[Facial myokymia caused by pontine lesions and central fever in multiple sclerosis--case report].

Abstract

We report on a 35-year old patient with multiple sclerosis (MS) with clinically and electrophysiologically typical facial myokymia, appearing during an acute bout of the disease. Magnetic resonance imaging (MRI) disclosed two new pontine lesions. During a follow-up period of eight months facial myokymia subsided, but five months later central fever with good therapeutic response to carbamazepine developed. In this report we discuss the potential mechanisms of myokymia and central temperature dysregulation in MS.

• Authors: R Gold, L Kappos
• Journal: Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis (Schweiz Rundsch Med Prax) Vol. 80 Issue 47 Pg. 1327-9 (Nov 19 1991) ISSN: 1013-2058 [Print] Switzerland
• Vernacular Title: Faziale Myokymie durch pontine Läsionen und zentrales Fieber bei multipler Sklerose--Kasuistik.
• PMID: 1957099 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Brain (pathology)
• Electromyography
• Facial Muscles
• Fasciculation (complications, etiology)
• Fever (complications)
• Humans
• Magnetic Resonance Imaging
• Male
• Multiple Sclerosis (complications, diagnosis)