Abstract:
:Although serum creatine kinase (CK) levels are frequently modestly elevated in patients with hypothyroid myopathy, elevations in serum CK to the levels usually seen in inflammatory myopathies or dystrophies are rare. We report a patient with progressive proximal weakness and a serum CK level of over 29,000 IU/L, in whom subsequent laboratory evaluation identified profound hypothyroidism. Thyroid hormone replacement therapy resulted in resolution of clinical symptoms and a marked reduction in the serum CK level. Such a high serum CK level in a patient with hypothyroidism underscores the importance of assessing thyroid function in patients with weakness, regardless of serum CK levels, even when systemic symptoms and signs of hypothyroidism are minimal or absent.
journal_name
Muscle Nervejournal_title
Muscle & nerveauthors
Scott KR,Simmons Z,Boyer PJdoi
10.1002/mus.10128subject
Has Abstractpub_date
2002-07-01 00:00:00pages
141-4issue
1eissn
0148-639Xissn
1097-4598journal_volume
26pub_type
杂志文章相关文献
MUSCLE & NERVE文献大全abstract::Weakness is common in both hyper- and hypothyroidism, and skeletal muscle L-carnitine may play a role in this regard, as suggested by studies indicating abnormal levels of carnitine in serum and urine of patients with thyroid dysfunction. Skeletal muscle samples were obtained for carnitine analysis from control subjec...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.20336
更新日期:2005-09-01 00:00:00
abstract::Electrical stimulation was applied daily for 20 minutes to denervated rabbit extensor digitorum longus muscle. One group was stimulated with short tetani, another with 1-Hz frequency, using isometric contractions for both. Tetanic stimulation induced severe fibrosis and is harmful to denervated muscle. One Hertz stimu...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880100206
更新日期:1987-02-01 00:00:00
abstract:BACKGROUND:The goals of this study were to determine whether serum concentrations of endocannabinoids (eCB) and related lipids predict disease status in patients with amyotrophic lateral sclerosis (ALS) relative to healthy controls, and whether concentrations correlate with disease duration and severity. METHODS:Serum...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.27096
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Hereditary transthyretin (hATTR) amyloidosis is a progressive, degenerative disease, with peripheral neuropathy, cardiomyopathy, and other clinical manifestations. In this study we examine the impact of hATTR amyloidosis on quality of life (QOL). METHODS:Neuropathy-specific QOL, measured with the Norfolk ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.26515
更新日期:2019-08-01 00:00:00
abstract::Studies using quantitative sensory testing (QST) often present incongruent results due to intra- and intersubject as well as interobserver variability which limit widespread use of the technique. Eliminating or reducing the factors responsible for this variability is of great interest, as it increases reliability and ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.21120
更新日期:2008-11-01 00:00:00
abstract::Although the blood level of creatine kinase (CK) is the most commonly used marker of muscle injury, there is marked interindividual variability in this measure. Part of this variability may be attributed to variability in the rate of CK clearance from the circulation. In this study, we assessed the possibility that CK...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.20594
更新日期:2006-09-01 00:00:00
abstract::Thyrotropin-releasing hormone (TRH), present in high concentrations in the mammalian spinal cord, exerts excitatory effects on the alpha-motorneuron (AMN) via axodendritic contacts. We used the neurotoxin 5,7-dihydroxytryptamine (5,7-DHT) to deplete TRH from the ventral horn of the spinal cord of adult rats to determi...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880100504
更新日期:1987-06-01 00:00:00
abstract:INTRODUCTION:Improving axonal outgrowth and remyelination is crucial for peripheral nerve regeneration. Miconazole appears to enhance remyelination in the central nervous system. In this study we assess the effect of miconazole on axonal regeneration using a sciatic nerve crush injury model in rats. METHODS:Fifty Spra...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.26033
更新日期:2018-05-01 00:00:00
abstract::To study noninvasively multiple descending volleys on alpha motoneurons, we used a 30-50% maximum H-reflex in the wrist flexor muscle conditioned by a subthreshold magnetic stimulus of the contralateral motor cortex as a parameter of motoneuronal excitability in seven neurologically healthy subjects. The time interval...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880160406
更新日期:1993-04-01 00:00:00
abstract:INTRODUCTION:Detection of denervation in muscles in the craniobulbar area is important to assure widespread lower motor neuron involvement in the diagnosis of amyotrophic lateral sclerosis (ALS). The value of spontaneous activity analysis in needle electromyography (EMG) of the tongue has been questioned in the recent ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.23781
