Acute respiratory failure induced by belly dancer’s syndrome: A glance to a rare case report
1Department of Medicine, Newcastle University Medicine Malaysia, Selangor, Malaysia
2Department of Medicine, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor, Malaysia
Keywords: Abdominal wall dyskinesia, belly dancer’s dyskinesia, diaphragmatic flutter, respiratory myoclonus
Respiratory myoclonus, also known as belly dancer’s dyskinesia (BDD), is a rare manifestation of movement disorder characterized by repetitive choreiform involuntary movements involving the anterior abdominal muscles, the diaphragm, and other respiratory muscles. Currently, there is no definite pathophysiology that clearly explains this condition. A 25 year old male with a known case of BDD presented with an exacerbation of involuntary and continuous writhing movements of the abdominal wall muscles associated with abdominal pain and shortness of breath over the past 2 days. Subsequently, he was intubated due to worsening respiratory distress a few days after his admission. He was then put on ultrasound guided botulinum toxin A injections of 25 units over the left hemidiaphragm regularly. His symptoms markedly improved since then as the attacks had reduced to 5–6 monthly intervals. Administration of ultrasound guided botulinum toxin A injections may help to control the exacerbation of BDD and might be an option for cases refractory to medical treatment and phrenic nerve ablation.
How to cite this article: Abraham RE, Min GL, Md Pauzi AL, Abdul Salim NH, Ismail I. Acute respiratory failure induced by belly dancer's syndrome: A glance to a rare case report. Turk J Emerg Med 2023;23:191-4.
AL provided the concept of manuscript. RE, GH, AL, NH and II contributed to the concept of manuscript and wrote the paper.
AL provided the setting according to CARE Guidelines. All Authors Contributed to this manuscript by editing, revisioning and taking care of references.
Consent to participate
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.