The coexistence of myasthenia gravis and myotonic dystrophy in one family.

Abstract:

:We are reporting the unique coexistence of two distinct neuromuscular diseases, myotonic dystrophy and the juvenile form of myasthenia gravis, occurring in one family. A 16-month-old previously healthy female presented with a two month history of bilateral varying drooping of both eyelids and bilateral external ophthalmoparesis. The acetylcholine receptor antibodies were elevated, and there was a dramatic response to edrophonium confirming the clinical impression of myasthenia gravis. Spontaneous remission of the ptosis was noted after six months with no specific treatment. Many other family members were examined; none of them had clinical or laboratory evidence of myasthenia gravis. The clinical examination of the mother and the maternal grandmother, neither of whom had any complaints, resulted in a definite diagnosis of myotonic dystrophy. The proband's father and a 3-year-old sister were examined and found to be normal. We studied the HLA antigens of all of the available family members; none were found to have the HLA antigens most commonly associated with myasthenia gravis. Secretor gene studies were not helpful in providing additional genetic identification. The question generated by the coexistence of these two uncommon disorders in one family is if there is a genetic or other relationship between them or if this was merely a coincidental occurrence. At this point in time the question remains unanswered and must await demonstration of additional similar circumstances.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Maytal J,Spiro AJ,Sinnar S,Moshe SL

doi

10.1055/s-2008-1052426

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

8-10

issue

1

eissn

0174-304X

issn

1439-1899

journal_volume

18

pub_type

杂志文章
  • Use of intrathecal baclofen in children and adolescents: interdisciplinary consensus table 2013.

    abstract::In recent years, intrathecal baclofen (ITB) has attained an important role in the treatment of severe spasticity and dystonia in children. There are principal differences between the use of ITB in children and its use in neurology and oncology in adults. Here, we present a consensus report on best practice for the tre...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0034-1387818

    authors: Berweck S,Lütjen S,Voss W,Diebold U,Mücke KH,Aisch A,Ostertag B,Friedrich M,Wagner C,Kudernatsch M,Granel M,Kluger G,Ludwikowski B,Peraud A,Rauchenzauner M,Schroeder AS,Sprinz A,Wienand R,Wilken B,Kästner S,Zeches

    更新日期:2014-10-01 00:00:00

  • Magnetic resonance imaging of progressive hydrosyringomyelia in two patients with meningomyelocele.

    abstract::Two patients who postoperatively developed extensive multiseptated hydrosyringomyelia following surgical repair of a lumbal meningomyelocele are reported. Since MRI has been available, an increasing number of reports showed that MRI is useful in the diagnosis of hydrosyringomyelia. Hydrosyringomyelia can be considered...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071358

    authors: van Hall MH,Beuls EA,Wilmink JT,Boiten J,Vles JS

    更新日期:1992-10-01 00:00:00

  • Fucosidosis with dystonia.

    abstract::Fucosidosis, a progressive neurodegenerative disease, evident in early childhood, is associated with progressive loss of mental and motor function and increasing spasticity and hyperreflexia. We report a Canadian male, with clinical features similar to previously reported fucosidosis patients, however, since age 5 he ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-979784

    authors: Gordon BA,Gordon KE,Seo HC,Yang M,DiCioccio RA,O'Brien JS

    更新日期:1995-12-01 00:00:00

  • Inherited or acquired disorders of blood coagulation in children with neurovascular complications.

    abstract::Congenital or acquired disorders of hemostasis can cause thrombotic events in adults as well as in children. Recently, acute neurologic complications such as hemiparesis or transitory ischemic attacks (TIA) have been reported in patients with different disorders of hemostasis. In addition, the interaction between anio...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1071573

    authors: Göbel U

    更新日期:1994-02-01 00:00:00

  • Reversible palsy of the hypoglossal nerve complicating infectious mononucleosis in a young child.

    abstract::We report a 7-year-old boy with serologic evidence of active Epstein-Barr virus (EBV) infection who developed transient unilateral hypoglossal nerve palsy, with complete recovery within 21 days. This is, to our knowledge, the youngest reported patient with isolated hypoglossal nerve palsy in the context of EBV infecti...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-973534

    authors: Parano E,Giuffrida S,Restivo D,Saponara R,Greco F,Trifiletti RR

    更新日期:1998-02-01 00:00:00

  • Symmetrical external capsule lesions in a patient with herpes simplex encephalitis.

