Minipolymyoclonus revealing Hirayama disease

Elsevier

Available online 10 April 2024

Revue NeurologiqueAuthor links open overlay panel, Section snippetsDiscussion

In his 1963 paper, Hirayama described tremorlike movement of fingers, often observed at rest in the thumb, index and little finger. Our patients presented the same involuntary movements consistent with minipolymyoclonus.

In terms of pathophysiology, minipolymyoclonus may be the reflect of anterior horn cells disruption manifesting with frequent fasciculations [1]. Growth spurts occurring in puberty with disproportional vertebral growth outrunning the cord may lead to tightness of the dura.

Disclosure of interest

The authors declare that they have no competing interest.

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