General anesthesia treatment of propriospinal myoclonus in a patient with fibrodysplasia ossificans progressiva.

A A Case Rep

From the *Department of Anesthesia, Division of Pediatric Anesthesia, Stanford University School of Medicine, Stanford; Departments of †Pediatrics and ‡Neurology, and §Department of Anesthesia, University of California San Francisco, San Francisco, California.

Published: July 2014

Fibrodysplasia ossificans progressiva, a rare and severely disabling genetic condition, is characterized clinically by progressive ossification of skeletal muscle and connective tissue and congenital malformations of the great toes. Recurrent episodes of heterotopic ossification (flare-ups) lead to increasing loss of mobility as joints become progressively affected. We report the case of a young woman with fibrodysplasia ossificans progressiva who had recurrent, debilitating myoclonus that was refractory to conventional therapies but was relieved for prolonged periods after general anesthesia was administered.

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http://dx.doi.org/10.1213/XAA.0000000000000037DOI Listing

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