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157 Possible Causes for Percussion Myotonia, Weakness after Climbing Stairs

  • 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)[] […] typically elicited by percussion of the thenar eminence with a tendon hammer—‘percussion myotonia’.[] Handgrip myotonia and strength may improve with repeated contractions—‘warm up phenomenon’. 28 The warm up phenomenon can also improve speech production. 29 Myotonia can be[]

  • 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.[] She began to experience proximal muscle weakness of both lower limbs without obvious inducement, which markedly increased when she climbed the stairs or stood up after squatting[] PATIENT CONCERNS: A 25-year-old woman was admitted to our department as the limb weakness progressively worsened.[]

  • Steroid Myopathy

    Myotonia can be elicited by percussion, occurs by impaired relaxation of muscle due to repetitive depolarization of the muscle.[] Patients often have weakness and an inability to perform activities such as rising from chairs, climbing stairs, or bringing their arms over their heads.[] […] significant pain and difficult getting up from a chair, climbing stairs or brushing their hair.[]

  • Duchenne Muscular Dystrophy

    […] symptoms are noticed, such as weakness, clumsiness, a Gowers’ sign, difficulty with stair climbing, or toe walking.[] The method for diagnosing DMD has not changed significantly since 2010 ( figure 2 ). 6 The diagnostic process typically begins in early childhood after suggestive signs and[]

    Missing: Percussion Myotonia
  • Polymyalgia Rheumatica

    Polymyalgia rheumatica ( PMR ) is a syndrome with pain or stiffness, usually in the neck, shoulders, upper arms, and hips, but which may occur all over the body. The pain can be very sudden, or can occur gradually over a period. Most people with PMR wake up in the morning with pain in their muscles ; however, cases[…][]

    Missing: Percussion Myotonia
  • Spinal Stenosis

    Spinal stenosis Spinal stenosis Specialty Orthopedics, neurosurgery Symptoms Pain, numbness, or weakness in the arms or legs [1] Complications Loss of bladder control, loss of bowel control, sexual dysfunction [1] Usual onset Gradual [1] Types Cervical, thoracic, lumbar [2] Causes Osteoarthritis, rheumatoid arthritis,[…][]

    Missing: Percussion Myotonia
  • Graves Disease

    Graves disease is an autoimmune thyroid disorder characterized by hyperthyroidism, ophthalmopathy and goitre. The autoimmune process in Graves disease is influenced by a combination of environmental and genetic factors. The signs and symptoms of Graves' disease include insomnia, tremor, hyperactivity, hyperhidrosis,[…][]

    Missing: Percussion Myotonia
  • 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[] Most patients do not show overt weakness. Functional difficulties in climbing stairs may be present. The myotonia is exacerbated by prolonged rest or inactivity.[] He had diffuse muscular hypertrophy and stiffness with eyelid myotonia, tongue myotonia, percussion myotonia at thenar eminence [Figure 2] and forearm muscles.[]

  • Becker Muscular Dystrophy

    As time goes by, there may be muscle weakness which causes difficulty with running, climbing stairs or walking long distances.[] They have great difficulty in climbing stairs due to weakness of the muscles. The gait is often affected leading to toe-walking gait.[] The symptoms can be mild initially, presenting with a delay in learning to walk, muscle cramps after exercise or generally struggling with sports.[]

    Missing: Percussion Myotonia
  • Paramyotonia Congenita

    They experience neither grip nor percussion myotonia during warm weather, whereas myotonia is provoked by cold. Her younger son has no symptoms.[] Also of diagnostic importance are the myotonic reactions inducible at room temperature, such as percussion myotonia, active myotonia and paradoxical myotonia.[] Percussion myotonia of the tongue and thenar muscles could be elicited at room temperature. Myotonia was aggravated by cold.[]

    Missing: Weakness after Climbing Stairs

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