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36 Possible Causes for Difficulty Climbing Stairs, Gowers Sign, 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)[neuropathology-web.org] Symptoms may include: Progressive muscle weakness and wasting (atrophy) Waddling way of walking Difficulty climbing stairs Difficulty rising from lying or sitting Repeated[cedars-sinai.edu] ’s sign of proximal muscle weakness 1.[radiopaedia.org]

  • Limb-Girdle Muscular Dystrophy Type 1E

    Myotonia (prolonged muscle contraction) occurs spontaneously or is elicited by voluntary activity or by mild stimulation, such as tapping on a muscle (percussion myotonia)[neuropathology-web.org] LGMD1 patients may need to use walking aids, can have difficulties climbing stairs and lose the ability to walk.[mdfgauteng.org] Image : “Gower’s sign.” by William Richard Gowers (1845–1915) – Gowers WR. Clinical lecture on pseudohypertrophic muscular paralysis. Lancet 1879;ii,73-5.[lecturio.com]

  • 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.[doi.org] climbing stairs or getting up from chairs.[sharecare.com] We report a Saudi Arabian family with weakness in limb-girdle distribution: waddling gait, positive Gowers' sign, and marked muscle atrophy in the shoulder and pelvic girdle[ncbi.nlm.nih.gov]

  • Steroid Myopathy

    Myotonia can be elicited by percussion, occurs by impaired relaxation of muscle due to repetitive depolarization of the muscle.[frontiersin.org] Her headaches are gone, but she has difficulty climbing stairs and getting up form a chair.Her blood pressure is 120/70mm Hg, pulse 82/min and respiration are 12/min.Physical[forums.studentdoctor.net] ., Gower's sign).[aafp.org]

  • Sarcotubular Myopathy

    There was no actionor percussion myotonia, or muscle rippling. The tendonreflexes and sensory examination were normal.[documents.tips] Patients may complain of difficulty climbing stairs or fixing their hair in the morning.[hickoryneurology.net] sign.[docslide.com.br]

  • Limb-Girdle Muscular Dystrophy Type 1H

    myotonia Skeletal muscle fibrosis Abnormality of the musculature Anemia Splenomegaly Cardiomyopathy Behavioral abnormality Depressivity Hepatosplenomegaly X-linked inheritance[mendelian.co] climbing stairs and walking.[rarediseases.org] sign Need help with a diagnosis?[mendelian.co]

  • Rigid Spine Syndrome

    […] nigricans Hypertriglyceridemia Atrial fibrillation Macrocephaly Accelerated skeletal maturation Recurrent bacterial infections Insulin resistance Epidermal acanthosis Hirsutism Percussion[mendelian.co] Gowerssign was negative in all 10 of these children. MRI scans of the spine were diagnostic in cases of primary RSS.[ncbi.nlm.nih.gov] There was history of difficulty in standing from sitting position, climbing stairs and running. He also had difficulty in drinking and eating.[bioline.org.br]

  • Myopathy

    Myotonia can be elicited by percussion, occurs by impaired relaxation of muscle due to repetitive depolarization of the muscle.[doi.org] 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[treat-nmd.eu] He had a waddling gait, a positive Gowers' sign, and he was barely able to run.[academic.oup.com]

  • Distal Myopathy Type 3

    "Action" or grip myotonia may be seen. However, percussion myotonia is rare. There may be an associated neuropathy.[neuroweb.us] Eventually, affected individuals may have difficulty climbing stairs or walking for an extended period of time.[ghr.nlm.nih.gov] "Calf heads on a trophy sign" was present and Gowers' sign was positive [Figure 1] a-d and [Figure 2] a and b]. The tendon reflexes were present and symmetric.[ruralneuropractice.com]

  • Upper Limb Hypertrophy

    No percussion myotonia or involuntary movements were noted. Sensory examination was normal and tendon reflexes were elicited normally and symmetric.[amhsjournal.org] climbing stairs and walking.[rarediseases.org] […] be demonstrating Gower’s sign.[pmmonline.org]

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