Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Neurological Medicine
Volume 2017, Article ID 2580620, 3 pages
https://doi.org/10.1155/2017/2580620
Case Report

Difficult to Treat Focal, Stiff Person Syndrome of the Left Upper Extremity

1University of Central Florida College of Medicine, 6850 Lake Nona Boulevard, Orlando, FL 32827, USA
2Department of Internal Medicine, Orlando VA Medical Center, 13800 Veterans Way, Orlando, FL 32827, USA

Correspondence should be addressed to Nathan E. Esplin; moc.liamg@nilpsen

Received 1 July 2017; Revised 17 September 2017; Accepted 12 October 2017; Published 25 October 2017

Academic Editor: Pablo Mir

Copyright © 2017 Nathan E. Esplin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. F. P. Moersch and H. W. Woltman, “Progressive fluctuating muscular rigidity and spasm ("stiff-man" syndrome); report of a case and some observations in 13 other cases,” Mayo Clinic Proceedings, vol. 31, no. 15, pp. 421–427, 1956. View at Google Scholar · View at Scopus
  2. H. Sarva, A. Deik, A. Ullah, and W. L. Severt, “Clinical spectrum of stiff person syndrome: a review of recent reports,” Tremor and Other Hyperkinetic Movements, vol. 6, article 340, 2016. View at Google Scholar
  3. F. Ali, M. Rowley, B. Jayakrishnan, S. Teuber, M. E. Gershwin, and I. R. Mackay, “Stiff-person syndrome (SPS) and anti-GAD-related CNS degenerations: protean additions to the autoimmune central neuropathies,” Journal of Autoimmunity, vol. 37, no. 2, pp. 79–87, 2011. View at Publisher · View at Google Scholar · View at Scopus
  4. B. B. Murinson, “Stiff-person syndrome,” The Neurologist, vol. 10, no. 3, pp. 131–137, 2004. View at Publisher · View at Google Scholar · View at Scopus
  5. M. E. Duddy and M. R. Baker, “Stiff person syndrome,” Front Neurol Neurosci, vol. 26, pp. 147–165, 2009. View at Google Scholar
  6. G. Rakocevic and M. K. Floeter, “Autoimmune stiff person syndrome and related myelopathies: understanding of electrophysiological and immunological processes,” Muscle & Nerve, vol. 45, no. 5, pp. 623–634, 2012. View at Publisher · View at Google Scholar · View at Scopus
  7. J. M. Cassavaugh and T. M. Oravitz, “Multiple anesthetics for a patient with stiff-person syndrome,” Journal of Clinical Anesthesia, vol. 31, pp. 197–199, 2016. View at Publisher · View at Google Scholar · View at Scopus
  8. L. Cohen, “Stiff-man syndrome: two patients treated with diazepam,” Journal of the American Medical Association, vol. 195, no. 3, pp. 222–224, 1966. View at Publisher · View at Google Scholar · View at Scopus
  9. A. B. Bhatti and Z. A. Gazali, “Recent advances and review on treatment of stiff person syndrome in adults and pediatric patients,” Cureus, vol. 7, no. 12, article e427, 2015. View at Publisher · View at Google Scholar
  10. E. Anagnostou and T. Zambelis, “Botulinum toxin A in anti-GAD-positive stiff-limb syndrome,” Muscle & Nerve, vol. 46, no. 3, pp. 457-458, 2012. View at Publisher · View at Google Scholar · View at Scopus
  11. A. Szczepanska-Szerej, M. Kulka, J. Wojczal, and Z. Stelmasiak, “Botulinum toxin A in the treatment of stiff man syndrome,” Neurologia i Neurochirurgia Polska, vol. 37, supplement 5, pp. 175–181, 2003. View at Google Scholar
  12. M. C. Dalakas, G. Rakocevic, J. M. Dambrosia, H. Alexopoulos, and B. McElroy, “A double-blind, placebo-controlled study of rituximab in patients with stiff person syndrome,” Annals of Neurology, vol. 82, no. 2, pp. 271–277, 2017. View at Publisher · View at Google Scholar
  13. J. F. Baizabal-Carvallo and J. Jankovic, “Stiff-person syndrome: insights into a complex autoimmune disorder,” Journal of Neurology, Neurosurgery & Psychiatry, vol. 86, no. 8, pp. 840–848, 2015. View at Publisher · View at Google Scholar
  14. R. A. Barker, T. Revesz, M. Thom, C. D. Marsden, and P. Brown, “Review of 23 patients affected by the stiff man syndrome: clinical subdivision into stiff trunk (man) syndrome, stiff limb syndrome, and progressive encephalomyelitis with rigidity,” Journal of Neurology, Neurosurgery & Psychiatry, vol. 65, no. 5, pp. 633–640, 1998. View at Publisher · View at Google Scholar · View at Scopus
  15. S. Badzek, V. Miletic, J. Prejac et al., “Paraneoplastic stiff person syndrome associated with colon cancer misdiagnosed as idiopathic Parkinson's disease worsened after capecitabine therapy,” World Journal of Surgical Oncology, vol. 11, article 224, 2013. View at Publisher · View at Google Scholar · View at Scopus