Annals of Indian Academy of Neurology
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Oculo-facio-skeletal myorrhythmia following ponto-mesencephalic hemorrhage

 Department of Neurology, Aster Medcity, Kochi, Kerala, India

Correspondence Address:
Boby V Maramattom,
Department of Neurology, Aster Medcity, Kothad, Kochi, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.aian_178_22

Introduction: There are a number of brainstem-generated movement disorders. Among these, some peculiar brainstem “oscillator” or pacemaker-generated rhythmic disorders exist. A rare, but classical brainstem movement disorder is myorrhythmia or oculo-facio-skeletal myorrhythmia (OFSM). We present an unusual case of myorrhythmia following brainstem hemorrhage. Case Report: A 56-year-old man presented with almost complete ophthalmoplegia and mild quadriparesis. CT brain showed a left ponto-mesencephalic hemorrhage. Upon follow-up, the patient was diagnosed with OFSM. Discussion: We review the various rhythmic brainstem-generated movement disorders with an emphasis on the possible regions where OFSM can arise.

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