Continuous muscle fibre activity in a @entity1 with @entity17 is rare. We report an 18 year old @entity1 who presented with walking difficulty and continuous rippling in muscles of upper and lower limbs. He had dysarthric speech, hypertrophied arm and @entity291 muscles with normal power, tone, reflexes and sensations. Myokymic discharges were seen in deltoid, biceps, @entity121 and @entity291 muscles. His blood counts, chemistry, thyroid profile, DNA, Rh factor were normal and @entity9153 was raised. CSF showed protein 50 mg/dl and 4 lymphocyte/mm3. Nerve conduction study revealed conduction block and absence of peroneal F wave. EMG showed @entity3389 which disappeared on regional neuromuscular blocker but not on nerve block or general anaesthesia. He responded partially to @entity617 . Acquired @entity17 may result in @entity12296 and @entity2086 which may partially respond to @entity617 .

XXXX with neuropathy and @entity2086 : association or cause?

@entity1 :: ('9606', 'Species') :: ['patient', 'boy'] @entity2086 :: ('MESH:C536106', 'Disease') :: ['muscle hypertrophy'] @entity17 :: ('MESH:D003711', 'Disease') :: ['demyelinating neuropathy'] @entity121 :: ('MESH:D009135', 'Disease') :: ['quadriceps'] @entity12296 :: ('MESH:D020386', 'Disease') :: ['neuromyotonia'] @entity3389 :: ('MESH:D019522', 'Disease') :: ['neuromyotonic discharges'] @entity9153 :: ('5286', 'Gene') :: ['CPK'] @entity291 :: ('9913', 'Species') :: ['calf'] @entity617 :: ('MESH:D011239', 'Chemical') :: ['prednisolone']
@entity12296 :: (MESH:D020386,Disease) :: ['Neuromyotonia']
