Volume 10, Issue 7 pp. 766-769
Case Presentation

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

Stephanie Tow MD

Corresponding Author

Stephanie Tow MD

Department of Pediatric Rehabilitation Medicine, Children's Hospital Colorado, University of Colorado Anschutz Medical Center, 13123 East 16th Ave, Box 285, Aurora, CO 80045

Center for Connected Care, Cleveland Clinic, Independence, OH

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX

Disclosure: nothing to disclose

Address correspondence to: S.T.Search for more papers by this author
Desi Carozza MD

Desi Carozza MD

Department of Pediatric Rehabilitation Medicine, Children's Hospital Colorado, University of Colorado Anschutz Medical Center, 13123 East 16th Ave, Box 285, Aurora, CO 80045

Center for Connected Care, Cleveland Clinic, Independence, OH

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX

Disclosure: nothing to disclose

Search for more papers by this author
Kim Barker MD

Kim Barker MD

Department of Pediatric Rehabilitation Medicine, Children's Hospital Colorado, University of Colorado Anschutz Medical Center, 13123 East 16th Ave, Box 285, Aurora, CO 80045

Center for Connected Care, Cleveland Clinic, Independence, OH

Department of Physical Medicine & Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX

Disclosure: nothing to disclose

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First published: 06 December 2017
Citations: 1
Presented in part at the AAPM&R Annual Assembly October 20-23, 2016, New Orleans, LA.

Abstract

A 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 Evidence

V

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