A Case of Spinal Myoclonus Associated with Acute Intermittent ?Porphyria

J Korean Neurol Assoc > Volume 5(1); 1987 > Article

Journal of the Korean Neurological Association 1987;5(1): 89-93.

급성 간헐성 포르피리아증에서 나타난 척수성 간대성 근경련 1례

안광병, 위봉애

충남대학교 신경과.

A Case of Spinal Myoclonus Associated with Acute Intermittent ?Porphyria

Gwang-Byeng Ahn, M.D., Bong-Ae Wie, M.D.

Department of Neurology, College of Medicine, Chungnam National University

Abstract

A case of acute intermittent porphyria associated with intermittent attacks of spinal myoclonus in the neck and both shoulders is reported. The patient, a 19-year-old male had also presented with attacks of intermittent left arm monoparesis and passed port-wine clored urine that was responsible for positive Watson-Schwartz reaction, about 5 weeks after taking medication including haloperidol, phenobarbital, trihexyphenidyl hydrochloride and clonazepam for the treatment of myoclonus and concomitantly complained abdominal pain and mental symptoms with the recurrence of left arm monoparesis. Each attacks of spinal myoclonus and monoparesis recovered completely.