    abstract::A 7-year-old boy had symmetrical transient high signal lesions in the external capsules on T2-weighted image during the recovery phase of herpes simplex virus (HSV) encephalitis. Although this finding has never been reported in HSV or other viral encephalitis, a postinfectious allergic mechanism is suspected in this p...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073016

    authors: Kimura S,Nezu A,Osaka H,Saito K

    更新日期:1994-06-01 00:00:00

  • Pitfalls in the diagnosis of multiple sulfatase deficiency.

    abstract::Multiple sulfatase deficiency (MSD, OMIM 272200) is an autosomal recessive leukodystrophy associated with the deficiency of several, in total seven, sulfatases. The disorder is clinically and biochemically variable. The clinical picture combines features of mucopolysaccharidosis and metachromatic leukodystrophy (MLD, ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2001-12213

    authors: Mancini GM,van Diggelen OP,Huijmans JG,Stroink H,de Coo RF

    更新日期:2001-02-01 00:00:00

  • Hereditary and acquired risk factors for childhood stroke.

    abstract::Forty-four patients aged from one month to 16 years suffering from arterial stroke were carefully studied for any hereditary and acquired risk factors for stroke. No physiologic anticoagulant deficiency or antiphospholipid syndrome was found. Two patients had mitochondrial disease (MELAS). Six patients had migraineous...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073026

    authors: Riikonen R,Santavuori P

    更新日期:1994-10-01 00:00:00

  • Chudley-McCullough syndrome: case report and review of the neuroimaging spectrum.

    abstract::We report on a child with Chudley-McCullough syndrome and re-evaluate the spectrum of imaging findings (in 15 previously reported patients) which appear to be variable and, to some extent, ambiguous in the literature. Magnetic resonance imaging of the brain revealed asymmetric colpocephaly with agenesis of the spleniu...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1307451

    authors: Kau T,Veraguth D,Schiegl H,Scheer I,Boltshauser E

    更新日期:2012-02-01 00:00:00

  • Adenosine Kinase Deficiency: Report and Review.

    abstract::Adenosine kinase (ADK) deficiency (OMIM [online mendelian inheritance in man]: 614300) is an autosomal recessive disorder of adenosine and methionine metabolism, with a unique clinical phenotype, mainly involving the central nervous system and dysmorphic features. Patients usually present early in life with sepsis-lik...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-0038-1676053

    authors: Alhusani A,Obaid A,Blom HJ,Wedell A,Alfadhel M

    更新日期:2019-02-01 00:00:00

  • Follow-up studies of children with fetal alcohol syndrome.

    abstract::Data coming from a prospective multidisciplinary study with repeated examinations of children with fetal alcohol syndrome (FAS) are reported. These patients underwent pediatric, neurological and psychiatric assessment, EEG-recordings and psychological testing. After a period of 3-4 years various subgroups of these chi...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052428

    authors: Spohr HL,Steinhausen HC

    更新日期:1987-02-01 00:00:00

  • Cerebrospinal fluid investigations for neurometabolic disorders.

    abstract::Careful clinical delineation and advances in analytical methods have opened new possibilities for the detection of inherited neurometabolic disorders, some of which require specific CSF analyses for diagnosis. Although patients suffering from these disorders have recognizable phenotypes, there are strong indications t...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-973538

    authors: Hoffmann GF,Surtees RA,Wevers RA

    更新日期:1998-04-01 00:00:00

  • Hydrocephalus in infancy and childhood: diagnosis and indication for operation.

    abstract::Improvement of the prognosis for children suffering from hydrocephalus requires prompt diagnosis and reliable indication of surgical treatment. Today, intrauterine hydrocephalus is detectable within the first three months of pregnancy; in infancy, before the cranial sutures have fused, pathological growth of the head ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052363

    authors: Gaab MR,Koos WT

    更新日期:1984-10-01 00:00:00

  • The Clinical Picture of a Bilateral Perisylvian Syndrome as the Initial Symptom of Mega-Corpus-Callosum Syndrome due to a MAST1-Gene Mutation.

    abstract::Congenital bilateral perisylvian syndrome (CBPS) is a rare neurological disorder associated with typical clinical and imaging features such as bilateral symmetrical polymicrogyria, either exclusively or mainly affecting the perisylvian region of the brain. We present a girl with the typical clinical picture of a CBPS ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1710588

    authors: Hecher L,Johannsen J,Bierhals T,Buhk JH,Hempel M,Denecke J

    更新日期:2020-12-01 00:00:00

  • Attention-deficit hyperactivity disorder and blood mercury level: a case-control study in Chinese children.

