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Phenomenology: Segment 1

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The patient with SSPE at admission: The involuntary motor activity consisted of abnormal, sudden, segmental, brief multifocal, and predominantly distal muscle jerks involving the patient’s upper limbs more on the left than the right side. The phenomenon was observed purely in wakefulness. It was accompanied by dystonia of both legs with the knees flexed at 90°. The patient tried to stop the abnormal movement disorder unsuccessfully using the right hand which was only partially involved. The myoclonic jerks usually commenced sharply in the first hour of awake and remained unchanged throughout wakefulness. There was an observable pattern of one to two sequences of muscle contractions every 2–3 seconds continuously. This phenomenon occurred numerous times every day for 15 days.

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