic Accident Cases in Sub-urban Region of Chennai, Tamil Nadu State
The present study consists of 100 road traffic injury cases admitted in our tertiary health care centre. In the present study, males victims (84 cases, 84%) outnumbered the females victims (16 cases, 16%) with an approxi...
A clinical study on radiolucent (uric acid) stones in tertiary care centre
Background: Uric acid nephrolithiasis is characteristically a manifestation of a systemic metabolic disorder. It has a prevalence of about 10% among all stone formers, the third most common type of kidney stone. Uric aci...