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Nonhypoxemic hazards of proionged myoclonus

Departments of Neurology (Dr. Langston) and Medicine (Drs. Ricci and Portlock), Stanford University School of Medicine, Stanford, California.

Hyperkalemia, hyperthermia, and systemic hypotension developed in a patient with generalized myoclonus. These disorders reached life-threatening proportions but were rapidly and completely corrected after the patient was paralyzed with pharmacologic agents. Induced, neuromuscular blockade may be indicated when the systemic effects of pathologically contracting muscle become life-threatening.

Dr. Langston's address is Division of Neurology, Santa Clara Valley Medical Center, 751 South Bascom Avenue, San Jose, CA 95128.

Received for publication June 21, 1976.

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