更新日期:2013-08-01 00:00:00
abstract::A quantitative assessment was made of the firing characteristics of repetitive axonal discharges encountered during microneurographic recordings from human peripheral nerves. Spontaneous activity was recorded from 16 single axons using tungsten microelectrodes inserted percutaneously into fascicles of the median or pe...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/(sici)1097-4598(199804)21:4<461::aid-mus4>
更新日期:1998-04-01 00:00:00
abstract::This study contrasts the developmental patterns of expression of 2 subtypes of the voltage-dependent sodium channel in rat muscle that are differentiated by their immunoreactivity with monoclonal antibodies raised to the purified muscle sodium channel protein. One subtype is found in the transverse tubular (T) system ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880140209
更新日期:1991-02-01 00:00:00
abstract:INTRODUCTION:This study was designed to assess the effect of extracorporeal shock-wave lithotripsy (ESWL) exposure of the parotid gland on oxidative stress and some trace element levels in the facial nerves of rats. METHODS:Twelve male Wistar albino rats were divided into two groups, each consisting of 6 animals. The ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.22326
更新日期:2012-04-01 00:00:00
abstract::It has been suggested that vibration causes small changes in muscle length, but to the best of our knowledge, these have yet to be demonstrated during whole-body vibration (WBV). This was an observational study to determine whether acute WBV would result in muscle lengthening. We hypothesized that acute WBV would incr...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.21330
更新日期:2009-09-01 00:00:00
abstract::Motor unit (MU) number and size estimates were obtained from the human flexor digiti minimi muscle using histological methods. Ten adult fresh cadavers (33-74 years old) were used. The number of MUs was 130 +/- 15 and the MU size was 108 +/- 10. These values are similar to those reported for other hypothenar muscles, ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/(sici)1097-4598(199801)21:1<112::aid-mus14
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:Twenty-six patients with clinical symptoms of adult onset carnitine palmitoyltransferase II (CPTII) deficiency were examined. All patients had skeletal muscle CPTII enzyme activity levels indicative of heterozygosity for CPT2 mutations, however sequence analysis identified no pathogenic mutations within th...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.23498
更新日期:2013-02-01 00:00:00
abstract::The purpose of this study was to establish normal values of muscle thickness, ratio of muscle thickness to subcutaneous fat thickness, and muscle echo intensity in children between 11 weeks and 16 years of age. Transverse scans of four muscles were made by standardized real-time ultrasound examination. The scans were ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.10384
更新日期:2003-06-01 00:00:00
abstract::A treatment has been developed to alleviate muscle weakness in murine dystrophy. Cultured myoblasts from genetically normal mouse embryos were injected into the right soleus of 20-day-old normal or dystrophic mice. Hosts and donors were immunocompatible but exhibited different genotype markers. Donor cells produced GP...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880110602
更新日期:1988-06-01 00:00:00
abstract:INTRODUCTION:The distribution of clinical and neurophysiological abnormalities in patients with early amyotrophic lateral sclerosis (ALS) was investigated in an attempt to delineate patterns of disease spread. METHODS:Clinical and electrodiagnostic data were collected from 150 ALS patients and analyzed based on the cl...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24244
更新日期:2014-12-01 00:00:00
abstract::Autosomal dominant oculopharyngeal muscular dystrophy (OPMD) is an adult-onset disease caused by (GCG) repeat expansions in exon 1 of the poly(A) binding protein 2 gene (PABP2). To elucidate the molecular mechanism underlying the disease, we raised an antiserum against a synthetic peptide fragment predicted from PABP2...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/1097-4598(200010)23:10<1549::aid-mus11>3.0
更新日期:2000-10-01 00:00:00
abstract::In order to investigate whether Schwann cell or myelin was the principal antigen responsible for nerve graft rejection, fresh nerve grafts and those in which myelin had been previously allowed to degenerate (predegenerate grafts) from both isogeneic BALB/c and allogeneic C57/B1 mice were inserted into trembler BALB/c ...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880040403
更新日期:1981-07-01 00:00:00
abstract::Patients with prior poliomyelitis may experience muscle function deterioration decades after onset of disease. The present study is aimed at describing electromyographic and morphometric evidence of muscular compensation and of on-going muscular instability. Ten subjects 42-62 years of age with onset of polio 25-52 ye...
