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What Causes Epileptic Diaphragm Myoclonus?

Posted on Mon, 27 Mar 2017

Question: Hi Doctor,

My mother (XXXX) has been diagnosed with diaphragm myoclonus based on the EMG test done by you at the Apollo hospitals. She has been using Liofen 20 XL and they are working good for her condition.

She is in USA now and I am planning to visit a neurologist here, and I would like to get her electronic medical records regarding the tests done by you at the Apollo facility. Please let me know.

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
The reports are provided to the patient.

Detailed Answer:
Hi,

Thank you for posting your query.

I am glad to note that she is doing well.

We had done an EMG (electromyography) about three years ago, which had confirmed the diagnosis. The report was provided to the patient.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sudhir Kumar (2 hours later)

Hi Doctor,

Unfortunately, she did not bring her medical reports to USA. It will be really helpful if you can send the electronic copies of the reports to my email address, as the doctor visit here need the background information of the tests done. Please let me know. Any help is appreciated in this regard.

Thank you, XXXXXXX

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
Hospital does not keep records for out patients

Detailed Answer:
Thank you for getting back.

Unfortunately, the hospital gives all the reports to the patients in out patient area. Your family members would be having them.

The only test, which helped in making the diagnosis was- EMG of diaphragmatic muscles, which confirmed the diagnosis of diaphragmatic myoclonus. If you mention this to the neurologist there, they would understand it.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (45 minutes later)

Thank you for getting back.

Are there any other tests done like whole body MRI/X-ray to rule out other possible issues? If so, I will mention along with EMG, so that there will be no need to do MRI again.

Answered by Dr. Sudhir Kumar (31 minutes later)

Brief Answer:
Whole body MRI and X-rays were not done.

Detailed Answer:
Thank you for getting back.

MRI of spine was done (it was normal), however, MRI of whole body was not done. X-rays were also not done.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 hours later)

Thank you for the response.

Is there a way I can get the summarized notes of the condition, tests done and diagnosis? This will be really helpful for the doctors here, instead of me explaining in generic terminology (I am ready to pay any fee involved in the process)

Greatly appreciate your help in this regard.

Thank you, XXXXXXX

Answered by Dr. Sudhir Kumar (4 hours later)

Brief Answer:
Yes, it is possible.

Detailed Answer:
Thank you for getting back.

I just need the copies of my prescription and the reports of investigations done. I can make the summary.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (31 hours later)

Hello,

Unfortunately, she did not bring any of the reports.

The test that is done by you is EMG and noted hyperexcitability of diaphragm and diagnosed as Diaphragm myoclonus. The medication that is prescribed is Liofen 20XL.

Could you please help me with the request as you will be able to summarize in medical terms. If so, my email address is YYYY@YYYY

If there is any fee involved in the process, am ready to pay.

Thank you, XXXXXXX

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer:
I would prepare a medical report.

Detailed Answer:
Thank you for getting back.

I would be pleased to make the medical report on my letter head and send you a scanned copy on your email.

You may deposit a fee of Rs 1200/ in my bank account:
NAME: XXXXXXX XXXXXXX
Bank Name: HDFC Bank
Account no- 0000,
RTGS/NEFT/IFSC code: HDFC0000

Best wishes,

Dr XXXXXXX XXXXXXX MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (13 hours later)

Hello Doctor,

My husband(XXXX) has just sent the requested fee in to your account, please check.

In regard to my mother's (XXXX) medical report, if you can include as much detail as possible, I appreciate it.

Please send the copy of the letter to me at YYYY@YYYY

Thank you very much for your help.

- XXXXXXX

Answered by Dr. Sudhir Kumar (6 hours later)

Brief Answer:
Sent the report.

Detailed Answer:
I have emailed the medical report on the email provided.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (10 hours later)

Thank you for the report, appreciate it.

- XXXXXXX

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
My pleasure.

Detailed Answer:
Please get back if you require any further information/assistance.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar