Video Abstracts

Facio-Oculo-Palatal Myoclonus Complicated by a Recurrent Brainstem Stroke

Authors:

Abstract

Background: A 54-year-old Thai male who has suffered from multiple episodes of ischemic and hemorrhagic strokes developed facio-oculo-palatal myoclonus (FOPM) 1 month after the latest episode of the brainstem stroke.

Phenomenology Shown: The patient presented with semirhythmic, involuntary, horizontal jerky, and rotatory ocular oscillation concomitant with asymmetrical palatal and perioral myoclonus consistent with FOPM.

Educational value: FOPM is a useful clinical clue for diagnosing brainstem lesions, specifically in the Guillain–Mollaret triangle. The commonest etiology is cerebrovascular diseases.

Keywords:

Cerebrovascular diseases/strokepalatal tremorfacio-oculo-palatal myoclonusbrainstem infarctionGuillain–Mollaret triangle
  • Year: 2019
  • Volume: 9
  • DOI: 10.5334/tohm.519
  • Submitted on 6 Mar 2019
  • Accepted on 14 Jun 2019
  • Published on 31 Jul 2019
  • Peer Reviewed