Cramp fasciculation syndrome is mildest among all the peripheral nerve hyperexcitability disorders, which typically presents with cramps, body ache and fasciculations. The diagnosis is based on clinical grounds supported by electrodiagnostic study. We report a case of young male with two months’ history of body ache, rippling, movements over calves and other body parts, and occasional cramps. His metabolic workup was suggestive of impaired fasting glucose, radiologic work up (chest X-ray and ultrasound abdomen) was normal, and electrodiagnostic study was significant for fasciculation and myokymic discharges. He was started on pregablin and analgesics. To the best of our knowledge this is report first of cramp fasciculation syndrome from Pakistan.
Khealani, Bhojo A.
"Cramp fasciculation syndrome: a peripheral nerve hyperexcitability disorder,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 9
, Article 7.
Available at: http://ecommons.aku.edu/pjns/vol9/iss3/7