CASE REPORT

A 10-day-old baby with "lightning-like" myoclonic limb jerks during sleep: a case report

Sri Hastuti , Imam Maulana, Debby Sofiana, Raisha Fathima

Sri Hastuti
Neuropediatric Division, Department of Neurology, Faculty of Medicine, Zainoel Abidin General Hospital, Universitas Syiah Kuala, Banda Aceh. Email: wiwid.srihastuti@gmail.com

Imam Maulana
Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh

Debby Sofiana
Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh

Raisha Fathima
Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh
Online First: August 31, 2021 | Cite this Article
Hastuti, S., Maulana, I., Sofiana, D., Fathima, R. 2021. A 10-day-old baby with "lightning-like" myoclonic limb jerks during sleep: a case report. Bali Medical Journal 10(2): 854-856. DOI:10.15562/bmj.v%vi%i.2410


Background: Benign neonatal sleep myoclonus (BNSM) is a condition commonly mistaken for seizures. It is characterized by self-limiting "lightning-like" myoclonic limb jerks that occur primarily during sleep in the newborn phase but are not associated with epilepsy that suddenly stops when the infant is agitated. This condition is potentially resolved between the ages of 2 and 6 months.  The incidence of BNSM per 1,000 births is 0.8 to 3 cases. This case report aims to explain the findings of a neonate with multiple episodes of abnormal jerks affecting the entire limb, only during sleep.

Case Report: We reported a 40-day-old baby boy with multiple episodes of abnormal jerks affecting the entire limb since 10-day-old only during sleep. The jerky body movements appeared six until nine times a day with approximately an hour interval between movements. The patient did not have any neurologic deficits, pathologic reflexes and vital signs abnormalities. Electroencephalogram (EEG) revealed the normal result. We diagnosed the patient with BNSM.

Conclusion: The BNSM is a self-limiting disorder. For neonatal seizures or even neonatal status epilepticus, BNSM can be misinterpreted, recognizing childhood benign sleep myoclonus is important to prevent unnecessary diagnostic studies and treatments. The prognosis was good and the patient didn't need any medication and long-term follow-up.

References

Sharma D, Murki S, Pratap OT. Benign sleep myoclonus in neonate: a diagnostic dilemma for neonatologist. BMJ Case Rep. 2014;2014:bcr2014206626. doi:10.1136/bcr-2014-206626

Ali KS, Marma MMH. Benign Neonatal Sleep Myoclonus (BNSM) : A Case Report. Bangladesh J Child Heal. 2017;39(2):105-107. doi:10.3329/bjch.v39i2.31543

Vaccario ML, Valenti MA, Carullo A, Di Bartolomeo R, Mazza S. Benign Neonatal Sleep Myoclonus: Case Report and Follow-up of Four Members of an Affected Family. Clin Electroencephalogr. 2003;34(1):15-17. doi:10.1177/155005940303400107

Marcos I, Saharso D, Gunawan PI. Benign neonatal sleep myoclonus in a child. Int J Contemp Pediatr. 2019;6(6):2678. doi:10.18203/2349-3291.ijcp20194752

Paro-Panjan D, Neubauer D. Benign neonatal sleep myoclonus: Experience from the study of 38 infants. Eur J Paediatr Neurol. 2008;12(1):14-18. doi:10.1016/j.ejpn.2007.05.002


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0