Topsy-turvy by the Belly Dancer.

In our patient presenting with abdominal myoclonus, it is important to understand its pathophysiology. Various etiologies need to be taken into consideration before coming to a conclusion. The finding on Magnetic resonance imaging (MRI)-Spine disclosing cervical lesion may just be an incidental finding.

A 75‐year‐old woman underwent an elective procedure. Upon awaking from general anesthesia, she had jerky, arrhythmic abdominal contractions consistent with Belly Dancer syndrome (Video S1). Computed Tomography (CT); head was unrevealing. Electroencephalogram (EEG) showed no epileptic activity. A structural lesion was suspected 1. Magnetic resonance imaging (MRI) of the spine disclosed a cervical lesion, likely a meningioma (Fig. 1). Clonazepam and Levetiracetam were used and myoclonus ceased. Different etiologies were considered; related to anesthesia, meningioma, idiopathic or functional. Patient remained asymptomatic after the medications were stopped. The meningioma is being observed. The pathophysiology of propriospinal myoclonus is unclear and many cases reported are questioned 2. Spinal lesions may just be incidental.

Figure 1

Magnetic Resonance Imaging (MRI) of the cervical spine, T1 + contrast. There is an enhancing extramedullary, intradural lesion (white arrow). (A) Sagittal. (B) Axial.

Conflict of Interest

None declared.

Video S1. The video presents a patient with involuntary arrhythmic abdominal contractions consistent with Belly Dancer Syndrome.

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