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Stephen Levinson, MD; Rinaldo F. Canalis, MD; Harold J. Kaplan, MD

Arch Otolaryngol. 1976;102(3):185-187.

Abstract
• Pseudomyotonia is a syndrome characterized by progressive muscle stiffness, weakness, myokymia, hyperhydrosis, and wasting of muscle. It especially affects the distal aspect of the extremities. The electromyogram is characteristic, and shows continuous muscle activity at rest. We discuss a case that is believed to be the first recorded instance of pseudomyotonia complicated by airway obstruction secondary to laryngeal spasm. Treatment with phenytoin sodium resulted in rapid improvement of the peripheral symptoms and simultaneous resolution of the laryngeal spasm.

(Arch Otolaryngol 102:185-187, 1976)

Author Affiliations
From the Division of Head and Neck Surgery, Department of Surgery, Harbor General Hospital, Torrance, Calif, and the UCLA Center for the Health Sciences, Los Angeles.

Footnotes
Accepted for publication Oct 6, 1975.

Reprint requests to the Division of Head and Neck Surgery, UCLA Center for the Health Sciences, 10833 LeConte Ave, Los Angeles, CA 90024 (Dr Canalis).

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