Bilateral Facial Myokymia Following Cardiopulmonary Arrest

Publisher Website
Google Scholar
Abstract
Facial myokymia is an uncommon disorder in which continuous, involuntary, undulating movements of the facial muscles are present. It is usually unilateral and most frequently is associated with multiple sclerosis or tumors of the pons. This communication describes bilateral facial myokymia appearing shortly after cardiopulmonary arrest. Typical electromyographic (EMG) changes of myokymia were recorded. REPORT OF A CASE A 67-year-old woman suddenly collapsed in her apartment. A witness described her as being totally unresponsive and without pulse or respirations. After a delay of at least 15 minutes, cardiopulmonary resuscitation was instituted. An ECG at the scene demonstrated asystole. The patient was intubated and given epinephrine hydrochloride, atropine sulfate, gluconate calcium, and sodium bicarbonate. A sinus rhythm developed and she was transported to the hospital. She was hypotensive but became normotensive after a continuous infusion of dopamine hydrochloride. Initial arterial blood gas determinations demonstrated a pH of 7.12, Pco2

This publication has 5 references indexed in Scilit: