A CASE OF CONTINUOUS PAINFUL MUSCULAR RIGIDITY IN THE EXTREMITIES AND TRUNK

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Other Title
  • 四肢, 躯幹の持続性, 有痛性筋硬直を伴う1例
  • シシ クカン ノ ジゾクセイ ユウツウセイ キン コウチョク オ トモナウ 1
  • THE STIFF-MAN SYNDROME OR ISAACS SYNDROME ?
  • Stiff-Man症候群か, Isaacs症候群か

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Description

A 33-year-old man who suffered from continuous painful muscular rigidity in the extremities and trunk was reported. Other clinical symptoms were finger tremor, involuntary movement in the extremities, gait disturbance and insomnia.<BR>He had abused methamphetamin and suffered from the transient hallucination and paranoid state.<BR>First he remarked paresthesia and muscular pain in his neck, shoulder and left upper arm. Afterward he suffered from continuous painful muscular rigidity in the extremities and trunk and was admitted to the hospital.<BR>There was no abnormal laboratory findings in particular.<BR>Chlorpromazine, levomepromazine, diazepam, active vitamin B1, B12 and trihexyphenidyl had no effect on his sickness. When we gave him carbamazepine 600mg per day, it was very effective. His complains disappeared within two weeks.<BR>Regarding about the diagnosis, the stiff-man syndrome and Isaacs syndrome were discussed.

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