Lubetzki C, Vidailhet M, Jedynak C P, Thibault S, Mrejen S, Vittecoq D, Chain F
Service de Neurologie et de Neuropsychologie, Hôpital de la Salpêtrière, Paris.
Rev Neurol (Paris). 1994;150(1):70-2.
We report axial myoclonic jerks causing flexion of the trunk, neck, left shoulder, hips and knees in a 28-years-old HIV positive patient. The clinical and electromyographic features of the jerks were consistent with a spinal origin and corresponded to the new concept of propriospinal myoclonus. No structural lesion was identified in this patient. Neurological examination was otherwise normal. HIV specific antibodies were detected in CSF, suggesting central nervous system infection. Spinal myoclonus should be considered an unusual and early manifestation of central nervous system HIV infection.
我们报告了一名28岁的HIV阳性患者出现轴向肌阵挛性抽搐，导致躯干、颈部、左肩、臀部和膝盖屈曲。这些抽搐的临床和肌电图特征与脊髓起源一致，符合脊髓固有肌阵挛的新概念。该患者未发现结构性病变。其他方面的神经系统检查正常。脑脊液中检测到HIV特异性抗体，提示中枢神经系统感染。脊髓肌阵挛应被视为中枢神经系统HIV感染的一种不寻常的早期表现。
