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Infection, intramedullary and extramedullary space-occupying lesions, trauma, vascular abnormalities, degenerative processes and cervical spondylosis have been implicated with the disease, the latter been associated with cervical stenosis with no reported cases linking it to an underlying cervical disc herniation. Although medical therapy with clonazepam, levetiracetam, valproate, tetrabenazine hydrochloride and spinal block injections has been equivocal, spinal myoclonus secondary to disc herniation requires surgical intervention. This report describes a case of segmental spinal myoclonus, secondary to a herniated cervical intervertebral disc. After corpectomy and a cage-augmented fusion technique, the myoclonic symptoms resolved. To our knowledge, this was the first report to describe the successful management of discogenic spinal myoclonus with spinal surgery.<\/jats:p>","DOI":"10.1136\/bcr-2018-225455","type":"journal-article","created":{"date-parts":[[2018,7,30]],"date-time":"2018-07-30T09:20:17Z","timestamp":1532942417000},"page":"bcr-2018-225455","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Spinal myoclonus: a rare presentation of cervical myelopathy"],"prefix":"10.1136","volume":"2018","author":[{"given":"Ioannis","family":"Christodoulides","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Giamouriadis","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Bashford","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Barkas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,7,30]]},"reference":[{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.1","first-page":"431","article-title":"Psychogenic dystonia","volume":"50","author":"Fahn","year":"1988","journal-title":"Adv Neurol"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.1179"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.3","first-page":"197","article-title":"Axial myoclonus of propriospinal origin","volume":"114","author":"Brown","year":"1991","journal-title":"Brain"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.4","first-page":"18","article-title":"Spinal myoclonus following a peripheral nerve injury: a case report","volume":"3","author":"Savrun","year":"2008","journal-title":"J Brachial Plex Peripher Nerve Inj"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.5","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s40734-015-0028-1","article-title":"Spinal-generated movement disorders: a clinical review","volume":"2","author":"Termsarasab","year":"2015","journal-title":"J Clin Mov Disord"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(04)00880-4"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.7","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1212\/WNL.27.10.942","article-title":"Spinal myoclonus","volume":"27","author":"Hoehn","year":"1977","journal-title":"Neurology"},{"key":"2025082804484608000_2018.jul27_1.bcr-2018-225455.8","doi-asserted-by":"crossref","unstructured":"Caviness JN . 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