Presentation
The syndrome is present at birth and does not show any significant progression thereafter. Three of the cases have suffered from arthrogryposis multiplex congenita. A secondary myopathy is also present. [jnnp.bmj.com]
Berciano J, Mateo I, De Pablos C, Polo JM, Combarros O (2002) Friedreich ataxia with minimal GAA expansion presenting as adult-onset spastic ataxia. J Neurol Sci 194:75–82 PubMed Google Scholar 2. [link.springer.com]
Arthrogryposis is present in about one-third of patients with Moebius syndrome. Mental deficiency is present in 15% of cases. Moebius syndrome is usually sporadic. Ingestion of Misoprostol during pregnancy may produce Moebius syndrome. [pediatricneuro.com]
Genetic causes may be present in only 30% of cases. [radiopaedia.org]
Entire Body System
- Weakness
Weakness of outermost muscles 0002460 Hyperlordosis Prominent swayback 0003307 Hyporeflexia of lower limbs 0002600 Nonprogressive 0003680 Proximal muscle weakness Weakness in muscles of upper arms and upper legs 0003701 Spasticity Involuntary muscle [rarediseases.info.nih.gov]
Symptoms via clinical synopsis from OMIM: 57 Muscle Soft Tissue: distal muscle weakness distal muscle atrophy proximal muscle weakness, less severe muscle biopsy shows myopathic changes denervation more Neurologic Peripheral Nervous System: hyporeflexia [malacards.org]
[…] w/predom limb weakness 2B Mild generalized w/predom bulbar weakness 3B Moderate generalized w/predom. bulbar weakness 4A Severe generalized w/ predom limb weakness 4B Severe generalized w/ predom bulbar weakness 5-crisis 13 Diagnosis of MG Any diagnosis [healthdocbox.com]
They also have hypotonia, weakness, and fatigability. Fatigability is the hallmark of myasthenia gravis. The diagnosis is established by evaluating the mother. [pediatricneuro.com]
The limb girdle muscular dystrophy syndromes can be defined by severity, distribution of weakness, age of onset, sex distribution and other characteristics and many of these can be better understood by study of the under lying defect in cell structural [books.google.com]
Skin
- Ulcer
Sun 1 (University of California, Los Angeles), Yi-Meng Yen 17 (University of California, Los Angeles), Tze Ip 1 (University of California, Los Angeles) ... more Patients with myelodysplasia have increased wound dehiscence and ulcer formation compared [scinapse.io]
Self-induced ulcer on the sole of the first lefttoe.Figure 3. Ulcerated lesions in cicatriola! [dokumen.tips]
- Anhidrosis
Congenital familial sensoryneuropathy with anhidrosis. J Pediatr 1966;68:1-13.5. LeeEL,OiigC, Lam KL,ParameswaranN. Congen-ital sensory neuropathy with anhidrosis. A case re-port. Pediatrics 1976;57:259-262.6. [dokumen.tips]
- Papule
The evoked sensory po-tentials were of low amplitude.Functional investigation of the autonomic ner-vous system showed, in contrast with what occursin normal conditions, absence of pain and erythem-atous reaction around the papule after an intrader-mal [dokumen.tips]
Musculoskeletal
- Myopathy
With External Ophthalmoplegia, Myopathy, Congenital, With Fiber-Type Disproportion, Centronuclear Myopathy, Congenital Multicore Myopathy With External Ophthalmoplegia, Congenital Myopathy With Myasthenic-Like Onset AD,AR 97.63 733 of 746 SCN4A Congenital [igenomix.es]
AR 6 8 TNNT3 Arthyrgryposis, distal, type 2B AD 3 4 TPM2 CAP myopathy, Nemaline myopathy, Arthrogryposis, distal AD 18 38 TPM3 * CAP myopathy, Nemaline myopathy, Myopathy, congenital, with fiber- disproportion AD 21 27 TRPV4 Metatropic dysplasia, Spondyloepiphyseal [blueprintgenetics.com]
Multicore myopathy, Multiminicore myopathy, Minicore myopathy with hand involvement, antenatal onset minicore myopathy with arthrogryposis, Minicore myopathy with external ophthalmoplegia, Multicore myopathy with external ophthalmoplegia, Multiminicore [orphananesthesia.eu]