journal_title:Muscle & nerve
pub_type: 临床试验,杂志文章
doi:10.1002/mus.880130214
更新日期:1990-02-01 00:00:00
abstract:INTRODUCTION:Contradictory reports of the myosin heavy chain (MHC) composition of adult human suprahyoid muscles leave unresolved the extent to which these muscles express developmental and unconventional MHC. METHODS:By immunohistochemistry, separation sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PA...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.23946
更新日期:2014-04-01 00:00:00
abstract:INTRODUCTION:Slowly progressive, genetic neuromuscular diseases (gNMDs) often lead to important motor deficiencies and functional limitations. The Quality of Life in Genetic Neuromuscular Disease Questionnaire (QoL-gNMD) is a new health-related quality-of-life questionnaire developed for these patients. The purpose of ...
journal_title:Muscle & nerve
pub_type: 杂志文章,多中心研究
doi:10.1002/mus.25598
更新日期:2017-12-01 00:00:00
abstract::The goal of this study was to examine the effects of altered thyroid state and denervation (Den) on skeletal myosin heavy chain (MHC) expression in the plantaris and soleus muscles. Rats were subjected to unilateral denervation (Den) and randomly assigned to one of three groups: (1) euthyroid; (2) hyperthyroid; (3) an...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/(sici)1097-4598(199712)20:12<1487::aid-mus
更新日期:1997-12-01 00:00:00
abstract::Protein synthesis in soleus and extensor digitorum longus (EDL) muscles was measured in vitro to test the hypothesis that the lack of muscle protein accumulation in dystrophic conditions could be caused by a reduced sensitivity to insulin. We demonstrate that physiological insulin concentrations stimulate protein synt...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.880060709
更新日期:1983-09-01 00:00:00
abstract::The myogenic regulatory factor MyoD plays an important role in embryonic and adult skeletal muscle growth. Even though it is best known as a marker for activated satellite cells, it is also expressed in myonuclei, and its expression can be induced by a variety of different conditions. Several model systems have been u...
journal_title:Muscle & nerve
pub_type: 杂志文章,评审
doi:10.1002/mus.21087
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:Tarsal tunnel syndrome (TTS) arises from tibial nerve damage under the flexor retinaculum of the fibro-osseus tunnel at the medial malleolus. It is notoriously difficult to diagnose, as many other foot pathologies result in a similar clinical picture. We examined the additional value of nerve ultrasound in...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24963
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:Upper motor neuron disorders are believed to leave the peripheral nervous system (PNS) intact. In this study we examined whether there is evidence of PNS involvement in spinal cord injury (SCI). METHODS:Twelve subjects with chronic low cervical or thoracic SCI were included prospectively. Needle electromy...
journal_title:Muscle & nerve
pub_type: 杂志文章
doi:10.1002/mus.24644
更新日期:2015-12-01 00:00:00
abstract:INTRODUCTION:The purpose of this study was to determine the impact of an in-home expiratory muscle strength training (EMST) program on pulmonary, swallow, and cough function in individuals with amyotrophic lateral sclerosis (ALS). METHODS:EMST was tested in a prospective, single-center, double-blind, randomized, contr...
journal_title:Muscle & nerve
pub_type: 杂志文章,随机对照试验
doi:10.1002/mus.26292
更新日期:2019-01-01 00:00:00