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Reappraisal of cortical myoclonus: A retrospective study of clinical neurophysiology

Myoclonus is defined as a brief and jerky shock-like involuntary movement caused by abrupt muscle contraction or sudden cessation of ongoing muscular activity. Physiological classification of myoclonus is of both pathophysiological and practical importance given that myoclonus is managed differently according to its presumed generators. Thus, by definition, FIG. 1. MRI findings and clinical findings. (A) Before the first surgery, left foot inversion significantly interfered with walking. (B) An MRI obtained before the second surgery showing a coagulated lesion on the Vo nucleus of the right thalamus. (C) Eight months after the second surgery, left foot inversion completely improved. (D) A postoperative MRI 3 months after the second surgery showing a larger coagulated lesion on the Vo nucleus of the right thalamus. [Color figure can be viewed at wileyonlinelibrary.com]