[Rare cause of myoclonus with giant SEP's: methyl bromide poisoning. Apropos of a case with unilateral predominance].
Giant and asymmetric SEPs were recorded in a patient with predominantly unilateral, spontaneous and intention myoclonus due to voluntary intoxication with methyl bromide as soon as day 3 after intoxication. The N10 Erb's point potential, cervical N13 and scalp recorded P15 potentials were found to be normal in latency, morphology and amplitude. The somesthetic informations could be considered as normally processed up to the subcortical levels of the somatosensory pathways. The parietal cortical potentials N20 and P25 and the frontal cortical potentials P22 and N30, contralateral to myoclonus, were abnormally large. This suggests that myoclonus could be related with an abnormal reactivity of somatomotor and somatosensory cortices to the afferent volleys triggered by voluntary movements. The prerolandic components P22 and N30 were found to be relatively more enhanced than the parietal N20 and P15.
D002540:Cerebral Cortex / Q000503:physiopathology*; D005073:Evoked Potentials, Somatosensory; D006801:Humans; D006842:Hydrocarbons, Brominated / Q000506:poisoning*; D008297:Male; D008475:Median Nerve / Q000503:physiopathology; D008875:Middle Aged; D009207:Myoclonus / Q000139:chemically induced* / Q000503:physiopathology; D009431:Neural Conduction; D010296:Parietal Lobe / Q000503:physiopathology
D006842:Hydrocarbons, Brominated; C005218:methyl bromide
Une cause rare de myoclonies avec pes 'géants': l'intoxication au bromure de méthyle. A propos d'une observation à prédominance unilatérale.