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Myoclonus Appointment

Symptoms & causes Diagnosis & treatment Doctors & departments Care at Mayo Clinic

Diagnosis Print Advertisement

To diagnose myoclonus, your doctor will review your medical history

and symptoms and conduct a physical examination.

To determine the cause of myoclonus and rule out other potential

causes of your condition, your doctor may recommend several tests,
including:

Electroencephalography (EEG)

This procedure records the electrical activity of your brain and may
help determine where in your brain the myoclonus originates. In this
procedure, doctors attach small electrodes to your scalp. You may be
asked to breathe deeply and steadily and look at bright lights or listen
to sounds, as these actions may uncover abnormal electrical activity.

Electromyography (EMG)

In this procedure, doctors put EMG surface electrodes on multiple

muscles, especially on those muscles that are involved in the jerking.

An instrument records the electrical activity from your muscle at rest

and as you contract the muscle, such as by bending your arm. These
signals help determine the pattern and origin of the myoclonus.
:
Evoked potential studies

These tests measure the electrical activity of the brain, brainstem and
spinal cord that is triggered by touch, sound, sight and other stimuli.

Magnetic resonance imaging (MRI)

An MRI scan may be used to check for structural problems or tumors

inside your brain or spinal cord, which may cause your myoclonus
symptoms. An MRI scan uses a magnetic field and radio waves to
produce detailed images of your brain, spinal cord and other areas of
your body.

Laboratory tests

Your doctor may suggest genetic testing to help identify possible

causes of myoclonus. He or she may also test your blood or urine to
check for:

Metabolic disorders

Autoimmune disease

Diabetes

Kidney or liver disease

Drugs or toxins

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EEG (electroencephalogram)

Electromyography (EMG)

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Treatment
Treatment of myoclonus is most effective when a reversible
underlying cause can be found that can be treated — such as another
condition, a medication or a toxin.

Most of the time, however, the underlying cause can't be cured or

eliminated, so treatment is aimed at easing myoclonus symptoms,
especially when they're disabling. There are no drugs specifically
designed to treat myoclonus, but doctors have borrowed from other
disease treatment arsenals to relieve myoclonic symptoms. More than
one drug may be needed to control your symptoms.

Medications

Medications that doctors commonly prescribe for myoclonus include:

Tranquilizers. Clonazepam (Klonopin), a tranquilizer, is the

most common drug used to combat myoclonus symptoms.
Clonazepam may cause side effects such as loss of coordination
and drowsiness.

Anticonvulsants. Drugs used to control epileptic seizures have

proved helpful in reducing myoclonus symptoms. The most
common anticonvulsants used for myoclonus are levetiracetam
(Keppra, Elepsia XR, Spritam), valproic acid, zonisamide
(Zonegran) and primidone (Mysoline). Piracetam is another
anticonvulsant that's been found to be effective, but it's not
available in the United States.

Valproic acid may cause side effects such as nausea.

Levetiracetam may cause side effects such as fatigue and
dizziness. Side effects from primidone may include sedation and
:
 nausea.

Therapies

OnabotulinumtoxinA (Botox) injections may be helpful in treating

various forms of myoclonus, particularly if only a single area is
affected. Botulinum toxins block the release of a chemical messenger
that triggers muscle contractions.

Surgery

If your myoclonus symptoms are caused by a tumor or lesion in your

brain or spinal cord, surgery may be an option. People with
myoclonus affecting parts of the face or ear also may benefit from
surgery.

Deep brain stimulation (DBS) has been tried in some people with
myoclonus and other movement disorders. Researchers continue to
study DBS for myoclonus.

More Information

Myoclonus care at Mayo Clinic

Deep brain stimulation

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Clinical trials
Explore Mayo Clinic studies testing new treatments, interventions and
tests as a means to prevent, detect, treat or manage this condition.

Preparing for your appointment

You'll probably first discuss your concerns with your primary care
doctor, who may then refer you to a doctor trained in nervous system
:
conditions (neurologist).

Because appointments can be brief, and because there's often a lot to

talk about, it's a good idea to arrive well prepared for your
appointment. Here's some information to help you get ready for your
appointment, and what to expect from your doctor.

What you can do

Be aware of any pre-appointment restrictions, and ask if

there's anything you need to do in advance.

Write down a list of your symptoms, noting if there's anything

that seems to trigger them or make them better.

Take a list of all your medications, including any vitamins or

supplements.

Write down questions to ask your doctor, asking about

possible causes, treatments and prognosis.

Your time with your doctor is limited, so preparing a list of questions

ahead of time will help you make the most of your time together. For
myoclonus, some basic questions to ask your doctor include:

What's the most likely cause of my symptoms?

Other than the most likely cause, what are other possible causes
for my symptoms?

What kinds of tests do I need?

Is my condition likely temporary or chronic?

What is the best course of action?

What are the alternatives to the primary approach that you're

suggesting?

I have these other health conditions. How can I best manage

them together?

Are there any restrictions that I need to follow?

Are there any brochures or other printed material that I can take
home with me? What websites do you recommend visiting?

In addition to the questions that you've prepared to ask your doctor,

don't hesitate to ask questions during your appointment at any time
:
that you don't understand something.

What to expect from your doctor

Your doctor is likely to ask you a number of questions. Being ready to

answer them may reserve time to go over any points you want to
spend more time on. Your doctor may ask:

When did you first start having symptoms?

Do you have a history of seizures or other neurological

conditions?

Have you been exposed to drugs or chemicals?

Do you have a family history of myoclonus or epilepsy?

Have your symptoms been continuous or occasional?

How severe are your symptoms?

Does anything improve your symptoms?

What, if anything, appears to worsen your symptoms?

By Mayo Clinic Staff

Myoclonus care at Mayo Clinic

Request an Appointment at Mayo Clinic

Doctors &
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Related
Associated Procedures

Deep brain stimulation

EEG (electroencephalogram)

Electromyography (EMG)

Show more associated procedures

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