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Ann Thorac Surg 2009;88:1360-1362. doi:10.1016/j.athoracsur.2009.01.076
© 2009 The Society of Thoracic Surgeons
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Muhammad I. Aslam
Inger F. Oey
David A. Waller
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Case Reports

Latissimus Dorsi Myoclonus After Video Assisted Thoracoscopic Lung Volume Reduction

Muhammad I. Aslam, MRCS, Inger F. Oey, FRCS*, David A. Waller, FRCS (CTh)

Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, United Kingdom

Accepted for publication January 30, 2009.

* Address correspondence to Dr Oey, Department of Thoracic Surgery, Glenfield Hospital, Groby Rd, Leicester, LE3 9QP, United Kingdom (Email: ingeroey{at}hotmail.com).

Myoclonus as a sequel to thoracotomy has been reported, and its treatment can be challenging to both the patient and the surgeon. We describe a 43-year-old patient with chest wall pain and latissimus dorsi muscle contractions (myoclonus) after video-assisted thoracoscopic lung volume reduction. His symptoms remained refractory to benzodiazepines, nerve blockage, and botulinum toxin injection due to either poor compliance or lack of response to therapy. These symptoms started to resolve spontaneously 18 months after the procedure.






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