Clinical Reasoning: Myokymia, Dysautonomia, and Uveitis Researching a Common Denominator

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Clinical Reasoning: Myokymia, Dysautonomia, and Uveitis Researching a Common Denominator

Authors
  • Mikhail M1
  • Maurice C
  • Pencer Brain Tumor Centre, Princess Marg...
Type
Published Article
Journal
Asploro Journal of Biomedical and Clinical Case Reports
Publisher
Asploro Open Access Publications
Publication Date
Jan 06, 2020
Volume
3
Issue
1
Pages
22–24
Identifiers
DOI: 10.36502/2020/asjbccr.6180
Source
MyScienceWork
Keywords
License
Green

Abstract

A 56-year old man, originally from Pakistan, presented with bilateral avascular necrosis of the hips on a background of emphysema, pulmonary fibrosis, coronary artery disease, diabetes type 2 and psoriasis. The cause of the avascular necrosis was unclear, with no recent trauma or steroid use. During his preoperative consultation, he presented dysautonomia requiring an inpatient investigation; the surgery was canceled. He reported a thirty-pound weight loss and a three-week history of night sweats and shortness of breath. While hospitalized, this gentleman presented subacute confusion and fluctuation of his sensorium, compatible with limbic encephalitis. Furthermore, he developed diffuse myokymia involving the axial and appendicular musculature, confirmed by EMG.

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