RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Engelhardt, Thomas SR Print(0) ID 1164073985 T1 Isaacs Mertens Syndrome T2 Syndromes: Rapid Recognition and Perioperative Implications, 2e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259861789 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1164073985 RD 2024/03/29 AB It is a rare neuromuscular disorder causing severe neuromyotonia. It is caused by rapid bursts of nerve impulses, resulting in painful muscle twitching, cramping, increase sweating, and delayed muscle relaxation. Other features include speech, swallowing, and breathing problems due to pharyngeal or laryngeal muscles dysfunction. Rare Syndrome with peripheral nerve lesions characterized by muscle stiffness, cramps, and continuous vibrating muscle movements (myokymia).