{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T22:31:21Z","timestamp":1775082681100,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,11,4]],"date-time":"2004-11-04T00:00:00Z","timestamp":1099526400000},"content-version":"vor","delay-in-days":2986,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[1996,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Observations of rhythmic or semirhythmic myoclonus due to a peripheral nerve lesion are exceptional. We report on a patient with thorax trauma with multiple bilateral hematomas of the paravertebral musculature. Eight years later he developed rhythmic myoclonus of both trapezius muscles and thoracic pain. Infiltration of a paramedially located scar at the level of D5\u20136 with a local anesthetic agent led to an intermittent relief of the myoclonus as did anesthetic blockade of the left accessory nerve. Surgical excision of the scar, which contained multiple dystrophic axons on histological examination, cured the patient's symptoms as illustrated in a videotape. This indicates that peripheral afferents contributed to the myoclonus. Ephaptic transmission, ectopic excitation, or misdirected neuronal sprouting secondary to the trauma are possible peripheral mechanisms responsible for the movement disorder. Successful blockade of the left accessory nerve with bilateral relief of the symptoms suggests a secondary, more centrally located mechanism, e.g., in the brain stem, probably driven by an altered afferent input. It is concluded that rhythmic or semirhythmic and focal myoclonus need a careful workup to look for a peripheral cause because such a condition would be accessible for surgical treatment.<\/jats:p>","DOI":"10.1002\/mds.870110514","type":"journal-article","created":{"date-parts":[[2004,12,31]],"date-time":"2004-12-31T09:47:09Z","timestamp":1104486429000},"page":"571-575","source":"Crossref","is-referenced-by-count":19,"title":["Bilateral myoclonus of the trapezius muscles after distal lesion of an accessory nerve"],"prefix":"10.1002","volume":"11","author":[{"given":"Franz X.","family":"Glocker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnther","family":"Deuschl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Volk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Hasse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl H.","family":"L\u00fccking","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,11,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.48.6.582"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/111.5.1235"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1984.04050190108026"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.44.10.884"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1991.00530240051018"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0014-4886(62)90024-9"},{"key":"e_1_2_1_8_2","volume-title":"Myoclonus","author":"Fahn S","year":"1986"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(76)90003-2"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/91.1.75"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.40.3.253"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/90.2.241"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.27.10.942"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1980.00500560081014"},{"key":"e_1_2_1_15_2","first-page":"78","article-title":"Special types of spontaneous electrical activity in radiogenic nerve injuries","volume":"5","author":"Stoehr M","year":"1982","journal-title":"Muscle Nerve"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-196212000-00003"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.37.10.1112"},{"key":"e_1_2_1_18_2","volume-title":"La section totale de la moelle dorsale. Bourges","author":"Lhermitte J","year":"1919"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1967.00470300071012"},{"key":"e_1_2_1_20_2","first-page":"196","volume-title":"Movement disorders","author":"Marsden C","year":"1982"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.288.6412.173"},{"key":"e_1_2_1_22_2","first-page":"343","article-title":"Klinische und neurophysiologische Untersuchung eines ungew\u00f6hnlichen myoklonischen Syndroms","volume":"196","author":"Meier\u2010Ewert K","year":"1969","journal-title":"Dtsch Z Nervenheilkunde"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0014-4886(87)90076-8"},{"key":"e_1_2_1_24_2","first-page":"932","article-title":"Automatisme moteur et continu apres lesion d'un nerf peripherique","volume":"81","author":"Patrikios J","year":"1949","journal-title":"Rev Neurol (Paris)"},{"key":"e_1_2_1_25_2","first-page":"191","article-title":"Myoclonies rhythm\u00e9es du quadriceps en relation avec un envahissement sarcomateux du nerf crural","volume":"133","author":"Said G","year":"1977","journal-title":"Rev Neurol (Paris)"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.48.4.384"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.34.4.418"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1159\/000114935"},{"key":"e_1_2_1_29_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.34.8.1108"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.44.4.344"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.40.1.57"},{"key":"e_1_2_1_32_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.35.3.432"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.51.12.1512"},{"key":"e_1_2_1_34_2","first-page":"275","volume-title":"Myoclonus, 43","author":"Silverski\u00f6ld B","year":"1986"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.870110514","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.870110514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:39:51Z","timestamp":1760953191000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.870110514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,9]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1996,9]]}},"alternative-id":["10.1002\/mds.870110514"],"URL":"https:\/\/doi.org\/10.1002\/mds.870110514","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,9]]}}}