Status dissociatus after surgery for tegmental ponto-mesencephalic cavernoma: a state-dependent disorder of motor control during sleep.
After surgery for a tegmental ponto-mesencephalic cavernoma, a patient developed sleep-related excessive fragmentary myoclonus, diffuse myoclonic jerks, simple quasipurposeful movements of the limbs, and rapid eye movement (REM) sleep behaviour disorder as motor features of status dissociatus, a condition in which elements of one state of being (wake, NREM and REM sleep) pathologically intrude into another.
Provini
Federica
F
Department of Neurological Sciences, University of Bologna, Bologna, Italy.
Vetrugno
Roberto
R
Pastorelli
Francesca
F
Lombardi
Carolina
C
Plazzi
Giuseppe
G
Marliani
Anna Federica
AF
Lugaresi
Elio
E
Montagna
Pasquale
P
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000473:pathology / Q000601:surgery*; D002998:Clonazepam / Q000627:therapeutic use; D004213:Dissociative Disorders / Q000209:etiology*; D004569:Electroencephalography; D004576:Electromyography; D006339:Heart Rate / Q000502:physiology; D006392:Hemangioma, Cavernous / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods; D020189:Nocturnal Myoclonus Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D011149:Pons / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D012895:Sleep, REM / Q000502:physiology; D013681:Tegmentum Mesencephali / Q000473:pathology / Q000601:surgery*
D000927:Anticonvulsants; D002998:Clonazepam