eMedicine Specialties > Neurology > Electromyography and Nerve Conduction Studies

Myokymia: Follow-up

Author: Suying Song, MD, Assistant Professor, Department of Neurology, New York University School of Medicine
Contributor Information and Disclosures

Updated: Oct 6, 2009

Follow-up

Prognosis

Prognosis is related directly to the underlying etiology. Myokymia is reversible with successful treatment of the cause.

Miscellaneous

Medicolegal Pitfalls

  • Keep in mind that myokymia is a clinical manifestation of many medical and neurological conditions. When myokymia is detected, a search for the potential causes needs to be performed based on distribution of the myokymia, associated symptoms and signs, and other factors.
  • Medical treatment with antiepileptic drugs is indicated only for patients with disabling symptoms. The antiepileptics used in myokymia have potentially life-threatening adverse effects. Therefore, clear documentation of the need for treatment and the process of monitoring potential adverse effects is important.
 


More on Myokymia

Overview: Myokymia
Differential Diagnoses & Workup: Myokymia
Treatment & Medication: Myokymia
Follow-up: Myokymia
References
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References

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Further Reading

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Keywords

myokymia, myoclonus fibrillaris multiplex, myokymic discharges, neuromyotonia, Isaacs syndrome, involuntary muscular movement, facial myokymia, focal myokymia, segmental myokymia, generalized myokymia

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Contributor Information and Disclosures

Author

Suying Song, MD, Assistant Professor, Department of Neurology, New York University School of Medicine
Suying Song, MD is a member of the following medical societies: American Academy of Neurology and American Association of Neuromuscular and Electrodiagnostic Medicine
Disclosure: Nothing to disclose.

Medical Editor

Carmel Armon, MD, MSc, MHS, Professor of Neurology, Tufts University School of Medicine; Chief, Division of Neurology, Baystate Medical Center
Carmel Armon, MD, MSc, MHS is a member of the following medical societies: American Academy of Neurology, American Academy of Sleep Medicine, American Association of Neuromuscular and Electrodiagnostic Medicine, American Clinical Neurophysiology Society, American College of Physicians, American Epilepsy Society, American Medical Association, American Neurological Association, American Stroke Association, Massachusetts Medical Society, Movement Disorders Society, and Sigma Xi
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Neil A Busis, MD, Chief, Division of Neurology, Department of Medicine, Head, Clinical Neurophysiology Laboratory, University of Pittsburgh Medical Center-Shadyside
Neil A Busis, MD is a member of the following medical societies: American Academy of Neurology and American Association of Neuromuscular and Electrodiagnostic Medicine
Disclosure: Nothing to disclose.

CME Editor

Selim R Benbadis, MD, Professor, Director of Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, University of South Florida School of Medicine, Tampa General Hospital
Selim R Benbadis, MD is a member of the following medical societies: American Academy of Neurology, American Academy of Sleep Medicine, American Clinical Neurophysiology Society, American Epilepsy Society, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Nicholas Y Lorenzo, MD, Chief Editor, eMedicine Neurology; Consulting Staff, Neurology Specialists and Consultants
Nicholas Y Lorenzo, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Neurology
Disclosure: Nothing to disclose.

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