Misleading bilateral blink reflex loss in a severe tetanus case.
Tetanus is rare and often forgotten in the diagnostic workup. The diagnosis is mainly based on typical clinical symptoms, because of missing sensitive paraclinical test. As described in our case, a missing bilateral blink reflex may occur in severe tetanus, which should not lead to the rejection of the diagnosis.
Department of Neurology University Hospital Regensburg Regensburg Germany.
Bernhard
B
Neumann
Department of Neurology University Hospital Regensburg Regensburg Germany.
Wilhelm
W
Schulte-Mattler
Department of Neurology University Hospital Regensburg Regensburg Germany.
Kornelius
K
Fuchs
Private Practice Mallersdorf Germany.
Ruth
R
Zellner
Department of Neurology University Hospital Regensburg Regensburg Germany.
Sandra
S
Boy
Department of Neurology University Hospital Regensburg Regensburg Germany.
Klemens
K
Angstwurm
Blink reflex; magnesium sulfate; masseter inhibitory reflex; neurophysiology; silent period; tetanus