Extreme startle and photomyoclonic response in severe hypocalcaemia

Marcello Moccia; Roberto Erro; Elvira Nicolella; Pasquale Striano; Salvatore Striano

doi:10.1684/epd.2014.0638

Extreme startle and photomyoclonic response in severe hypocalcaemia

Marcello Moccia, Roberto Erro, Elvira Nicolella, Pasquale Striano, Salvatore Striano

Istituto "Giannina Gaslini"

Research output: Contribution to journal › Article › peer-review

Abstract

We report the case of 62-year-old woman referred to our department because of a clinical suspicion of tonic-clonic seizures. Clinical examination revealed an exaggerated startle reflex, EEG showed a photomyoclonic response, and blood tests indicated severe hypocalcaemia. Additional clinical data, treatment strategies, and long-term follow-up visits were reported. The present report discusses the difficulties in distinguishing between epileptic and non-epileptic startles, and shows, for the first time, exaggerated startle reflex and extreme photomyoclonic response due to severe hypocalcaemia.

Original language	English
Pages (from-to)	84-87
Number of pages	4
Journal	Epileptic Disorders
Volume	16
Issue number	1
DOIs	https://doi.org/10.1684/epd.2014.0638
Publication status	Published - 2014

Keywords

Hypocalcemia
Photomyoclonic response
Serum electrolyte
Startle

ASJC Scopus subject areas

Clinical Neurology
Neurology

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AU - Striano, Salvatore

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AB - We report the case of 62-year-old woman referred to our department because of a clinical suspicion of tonic-clonic seizures. Clinical examination revealed an exaggerated startle reflex, EEG showed a photomyoclonic response, and blood tests indicated severe hypocalcaemia. Additional clinical data, treatment strategies, and long-term follow-up visits were reported. The present report discusses the difficulties in distinguishing between epileptic and non-epileptic startles, and shows, for the first time, exaggerated startle reflex and extreme photomyoclonic response due to severe hypocalcaemia.

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KW - Serum electrolyte

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Extreme startle and photomyoclonic response in severe hypocalcaemia

Abstract

Keywords

ASJC Scopus subject areas

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