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Myokymia in Guillain-Barré syndrome

Department of Neurology, West Virginia University, Morgantown, WV.

Facia1 or limb myokymia was present in 8 patients (17%) of 48 consecutive cases of Guillain-Barre syndrome. It occurred early in the course of the illness and persisted 5 to 40 days as the patients recovered. Facial myokymia usually occurred in clinically weak muscles, was most often bilateral, and was more common in women. Bilaterality and transient nature differed from the facial myokymia seen in pontine tumors and demyelinating disease.

Address correspondence and reprint requests to Dr. Gutmann, Department of Neurology, West Virginia University Medical Center, Morgantown, WV 26505.

Presented in part at the thirty-second annual meeting of the American Academy of Neurology, New Orleans, May 1980.

Accepted for publication July 1, 1982.

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