Tiftikcioglu Bedile Irem, Bulbul Ismail, Ozcelik Metin Murat, Piskin-Demir Gonul, Zorlu Yasar
Tepecik Education and Research Hospital, Department of Neurology, Izmir, Turkey.
Tepecik Education and Research Hospital, Department of Radiation Oncology, Izmir, Turkey.
Clin Neurophysiol Pract. 2016 Jun 23;1:41-42. doi: 10.1016/j.cnp.2016.05.002. eCollection 2016.
This case is a patient with tongue myokymia following radiation therapy 12 years earlier, documented using video and EMG.
A 68-year-old woman with a history of nasopharyngeal carcinoma presented with subacute onset of difficulty in speaking and involuntary movements of her tongue approximately 12 years after radiation therapy to head and neck. Electromyography displayed myokymic discharges. There was no evidence of recurrent malignancy.
Delayed effects of radiation therapy might be seen decades later. Myokymic discharges may reveal radiation-induced neuropathy.
该病例为一名12年前接受放射治疗后出现舌肌纤维颤搐的患者，通过视频和肌电图记录。
一名68岁有鼻咽癌病史的女性，在头颈部放射治疗后约12年出现亚急性起病的言语困难和舌头不自主运动。肌电图显示肌纤维颤搐放电。无复发性恶性肿瘤的证据。
放射治疗的延迟效应可能在数十年后出现。肌纤维颤搐放电可能揭示放射诱导的神经病变。
