Functional Impairments in a Patient with Morvan Syndrome: A Case Presentation

Publication date: July 2018Source: PM&R, Volume 10, Issue 7Author(s): Stephanie Tow, Desi Carozza, Kim BarkerAbstractA 48-year-old man with lung squamous cell carcinoma was admitted to acute care with cognitive impairment after recent chemotherapy. He developed myoclonus, ataxia, agitation, and visual hallucinations. Morvan syndrome, a rare voltage-gated potassium channel antibody disorder characterized by neuromyotonia with central nervous system dysfunction, was eventually diagnosed. He received plasmapheresis and was admitted to inpatient rehabilitation, where he safely participated in therapies. By focusing on neuromuscular rehabilitation, balance training, fine motor skills, and cognitive retraining emphasizing skills relevant to the patient’s premorbid cognitive activities, the patient demonstrated significant functional improvement, decreasing the burden of care of his caregivers.Level of EvidenceV

Source: PMandR - July 13, 2018 Category: Rehabilitation Source Type: research