Target fibers may be confused with central cores, which occur in a congenital myopathy-central core myopathy. In the EMG, large motor units appear as polyphasic or giant motor unit potentials. Denervated muscle is overexcitable. [neuropathology-web.org]
La conduite anesthésique ďun mâle âgé de 11 ans atteint ďarthrogrypose congénitale (AMC) et myopathie est décrite. [fr.glosbe.com]
- Muscular Atrophy
The condition appears to be intermediary between peroneal muscular atrophy and Friedreich's ataxia. [jnnp.bmj.com]
The classification and delineation of spinal muscular atrophy (SMA) has been complex and controversial. Hitherto arthrogryposis multiplex congenita (AMC) was regarded as an exclusion criteria in SMA(1). [indianpediatrics.net]
a gypsy patient, with consanguineous family, CMT4D, was identified by a mutation in the gene NDRG1; a patient with multiplex congenital arthrogryposis and vocal cord paralysis, whose mother had a scapular-peroneal syndrome, had a congenital spinal muscular [ncbi.nlm.nih.gov]
Atrophy AR 5.2 17 of 91 SMN2 Spinal Muscular Atrophy AR 7.6 0 of 3 SNAP25 Congenital Myasthenic Syndromes AD 100 6 of 6 SOX10 Peripheral Demyelinating Neuropathy, Waardenburg Syndrome AD 99.74 139 of 147 STAC3 Native American Myopathy AR 99.98 5 of 5 [igenomix.es]
In children, it is the autosomal recessive spinal muscular atrophy and its variants (see Chapter 9- Neurodegeneration ). [neuropathology-web.org]
- Lordosis
The lumbar lordosis increases with age as well; in adolescence, lumbar lordosis and popliteal and cubital webs increase in size. [slideshare.net]
Skeletally mature child : If the child is able to ambulate with compensatory lordosis, it is best to wait until skeletal maturity and then hope for lasting correction with subtrochanteric osteotomy. [orthopaedicsone.com]
Psychiatrical
- Self-Mutilation
Signs of self-mutilation of the hands:pseudqainhum of the third right finger, dystrophy ofthe nails, and partial destruction of the tips of thethumbs.rFigure 1. Self-induced ulcer on the sole of the first lefttoe.Figure 3. [dokumen.tips]
- Self-Mutilation
Signs of self-mutilation of the hands:pseudqainhum of the third right finger, dystrophy ofthe nails, and partial destruction of the tips of thethumbs.rFigure 1. Self-induced ulcer on the sole of the first lefttoe.Figure 3. [dokumen.tips]
Neurologic
- Peripheral Neuropathy
Congenital non-progressive peripheral neuropathy with arthrogryposis multiplex G. M. Yuill, P. G. [jnnp.bmj.com]
Neuropathy a functional weakness of the nervous system accompanied by a decrease in the. Peripheral Neuropathy Basics. Peripheral neuropathy is a blanket term for any problem that damages the peripheral nerves of the body. [neuropathy.gear.host]
Yuill GM, Lynch PG (1974) Congenital non-progressive peripheral neuropathy with arthrogryposis multiplex. [link.springer.com]
Title Other Names: Congenital non-progressive peripheral neuropathy with arthrogryposis multiplex Categories: This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. [rarediseases.info.nih.gov]
- Ataxia
The condition appears to be intermediary between peroneal muscular atrophy and Friedreich's ataxia. [jnnp.bmj.com]
Berciano J, Mateo I, De Pablos C, Polo JM, Combarros O (2002) Friedreich ataxia with minimal GAA expansion presenting as adult-onset spastic ataxia. J Neurol Sci 194:75–82 PubMed Google Scholar 2. [link.springer.com]
[…] neuropathy spectrum ataxia telangiectasia syndrome, see Ataxia-telangiectasia ataxia with isolated vitamin E deficiency, see Ataxia with vitamin E deficiency ataxia with lactic acidosis, see Pyruvate dehydrogenase deficiency ataxia with lactic acidosis [herenciageneticayenfermedad.blogspot.com]
OF MARIE RFG040 CEREBELLAR DEGENERATION OF MARIE FA RFG040 -LIKE ATAXIA Friedreich RFG040 FAMILIAL DEFICIENCY OF VITAMIN E RFG040 PERIODIC ATAXIA ATAXIA ATAXIA VESTIBULOCEREBELLARE telangiectases RFG040 LOUIS BAR SYNDROME Bartter Syndrome RCG010 BATTEN [nedisonfallam.blogspot.com]
- Headache
Meaning h hour h histamine or its receptors (if with subscripts) hemagglutinin Hx History ha hypertonia arterialis headache H/a headache haa hepatitis Associated antigen haart highly active anti-aetroviral therapy hace high-altitude cerebral edema hacek [arre.kraakbeenpijn.amsterdam]
The patient rarely complained of painsuch as headache or abdominal pain. In May 1990,she was referred to us for evaltiation of the cutane-ous lesions. [dokumen.tips]
Patients and Methods A 48-year-old patient with amyoplasia and over 30 previous orthopedic reconstructive surgeries presented with neck pain radiating down his left shoulder and into the fingers, dysesthesia in his fingertips, and left-sided periauricular headache [thieme-connect.com]
Headache. 2006;46(7):1136-1141. Schmidt U, Fuessel S, Koch R, et al. Quantitative multi-gene expression profiling of primary prostate cancer. Prostate. 2006;66(14):1521-1534. U.S. National Institutes of Health, National Cancer Institute (NCI). [aetna.com]
- Cerebellar Ataxia
ataxia type 1 autosomal recessive cerebellar ataxia with mental retardation, see VLDLR-associated cerebellar hypoplasia autosomal recessive cerebellar hypoplasia with cerebral gyral simplification, see VLDLR-associated cerebellar hypoplasia autosomal [herenciageneticayenfermedad.blogspot.com]
ATAXIA OF MARIE RFG040 CEREBELLAR DEGENERATION OF MARIE FA RFG040 -LIKE ATAXIA Friedreich RFG040 FAMILIAL DEFICIENCY OF VITAMIN E RFG040 PERIODIC ATAXIA ATAXIA ATAXIA VESTIBULOCEREBELLARE telangiectases RFG040 LOUIS BAR SYNDROME Bartter Syndrome RCG010 [nedisonfallam.blogspot.com]
Mitochondrial Recessive Ataxia Syndrome Lee et al (2007) stated that spino-cerebellar ataxia (SCA) is a heterogeneous group of neurodegenerative disorders with common features of adult-onset cerebellar ataxia. [aetna.com]
- Dysautonomia
The few cases studied werepublished mostly under the headings of neurologyand neuropediatrics (4-13).The clinical similarity between CSNA and othertypes of heredofamilial peripheral neuropathies,particularly familial dysautonomia, has led to theoccasional [dokumen.tips]
FAMILY PUTAMINALE RC0150 DEGENERATION OF THE CORNEA RFG130 Denys-Drash Syndrome RN1430 DERCUM DISEASE RC0090 dermatitis herpetiformis Dermatomyositis RL0020 RM0010 nephrogenic diabetes insipidus RJ0010 DEFECTS HEREDITARY COAGULATION RDG020 familial dysautonomia [nedisonfallam.blogspot.com]
Emery-Dreifuss muscular dystrophy (EDMD1, 2, and 3) Fabry disease Factor V Leiden mutation (F5 (Factor V)) (see below) Factor XIII deficiency, congenital (F13 (Factor XIII beta globulin)) Familial adenomatous polyposis coli (APC) (see below) Familial dysautonomia [aetna.com]
Workup
Pathological findings The nerve and muscle specimens from the lower extremity were received and processed per standard muscle and nerve workup protocols including enzyme histochemistry, special stains for nerve and muscle, nerve teasing, and electron [medcraveonline.com]
Preoperative workup was conducted and was significant for hypertension and nonspecific T-wave abnormalities on electrocardiography. [thieme-connect.com]
Treatment
Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout. [books.google.com]
Prognosis
Prognosis - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. Treatment - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. Resources - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. [checkorphan.org]
The prognosis is highly variable and is dependent on associated anomalies and severity. [radiopaedia.org]
Prognosis Ventilator dependence in the neonatal period is associated with a poor prognosis. Prognosis also depends on natural history and the patient’s response to therapy. [boneandspine.com]