    abstract:OBJECTIVE:To investigate the association between blood mercury level and attention-deficit hyperactivity disorder (ADHD) in Chinese children in Hong Kong. METHODS:Fifty-two children with ADHD aged below 18 years diagnosed by DSM IV criteria without perinatal brain insults, mental retardation or neurological deficits w...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,收录出版

    doi:10.1055/s-2006-924577

    authors: Cheuk DK,Wong V

    更新日期:2006-08-01 00:00:00

  • Age and sex differences in brain gene expression in neonatal rats.

    abstract::Gene expression in the central nervous system is highly region-specific. We tested the hypothesis that certain developmental biomarkers could be detected in the whole brain or in cortical, subcortical or cerebellar structures. Brain gene expressions of male and female rats at birth, 3 days, and 10 days of age were mea...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0028-1105923

    authors: Torbati D,Totapally BR,Raszynski A,Osborne J,Zyl Lv,Kalomiris S,Wolfsdorf J

    更新日期:2008-08-01 00:00:00

  • Acute cerebellar ataxia in a child with transient pontine lesions demonstrated by MRI.

    abstract::A case of acute cerebellar ataxia with discrete signs of pyramidal and tegmental involvement is reported, several days after recovery from an upper respiratory infection of unknown etiology. Magnetic resonance imaging showed transient pontine lesions, disappearing in the convalescence phase. Laboratory tests establish...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071446

    authors: Groen RJ,Begeer JH,Wilmink JT,le Coultre R

    更新日期:1991-11-01 00:00:00

  • Development of the brainstem: assessment by MR imaging.

    abstract::The morphological development of the brainstem was studied by means of MR imaging. The subjects were 74 cases ranging in age from 4 months to 16 years, and 6 adult cases. The brainstem development was rapid until 4-6 years of age and thereafter it slowed down. That is the brainstem showed exponential growth (w', t', v...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071432

    authors: Hashimoto T,Tayama M,Miyazaki M,Kuroda Y

    更新日期:1991-08-01 00:00:00

  • Multiple Causes of Pediatric Early Onset Chorea-Clinical and Genetic Approach.

    abstract:OBJECTIVE:This article elucidates a clinical and genetic approach to pediatric early-onset chorea in patients with normal neuroimaging. METHODS:We retrospectively studied patients with onset hyperkinetic movement disorders. Only children with onset of chorea in the first 3 years of life were included, those with an ab...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0038-1645884

    authors: Blumkin L,Lerman-Sagie T,Westenberger A,Ben-Pazi H,Zerem A,Yosovich K,Lev D

    更新日期:2018-08-01 00:00:00

  • Juvenile myasthenia gravis: recommendations for diagnostic approaches and treatment.

    abstract::Juvenile myasthenia gravis (JMG) is an autoimmune disorder of neuromuscular transmission caused by production of antibodies against components of the postsynaptic membrane of the neuromuscular junction. Ethnicity has influence on incidence, clinical presentation, and the course of the disease. The patients present wit...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-0033-1364181

    authors: Della Marina A,Trippe H,Lutz S,Schara U

    更新日期:2014-04-01 00:00:00

  • Mucolipidosis IV: novel mutation and diverse ultrastructural spectrum in the skin.

    abstract::Mucolipidosis IV, a severe neurologic and ophthalmologic progressive disorder has a clinical range of onset between early childhood and adolescence entailing clinically severe, moderate, and mild forms, all of them majorly affecting Ashkenazi Jewish patients in an autosomal-recessive fashion owing to mutations in the ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2002-34496

    authors: Bargal R,Goebel HH,Latta E,Bach G

    更新日期:2002-08-01 00:00:00

  • Diffusion-weighted imaging findings in juvenile metachromatic leukodystrophy.

    abstract::Magnetic resonance (MR) imaging has an important role in the diagnosis of metachromatic leukodystrophy (MLD). We report diffusion-weighted MR imaging (DWI) findings of four cases of juvenile type MLD. DWI showed restricted diffusion lines with greater areas of increased diffusion in three patients and widespread incre...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2004-821301

    authors: Oguz KK,Anlar B,Senbil N,Cila A

    更新日期:2004-10-01 00:00:00

  • Expanding the Spectrum of Neurological Manifestations in Cutis Laxa, Autosomal Recessive, Type IIIA.

