Endovascular treatment of a basilar artery dissecting aneurysm

Author:

Forcelini Cassiano Mateus1,Rotta Francisco Tellechea1,Posenato Naiana1,Rovani Joana Stella1,Crusius Paulo Sérgio1,Mallmann Adroaldo Baseggio1,Seibert Cláudio Albano1,Crusius Marcelo Ughini1,Carazzo Charles1,Crusius Cassiano Ughini1,Goellner Eduardo1,Ragnini Jean1,Wayhs Sâmia Yasin1

Affiliation:

1. Institute of Neurology and Neurosurgery, Brazil

Abstract

Fasciculations are symptoms present in a broad spectrum of conditions, ranging from normal manifestations to motor neuron diseases. They also represent the main picture of benign fasciculation syndrome. We report a case of such syndrome: a 48-years-old woman complaining about fasciculations for three decades who remained with the symptoms even after the compensation of a disclosed hyperthyroidism. The introduction of gabapentin rendered control of her fasciculations. The available data in the literature about the therapeutic approaches for fasciculations are revised, as long as the rare reports of evolution from patients with "benign" fasciculations to cases of amyotrophic lateral sclerosis, underlining the importance of following the patients with fasciculations.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference15 articles.

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2. Fibrillation and fasciculation in voluntary muscle;Denny-Brown D;Brain,1938

3. The origin of fasciculations in motor neuron disease;Wettstein A;Ann Neurol,1979

4. Reduction of fasciculations in patients with amyotrophic lateral sclerosis with the use of gabapentin;Romano JG;Arch Neurol,1996

5. Muscle fasciculation;Richardson AT;Arch Phys Med Rehabil,1954

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