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Revision as of 19:42, 11 February 2006 editFuzzform (talk | contribs)Extended confirmed users5,784 editsm it's listed in most other medical literature as "stiff-man syndrome"← Previous edit Revision as of 11:00, 16 February 2006 edit undoLigulembot (talk | contribs)11,449 edits AWB assisted migrate {{journal reference}} to {{cite journal}}Next edit →
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==References== ==References==
* {{note|mws}} {{Journal reference | Author=MOERSCH FP, WOLTMAN HW | Title=Progressive fluctuating muscular rigidity and spasm ("stiff-man" syndrome); report of a case and some observations in 13 other cases. | Journal=Mayo Clin Proc | Year=1956 | Pages=421-7 | Volume=31 | Issue=15 }} PMID 13350379 * {{note|mws}} {{cite journal | author=MOERSCH FP, WOLTMAN HW | title=Progressive fluctuating muscular rigidity and spasm ("stiff-man" syndrome); report of a case and some observations in 13 other cases. | journal=Mayo Clin Proc | year=1956 | pages=421-7 | volume=31 | issue=15 | id=PMID 13350379}}
* {{Journal reference issue | Author=Murinson BB | Title=Stiff-person syndrome | Journal=Neurologist | Year=2004 | Pages=131-7 | Volume=10 | Issue=3 }} PMID 15140273 * {{cite journal | author=Murinson BB | title=Stiff-person syndrome | journal=Neurologist | year=2004 | pages=131-7 | volume=10 | issue=3 | id=PMID 15140273}}


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Revision as of 11:00, 16 February 2006

First described by Moersch and Woltman at the Mayo Clinic in 1956, stiff person syndrome (SPS), or occasionally, stiff-man syndrome, is a rare neurologic disorder of unknown etiology. Those with the illness experience progressive, fluctuating tonic contractions of all muscles, particularly the axial musculature. Inability to walk and paralysis quickly ensues; death usually occurs six to twelve months after diagnosis.

Treatment is mostly palliative with muscle relaxants such as benzodiazepines, which lose their effectiveness as the illness progresses. Because many patients with SPS have circulating antibodies to glutamic acid decarboxylase, an autoimmune genesis to the disease has been postulated. In the absence of double-blind, placebo-controlled class A trials to determine treatment efficacy, some authorities recommend humane trials of immunosuppressive therapy, plasmapheresis or intravenous immunoglobulin infusion.

References

  • MOERSCH FP, WOLTMAN HW (1956). "Progressive fluctuating muscular rigidity and spasm ("stiff-man" syndrome); report of a case and some observations in 13 other cases". Mayo Clin Proc. 31 (15): 421–7. PMID 13350379.
  • Murinson BB (2004). "Stiff-person syndrome". Neurologist. 10 (3): 131–7. PMID 15140273.
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