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  Vol. 47 No. 4, April 1990 TABLE OF CONTENTS
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Facial Myokymia in Syringobulbia

Ghazala Riaz, MD; William W. Campbell, MD; Jeri Carr, MD; Nitya Ghatak, MD

Arch Neurol. 1990;47(4):472-474.


Abstract

• A patient with a 2-year history of progressive ataxia and tingling in the right hand had prominent facial myokymia. Magnetic resonance imaging revealed syringomyelia and syringobulbia. After successful syringosubarachnoid shunting, the patient died of massive pulmonary embolism. Postmortem examination revealed a syrinx involving the spinal cord and lower half of the medulla; neither the facial nucleus nor facial nerve fibers were directly involved. We hypothesize that interruption of aberrant corticobulbar fibers in the medulla produced dysinhibition of a rhythmic neural generator in the facial nucleus.



Author Affiliations

From the Department of Neurology, St Louis (Mo) University Medical Center (Dr Riaz), and the Departments of Neurology (Drs Campbell and Carr) and Neuropathology (Dr Ghatak), Medical College of Virginia, Richmond.


Footnotes

Accepted for publication September 29, 1989.

Reprint requests to Neurology (127), McGuire Veterans Administration Medical Center, 1201 Broad Rock Rd, Richmond, VA 23249 (Dr Campbell).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rostral Slit-Like Extension of Holochord Syringomyelic Cavity: Childhood-Onset Case and Review of Literature
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J Child Neurol 1997;12:515-518.
 

Topical Review: Pediatric Syringomyelia
Gower et al.
J Child Neurol 1994;9:14-21.
ABSTRACT  





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