Latissimus dorsi myoclonus after video assisted thoracoscopic lung volume reduction.
Myoclonus as a sequel to thoracotomy has been reported, and its treatment can be challenging to both the patient and the surgeon. We describe a 43-year-old patient with chest wall pain and latissimus dorsi muscle contractions (myoclonus) after video-assisted thoracoscopic lung volume reduction. His symptoms remained refractory to benzodiazepines, nerve blockage, and botulinum toxin injection due to either poor compliance or lack of response to therapy. These symptoms started to resolve spontaneously 18 months after the procedure.
Aslam
Muhammad I
MI
Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, United Kingdom.
Oey
Inger F
IF
Waller
David A
DA
D000328:Adult; D006801:Humans; D008297:Male; D009207:Myoclonus / Q000175:diagnosis / Q000209:etiology*; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000601:surgery*; D013902:Radiography, Thoracic; D012132:Respiratory Muscles / Q000503:physiopathology*; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects*