Misleading bilateral blink reflex loss in a severe tetanus case. Issue 2 (28th December 2016)

• Record Type: Journal Article
• Authors: Neumann, Bernhard; Schulte‐Mattler, Wilhelm; Fuchs, Kornelius; Zellner, Ruth; Boy, Sandra; Angstwurm, Klemens
• Is Part Of: Clinical case reports. Volume 5:Issue 2(2017)
• Page Start: 85
• Page End: 88
• Publication Date: 2016-12-28
• Subjects: Blink reflex -- magnesium sulfate -- masseter inhibitory reflex -- neurophysiology -- silent period -- tetanus; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.772
• Languages: English
• ISSNs: 2050-0904

Abstract

Key Clinical Message: Tetanus is rare and often forgotten in the diagnostic workup. The diagnosis is mainly based on typical clinical symptoms, because of missing sensitive paraclinical test. As described in our case, a missing bilateral blink reflex may occur in severe tetanus, which should not lead to the rejection of the diagnosis. Abstract : Tetanus is rare and often forgotten in the diagnostic workup. The diagnosis is mainly based on typical clinical symptoms, because of missing sensitive paraclinical test. As described in our case, a missing bilateral blink reflex may occur in severe tetanus, which should not lead to the rejection of the diagnosis.