Myoclonus

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  • Myoclonus is sudden contraction of muscle followed by relaxation.
  • There are several different types of myoclonus.
    • Sporadic
    • Repetitive
    • Constant
    • Action related
      • Congenital
      • Acquired
    • Postural
    • Episodic
    • Resting

Sporadic Myoclonus

  • Sporadic myoclonus occurs as a reflex response.
    • A sudden response to an auditory stimulus.

Repetitive Myoclonus

  • In repetitive myoclonus, contractions and relaxations are rhythmic.
    • They occur one to two seconds apart.
    • May occur when the animal is at rest or during movement.
  • Repetitive myoclonus may be due to a functional disturbance of lower motor neurons.
    • This may be caused, for example, by distemper or another encephalomyelitis.

Action-Related Myoclonus

  • Tremors are induced by movement.
    • Myoclonus disappears when the patient is relaxed or sleeping.
  • May be caused by:
    • Cerebellar conditions
    • Myelin defects
    • Toxic insult
    • Problems with neurons

Congenital

  • Results from:
    • Hypo- or dys-myelination
    • Storage diseases
  • Samoyeds, springer spaniels and dalmations are predisposed.

Acquired

  • Maltese terrtiers and West Highland white terriers are predisposed.
    • Gives rise to the name "white shakers" for the sufferers.
  • Caused by meningoencephalitis.
    • Toxicosis is a common cause of meningoencephalitis, for example:
      • Metaldehyde
      • Pyrethrins
      • Hexachlorophene
      • Organophosphate
      • Food born mycotoxins
      • Macadamia nuts
  • Takes the form of postural repetitive myoclonus.
    • Postural muscles are affected while they are supporting weight.
  • The young and old are differentially affected.
    • Young animals
      • The head and neck are affected.
        • Gives head bobbing, which stops when the animal is distracted.
      • Most common in Dobermans, English Bulldogs and Boxers.
    • Aged dogs
      • Pelvic limbs are affected, although only when standing.
        • Orthostatic tremors
      • Whole muscles are affected.
      • Most common in Great Danes.
  • Aquired action-related myoclonus is responsive to steroid or immunosuppressive drugs.

Other Conditions Giving Myoclonus

  • Scottie cramp
  • Cavalier King Charles Spaniel hypertonicity
  • Norwich terriers have a predisposition.