Abstract:
:An infant presented with congenital weakness, hypotonia, arthrogryposis, atrial tachycardia, and a left intra-abdominal neuroblastoma. Muscle biopsy revealed marked excess of muscle spindles with atrophy of extrafusal fibers. The patient expired at age 14 months from progressive cardiorespiratory failure. Postmortem examination demonstrated muscle-spindle excess in other muscles, along with hypertrophic obstructive cardiomyopathy and organomegaly. Muscle spindle excess has previously been reported in two patients with Noonan syndrome and progressive hypertrophic cardiomyopathy. Muscle spindle excess with hypertrophic cardiomyopathy, organomegaly, and, possibly, congenital neuroblastoma suggests a syndromic association and may represent an unusual form of congenital myopathy.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Selcen D,Kupsky WJ,Benjamins D,Nigro MAdoi
10.1002/1097-4598(200101)24:1<138::aid-mus22>3.0.csubject
Has Abstractpub_date
2001-01-01 00:00:00pages
138-43issue
1eissn
0148-639Xissn
1097-4598pii
10.1002/1097-4598(200101)24:1<138::AID-MUS22>3.0.Cjournal_volume
24pub_type
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