—I appreciate Dr Young's kind words about our article. I agree that often irregular and asynchronous movements are termed myoclonus rather than tremor; however, segmental myoclonus may be synchronous, and some authors also define myclonus as "... exceeding abrupt shocklike contractions."1 Our patient's abnormal movements were neither lightninglike nor shocklike.The purpose of the article was to alert clinicians to a new, treatable disorder of movement. The best method of helping clinicians recognize and diagnose movement disorders is not by performing unnecessary procedures, such as electromyography, but rather by having them see the movement disorder. Perhaps in the future our journals and societies could keep videotape libraries. Although there are problems with privacy, videotapes of movement disorders could be made available to those clinicians who want to see signs of a specific movement disorder.Incidentally, after his report had been submitted, the local physician who was taking care of the
Heilman KM. Movement Disorders and Objective Measurements-Reply. Arch Neurol. 1985;42(10):932. doi:10.1001/archneur.1985.04060090010003
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