Article Text

Download PDFPDF
Identifying the aetiology of sudden acute abnormal involuntary movements in a primigravid
  1. Benjamin Olano Sosa1 and
  2. Jean Anne Balajadia Toral2
  1. 1 College of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines
  2. 2 Department of Obstetrics and Gynecology, Philippine General Hospital, Manila, Metro Manila, Philippines
  1. Correspondence to Benjamin Olano Sosa, haversian_canal.lacuna{at}


A 20-year-old primigravid experienced sudden stiffening of the neck, upper and lower extremities and trunk associated with joint pains. She was generally well before hospital admission with no history of attacks, except for her inflammatory bowel disease that was treated more than a year ago. During physical examination, the patient manifested neck flexion deviated to the right, deviation of the eyes downward and to the right, spooning of the upper extremities, exhibition of milkmaid’s grip, extension of both lower extremities and jerky speech. She also showed uncontrollable tremors of the neck and occasional flailing of upper extremities. Her preliminary laboratory tests were within normal range. It was worth noting here that her family’s medical history was unremarkable. In this article, the process of arriving at the final diagnosis and treatment would be discussed.

  • infections
  • obstetrics, gynaecology and fertility
  • movement disorders (other than Parkinson’s)
View Full Text

Statistics from


  • Contributors BOS: is the main planner of the case report. The said author acquired data and reported it in this case report. In addition, he also analysed the obtained data. He also formulated the flow of discussion in the paper. JABT: focused on analysing the data, specifically the laboratory results. Also responsible in writing and editing half of the case report. She also acquired information and data for this case report, and she advised the corresponding author in coming up with the complete report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.