Baclofen in the Treatment of Polymyoclonus and Ataxia in a Patient With Homocystinuria
A patient with homocystinuria due to cystathionine β-synthase deficiency developed severe progressive polymyoclonus and ataxia. To our knowledge, this is the first time polymyoclonus and ataxia have been reported in association with homocystinuria. Although cerebrovascular thrombosis is usually thou...
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| Veröffentlicht in: | Journal of child neurology 1995-07, Vol.10 (4), p.294-296 |
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| container_title | Journal of child neurology |
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| creator | Awaad, Yasser Sansaricq, Claude Moroney, Joan Fish, Irving Kyriakakos, Anastassios Snyderman, Selma E. |
| description | A patient with homocystinuria due to cystathionine β-synthase deficiency developed severe progressive polymyoclonus and ataxia. To our knowledge, this is the first time polymyoclonus and ataxia have been reported in association with homocystinuria. Although cerebrovascular thrombosis is usually thought to be responsible for neurologic dysfunction in homocystinuric patients, no infarctions were demonstrated on magnetic resonance imaging scans in our case. We have previously reported that baclofen dramatically improved the polymyoclonus and ataxia in a patient with Unverricht-Lundborg disease. Baclofen given to our patient reversed the polymyoclonus and the ataxia as well. This suggests that patients with polymyoclonus and ataxia, no matter what the etiology, may benefit from the use of baclofen. (J Child Neurol 1995; 10:294-296). |
| doi_str_mv | 10.1177/088307389501000408 |
| format | Article |
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To our knowledge, this is the first time polymyoclonus and ataxia have been reported in association with homocystinuria. Although cerebrovascular thrombosis is usually thought to be responsible for neurologic dysfunction in homocystinuric patients, no infarctions were demonstrated on magnetic resonance imaging scans in our case. We have previously reported that baclofen dramatically improved the polymyoclonus and ataxia in a patient with Unverricht-Lundborg disease. Baclofen given to our patient reversed the polymyoclonus and the ataxia as well. This suggests that patients with polymyoclonus and ataxia, no matter what the etiology, may benefit from the use of baclofen. 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To our knowledge, this is the first time polymyoclonus and ataxia have been reported in association with homocystinuria. Although cerebrovascular thrombosis is usually thought to be responsible for neurologic dysfunction in homocystinuric patients, no infarctions were demonstrated on magnetic resonance imaging scans in our case. We have previously reported that baclofen dramatically improved the polymyoclonus and ataxia in a patient with Unverricht-Lundborg disease. Baclofen given to our patient reversed the polymyoclonus and the ataxia as well. This suggests that patients with polymyoclonus and ataxia, no matter what the etiology, may benefit from the use of baclofen. 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| fulltext | fulltext |
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| ispartof | Journal of child neurology, 1995-07, Vol.10 (4), p.294-296 |
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| subjects | Adult Baclofen - therapeutic use Cystathionine beta-Synthase - deficiency Dose-Response Relationship, Drug Drug Administration Schedule Electromyography - drug effects Homocystinuria - drug therapy Homocystinuria - genetics Humans Male Myoclonus - drug therapy Myoclonus - genetics Neurologic Examination - drug effects Spinocerebellar Degenerations - drug therapy Spinocerebellar Degenerations - genetics |
| title | Baclofen in the Treatment of Polymyoclonus and Ataxia in a Patient With Homocystinuria |
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