    abstract::Cutis laxa is a heterogeneous group of diseases, characterized by abundant and wrinkled skin and a variable degree of intellectual disability. Cutis laxa, autosomal recessive, type IIIA and autosomal dominant 3 syndromes are caused by autosomal recessive or de novo pathogenic variants in ALDH18A1. Autosomal recessive ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0040-1701671

    authors: Angelini C,Thibaud M,Aladjidi N,Bessou P,Cabasson S,Colson C,Espil-Taris C,Goizet C,Husson M,Morice-Picard F,De Sandre-Giovannoli A,Pédespan JM

    更新日期:2020-08-01 00:00:00

  • Two Cases of Pediatric AQP4-Antibody Positive Neuromyelitis Optica Spectrum Disorder Successfully Treated with Tocilizumab.

    abstract::B cell depletion with the anti-CD20-antibody rituximab is widely considered treatment of choice for long-term immunotherapy in aquaporin-4 (AQP4)-antibody positive neuromyelitis optica spectrum disorder (NMOSD). However, up to 30% of patients suffer from relapses despite complete B cell depletion. In these cases, the ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1684004

    authors: Breu M,Glatter S,Höftberger R,Freilinger M,Kircher K,Kasprian G,Seidl R,Kornek B

    更新日期:2019-06-01 00:00:00

  • The steroid treatment of hereditary motor and sensory neuropathy.

    abstract::A placebo or methylprednisolone (45-60 mg/M2) was administered in a crossover study as a single morning dose on alternate days to fourteen patients who had a familial progressive polyneuropathy that either began or was maximum in the distribution of the peroneal nerves. Neither the patients nor the examining physician...

    journal_title:Neuropediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2008-1052367

    authors: Prensky AL,Dodson WE

    更新日期:1984-10-01 00:00:00

  • Hydrocephalus, lissencephaly, ocular abnormalities and congenital muscular dystrophy. A Warburg syndrome variant?

    abstract::The authors report a family in whom three members suffered from congenital hydrocephalus and ocular abnormalities. One of these patients showed along with these symptoms congenital muscular dystrophy. In this child, autopsy disclosed severe cerebral malformations consisting of lissencephaly, arhinencephaly, stenosis o...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052531

    authors: Pavone L,Gullotta F,Grasso S,Vannucchi C

    更新日期:1986-11-01 00:00:00

  • Clinical and neuroradiological follow-up in mucopolysaccharidosis type III (Sanfilippo syndrome).

    abstract::Mucopolysaccharidosis type III (Sanfilippo syndrome) is an autosomal recessive disorder characterised by progressive nervous system involvement with mental retardation, behavioural problems and seizures. Three patients, of 20 months to 12 years of age, were followed up for 3 years both clinically and by using brain ma...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-973503

    authors: Barone R,Nigro F,Triulzi F,Musumeci S,Fiumara A,Pavone L

    更新日期:1999-10-01 00:00:00

  • Pediatric multiple sclerosis with primary progressive course--report of a retrospective cohort study in Iran.

    abstract::The aims of this study were to suggest the rate of primary progressive (PP) subtype of pediatric onset multiple sclerosis (MS) in Isfahan, Iran, and describe its clinical and paraclinical features. The data of patients were retrieved from Isfahan MS Society (IMSS) database from April 2003 to August 2011. Among 3,843 M...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0032-1329614

    authors: Etemadifar M,Afzali P,Tabrizi N,Hosseini SA

    更新日期:2013-06-01 00:00:00

  • A clinical neuropathological study of the fetal alcohol syndrome.

    abstract::Five patients with the clinical diagnosis of fetal alcohol syndrome (FAS) died at the ages of 8 and 4 months and 17, 4 and 2 days. Neuropathological examination revealed microencephalic brains in all cases, without morphological evidence of maturation delay. One of them showed agenesis of the corpus callosum and hypop...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059578

    authors: Wisniewski K,Dambska M,Sher JH,Qazi Q

    更新日期:1983-11-01 00:00:00

  • Batten disease in the west of Scotland 1974-1995 including five cases of the juvenile form with granular osmiophilic deposits.

    abstract::We report on 12 children with neuronal ceroid lipofuscinosis (NCL) diagnosed between 1974-1995 in the West of Scotland. Diagnosis was made on the basis of clinical, electrophysiological, radiological and pathological examination including electron microscopy (EM) in all cases. Incidence was calculated on the basis of ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-973690

    authors: Crow YJ,Tolmie JL,Howatson AG,Patrick WJ,Stephenson JB

    更新日期:1997-06-01 00:00:00