title: Neonatal segmental myoclonus associated with hyperglycorrhachia.
abstract: Segmental or spinal myoclonus is an uncommon involuntary movement in infancy which has been attributed to sepsis, degenerative and developmental diseases of the spinal cord, birth trauma, and sclerosing panencephalitis. A premature infant presenting with segmental myoclonus associated with extreme hyperglycorrhachia secondary to the administration of parenteral nutrition through a femoral percutaneous indwelling central catheter that had inadvertently migrated into a paravertebral vein is reported. We recommend a lateral abdominal radiograph in addition to the usual anteroposterior view to confirm the correct placement of femoral catheters.
authors.affiliation: Division of Neonatal-Perinatal Medicine, Eastern Virginia Medical School, Norfolk, USA.
authors.forename: W T
authors.initials: WT
authors.lastname: Bass
authors.forename: D W
authors.initials: DW
authors.lastname: Lewis
mesh_terms: D001786:Blood Glucose / Q000378:metabolism*; D002408:Catheters, Indwelling; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000134:cerebrospinal fluid* / Q000175:diagnosis; D008297:Male; D009207:Myoclonus / Q000134:cerebrospinal fluid* / Q000175:diagnosis; D009460:Neurologic Examination; D010289:Parenteral Nutrition, Total / Q000009:adverse effects* / Q000295:instrumentation; D013116:Spinal Cord / Q000098:blood supply; D014680:Veins
chemical_list: D001786:Blood Glucose