File:Startle-myoclonus-induced-by-Lyme-neuroborreliosis-a-case-report-1752-1947-7-124-S1.ogv

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Startle-myoclonus-induced-by-Lyme-neuroborreliosis-a-case-report-1752-1947-7-124-S1.ogv ‎(Ogg multiplexed audio/video file, Theora/Vorbis, length 30 s, 640 × 480 pixels, 746 kbps overall, file size: 2.64 MB)

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Description
English: Startle response.
Segment 1. In the first diagnostic test, the intention to tap the left arm (the visual stimulus) elicits a startle response that mainly consists of bilateral flexion of his arms. His legs are not involved. In the subsequent diagnostic tests, there is no reaction after a visual stimulus but a non-habituating startle reaction after tactile stimulation on his left arm.
Segment 2. Seven days after antibiotic treatment, there is no startle response after tactile stimulation on his chest or arms. However, a myoclonic response of the right sternocleidoid muscle after a gentle tap on the vertex can still be observed, which was no longer seen in the follow-up at two months.
Français : Réponse de sursaut myoclonique chez un patient porteur d'une maladie de Lyme.
1) Lors du premier test de diagnostic, l'intention de taper sur le bras gauche induit chez le patient un stimulus visuel qui provoque une réaction de surprise, laquelle se traduit principalement en une flexion bilatérale des bras (les jambes ne bougent pas). Dans les tests diagnostiques ultérieurs, il n'y a pas de réaction induite par un stimulus visuel, mais une réaction inhabituelle de sursaut après une stimulation tactile du bras gauche.
2) Sept jours après le traitement antibiotique, il n'y a pas de réponse de surprise après une stimulation tactile sur sa poitrine ou ses bras. Mais une réponse myoclonique du muscle sternocléoïde droit après un léger tapotement sur le sommet du crâne peut encore être observée, réflexe qui ne sera plus visible deux mois plus tard.
Date
Source Schoof J, Kluge C, Heinze H, Galazky I (2013). "Startle myoclonus induced by Lyme neuroborreliosis: a case report". Journal of Medical Case Reports. DOI:10.1186/1752-1947-7-124. PMID 23668751. PMC: 3667138.
Author Schoof J, Kluge C, Heinze H, Galazky I
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This file was transferred to Wikimedia Commons from PubMed Central by way of the Open Access Media Importer.
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current00:28, 13 June 201330 s, 640 × 480 (2.64 MB)Open Access Media Importer Bot (talk | contribs)Automatically uploaded media file from Open Access source. Please report problems or suggestions here.

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Format Bitrate Download Status Encode time
VP9 480P 389 kbps Completed 12:18, 20 October 2018 25 s
Streaming 480p (VP9) Not ready Unknown status
VP9 360P 243 kbps Completed 12:18, 20 October 2018 21 s
Streaming 360p (VP9) Not ready Unknown status
VP9 240P 176 kbps Completed 12:18, 20 October 2018 18 s
Streaming 240p (VP9) 96 kbps Completed 19:46, 16 December 2023 1.0 s
WebM 360P 543 kbps Completed 02:36, 15 November 2016 28 s
Streaming 144p (MJPEG) 959 kbps Completed 05:01, 19 November 2023 2.0 s
Stereo (Opus) 77 kbps Completed 22:21, 23 November 2023 1.0 s
Stereo (MP3) 129 kbps Completed 05:02, 19 November 2023 1.0 s

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