Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report

Respiratory myoclonus, also known as belly dancer’s dyskinesia (BDD), is a rare manifestation of movement disorder characterized by repetitive choreiform involuntary movements involving the anterior abdominal muscles, the diaphragm, and other respiratory muscles. Currently, there is no definite path...

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Main Authors: Ruth Elizabeth Abraham, Gan Lay Min, Ahmad Luqman Bin Md Pauzi, Noor Hafizah Abdul Salim, Iskasymar Ismail
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Turkish Journal of Emergency Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/2452-2473.367398
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author Ruth Elizabeth Abraham
Gan Lay Min
Ahmad Luqman Bin Md Pauzi
Noor Hafizah Abdul Salim
Iskasymar Ismail
author_facet Ruth Elizabeth Abraham
Gan Lay Min
Ahmad Luqman Bin Md Pauzi
Noor Hafizah Abdul Salim
Iskasymar Ismail
author_sort Ruth Elizabeth Abraham
collection DOAJ
description Respiratory myoclonus, also known as belly dancer’s dyskinesia (BDD), is a rare manifestation of movement disorder characterized by repetitive choreiform involuntary movements involving the anterior abdominal muscles, the diaphragm, and other respiratory muscles. Currently, there is no definite pathophysiology that clearly explains this condition. A 25-year-old male with a known case of BDD presented with an exacerbation of involuntary and continuous writhing movements of the abdominal wall muscles associated with abdominal pain and shortness of breath over the past 2 days. Subsequently, he was intubated due to worsening respiratory distress a few days after his admission. He was then put on ultrasound-guided botulinum toxin A injections of 25 units over the left hemidiaphragm regularly. His symptoms markedly improved since then as the attacks had reduced to 5–6 monthly intervals. Administration of ultrasound-guided botulinum toxin A injections may help to control the exacerbation of BDD and might be an option for cases refractory to medical treatment and phrenic nerve ablation.
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institution Kabale University
issn 2452-2473
language English
publishDate 2023-07-01
publisher Wolters Kluwer Medknow Publications
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series Turkish Journal of Emergency Medicine
spelling doaj-art-9cd37d86d6cb4b12803f1173d74025072025-02-09T08:57:55ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732023-07-0123319119410.4103/2452-2473.367398Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case reportRuth Elizabeth AbrahamGan Lay MinAhmad Luqman Bin Md PauziNoor Hafizah Abdul SalimIskasymar IsmailRespiratory myoclonus, also known as belly dancer’s dyskinesia (BDD), is a rare manifestation of movement disorder characterized by repetitive choreiform involuntary movements involving the anterior abdominal muscles, the diaphragm, and other respiratory muscles. Currently, there is no definite pathophysiology that clearly explains this condition. A 25-year-old male with a known case of BDD presented with an exacerbation of involuntary and continuous writhing movements of the abdominal wall muscles associated with abdominal pain and shortness of breath over the past 2 days. Subsequently, he was intubated due to worsening respiratory distress a few days after his admission. He was then put on ultrasound-guided botulinum toxin A injections of 25 units over the left hemidiaphragm regularly. His symptoms markedly improved since then as the attacks had reduced to 5–6 monthly intervals. Administration of ultrasound-guided botulinum toxin A injections may help to control the exacerbation of BDD and might be an option for cases refractory to medical treatment and phrenic nerve ablation.https://journals.lww.com/10.4103/2452-2473.367398abdominal wall dyskinesiabelly dancer’s dyskinesiadiaphragmatic flutterrespiratory myoclonus
spellingShingle Ruth Elizabeth Abraham
Gan Lay Min
Ahmad Luqman Bin Md Pauzi
Noor Hafizah Abdul Salim
Iskasymar Ismail
Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
Turkish Journal of Emergency Medicine
abdominal wall dyskinesia
belly dancer’s dyskinesia
diaphragmatic flutter
respiratory myoclonus
title Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
title_full Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
title_fullStr Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
title_full_unstemmed Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
title_short Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
title_sort acute respiratory failure induced by belly dancer s syndrome a glance to a rare case report
topic abdominal wall dyskinesia
belly dancer’s dyskinesia
diaphragmatic flutter
respiratory myoclonus
url https://journals.lww.com/10.4103/2452-2473.367398
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AT ahmadluqmanbinmdpauzi acuterespiratoryfailureinducedbybellydancerssyndromeaglancetoararecasereport
AT noorhafizahabdulsalim acuterespiratoryfailureinducedbybellydancerssyndromeaglancetoararecasereport
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