A case of cerebral Whipple's disease initially presenting with isolated focal myoclonus.
Neurological manifestations in Whipple's disease are highly variable and tend to occur at later stages of the disease. However, isolated, focal neurological symptoms are reported to be rare. Here we describe the successful treatment of a case of cerebral Whipple's disease initially presenting solely with isolated myoclonic jerks of the left hand and forearm evolving to a segmental myoclonus at a later stage. Additionally, we present - to our knowledge - a novel treatment by administration of immunomodulatory therapy (IVIg) in addition to established antibiotics.
Henning
S
S
Department of Clinical Neurophysiology, Georg-August University, Göttingen, Germany. henning@medizin.uni-goettingen.de
Tings
T
T
Schmidt
H
H
Tergau
F
F
Wolf
S
S
Scholz
K
K
Knauth
M
M
Buchner
H
H
Gold
R
R
Paulus
W
W
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005542:Forearm / Q000503:physiopathology; D006225:Hand / Q000503:physiopathology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009207:Myoclonus / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology*; D008061:Whipple Disease / Q000150:complications / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology*
D000900:Anti-Bacterial Agents; D016756:Immunoglobulins, Intravenous