Painful tonic/dystonic spasms in Sjogren's syndrome

Mov Disord. 1999 Sep;14(5):860-4. doi: 10.1002/1531-8257(199909)14:5<860::aid-mds1024>3.0.co;2-8.

Abstract

Three patients with Sjogren's syndrome are presented in whom frequent tonic/dystonic spasms of the limbs developed during the course of the illness. These patients' clinical findings suggested spinal cord involvement, a localization that was confirmed by magnetic resonance imaging in two patients. In one patient the painful movements responded to treatment with phenytoin and in one other to baclofen. Sjogren's syndrome should be considered in the differential diagnosis of conditions that produce tonic/dystonic limb spasms.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / therapeutic use
  • Antibodies, Antinuclear / immunology
  • Arm
  • Dystonic Disorders / complications*
  • Dystonic Disorders / diagnosis*
  • Epilepsy, Generalized / complications*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Muscular Diseases / complications*
  • Muscular Diseases / diagnosis
  • Pain / diagnosis
  • Pain / etiology*
  • Pain Measurement
  • Prednisone / therapeutic use
  • Sjogren's Syndrome / complications*
  • Sjogren's Syndrome / diagnosis
  • Sjogren's Syndrome / drug therapy
  • Spasm / complications*
  • Spasm / diagnosis
  • Spinal Cord Ischemia / pathology*

Substances

  • Anti-Inflammatory Agents
  • Antibodies, Antinuclear
  • Prednisone