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22 Possible Causes for Difficulty Climbing Stairs, Electromyogram Abnormal, Percussion Myotonia

  • Muscular Dystrophy

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[] Symptoms may include: Progressive muscle weakness and wasting (atrophy) Waddling way of walking Difficulty climbing stairs Difficulty rising from lying or sitting Repeated[] […] typically elicited by percussion of the thenar eminence with a tendon hammer—‘percussion myotonia’.[]

  • Limb-Girdle Muscular Dystrophy

    Patients with myotonic dystrophy type 1 may present subtle myotonia and it may be necessary to search for tenar muscle percussion myotonia 15.[] climbing stairs or getting up from chairs.[] Examples of this include trouble standing from a sitting position without using the arms, or difficulty climbing stairs.[]

  • Myotonia Congenita

    The diagnosis were based upon family history, clinical findings of percussion myotonia, had grip myotania, prominent muscular hypertrophy and confirmed by electromyographic[] You might have difficulty: getting up out of a chair or bed climbing stairs starting to walk opening your eyelids after closing them Once you have been moving for a while,[] The electromyogram tests the electrical impulses from the affected muscles. The abnormal repetitive impulses can confirm this disease.[]

  • Myopathy

    Myotonia can be elicited by percussion, occurs by impaired relaxation of muscle due to repetitive depolarization of the muscle.[] The condition gets worse slowly, and also leads to weakness of proximal leg muscles with difficulties climbing stairs or getting up from sitting, and weakness of the hands[] Electroencephalographic abnormalities have been noted in several patients with the early-onset form of the disease before clinically apparent seizure activity begins.[]

  • Myotonic Dystrophy

    Percussion myotonia or myotonia of grasp or both is usually present if looked for.[] […] raising the head when lying down difficulty holding an object firmly a shuffling gait difficulty climbing stairs or rising from a seated position Media Dr.[] DM2 patients less commonly require assistive devices (canes, walkers, wheelchairs, scooters) than those with DM1 although they experience increasing difficulties climbing[]

  • Secondary Myopathy

    Muscle hypertrophy may be seen Grip and percussion myotonia can be seen Tx : Mexiletene.[] The typical symptoms include difficulty climbing stairs and rising from a low chair, and difficulty with tasks at and above shoulder height such as self grooming and lifting[] Although changes seen on electromyography are not pathognomonic for any specific disease process, an abnormal electromyogram can indicate if a neuropathy or neuromuscular[]

  • Generalized Myotonia of Thomsen

    On examination he showed percussion myotonia. There was no grip myotonia or eyelid myotonia. Nerve conduction studies were normal.[] Patients as well experience difficulties when climbing to stairs.[] Electromyogram – Looks for muscle damage. Electrocardiogram – Checks for abnormalities in the heartbeat.[]

  • Neuromuscular Junction Disorder

    Myotonia classically improves with repeated exercise, and worsens with exposure to cold.[] Clinical Presentation Early manifestations include delayed walking, difficulty rising from a seated position or climbing up the stairs.[] By age 5 years, boys experience difficulty running, climbing stairs, or arising from the floor (Gowers' sign). Calf hypertrophy is an early sign.[]

  • Schwartz-Jampel Syndrome

    Further investigation showed some typical facial features of the syndrome, percussion myotonia and abnormal EMG pattern characterized by continuous muscle activity at rest[] The myotonia is relatively mild and may be manifest as difficulty in releasing objects or by difficulty walking or climbing stairs.[] These clinical findings, along with abnormal electromyogram and muscle biopsy, are consistent with Schwartz-Jampel syndrome.[]

  • Distal Myopathy Type 3

    "Action" or grip myotonia may be seen. However, percussion myotonia is rare. There may be an associated neuropathy.[] Eventually, affected individuals may have difficulty climbing stairs or walking for an extended period of time.[] Neuropathy Atrophy Stiffness Myoglobinuria Other features History Physical Examination Laboratory Findings Creatine Kinase Muscle Biopsy Electromyogram Endocrine Cushing's[]

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