The etiologies are multiple and can be maternal or fetal, neurogenic or myogenic and the prognosis depends essentially on the etiology [ 4 - 6 ]. [omicsonline.org]
Prognosis Prognosis depends on the underlying cause but most have a normal lifespan. If, however, there is a central nervous system problem in addition, about half of patients die in the first year. [patient.info]
Etiology
The etiologies are multiple and can be maternal or fetal, neurogenic or myogenic and the prognosis depends essentially on the etiology [ 4 - 6 ]. [omicsonline.org]
Abstract Arthrogryposis, is the occurrence of joint contractures of variable etiology that start prenatally. [degruyter.com]
[…] ar·thro·gry·po·sis mul·'ti·plex con·gen·'i·ta [MIM*108110] limitation of range of joint motion and contractures present at birth, usually involving multiple joints; a syndrome probably of diverse etiology that may result from changes in spinal cord, muscle [medical-dictionary.thefreedictionary.com]
The etiology of arthrogryposis (multiple congenital contracture). Clin Orthop Relat Res. 1985;(194):15-29. Kowalczyk B, Feluś J. Arthrogryposis: an update on clinical aspects, etiology, and treatment strategies. Arch Med Sci. 2016 Feb 1;12(1):10-24. [now.aapmr.org]
Etiology and Epidemiology The clinical findings of arthrogryposis are due to fetal akinesia. [posna.org]
Epidemiology
Etiology and Epidemiology The clinical findings of arthrogryposis are due to fetal akinesia. [posna.org]
Epidemiology It may occur to some extent in 1 in 3,000 to 1 in 5,000 live births. [ 3 ] The condition is usually detected at birth or before by ultrasound examination. It is often secondary to other conditions. [patient.info]
Epidemiology including risk factors and primary prevention Arthrogryposis occurs from 1/3000 to 1/5000 live births. 2,3 Males and females are equally affected. [now.aapmr.org]
Screening and diagnosis for the fragile X syndrome among the mentally retarded: An epidemiological and psychological survey. Am J Hum Genet. 1997;61:660-667. Gonnaud PM, Sturtz F, Bonnebouche C, et al. [aetna.com]
Pathophysiology
Pathophysiology of Arthrogryposis Decreased fetal movements or fetal akinesis has been suggested to be the major contributory cause. The decrease in activity could be due to fetal abnormalities or maternal disorders like. [boneandspine.com]
Patho-anatomy/physiology The pathophysiology is related to the specific type of arthrogryposis. Exact mechanisms are not well understood in some subtypes of arthrogryposis. [now.aapmr.org]
Understanding the pathophysiology of this disorder is important for clinical care of the affected individuals and genetic counseling of the families. [worldwidescience.org]
Clinical manifestations, pathophysiology, and diagnosis of atrioventricular (AV) canal defects. UpToDate [online serial]. Waltham, MA: UpToDate; reviewed December 2013. Altman CA. [aetna.com]
Prevention
Prevention - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. Diagnosis - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. Prognosis - Neuropathy- congenital- with arthrogryposis multiplex Not supplied. [checkorphan.org]
However some reason prevents the fetus movement leading to contracture of joints and muscles. [diseasespictures.com]
Knowledge of the pathogenesis, genetics, and molecular biology of neuromuscular disorders is essential both in developing and applying new therapies and preventive measures, and in formulating genetic and prognostic advice. [books.google.com]
Prevention Genetic advice may be essential to prevent arthrogryposis. Extrinsically derived contractures have a low recurrence risk but the recurrence risk for intrinsically derived contractures depends on the aetiology. [patient.info]
Flatfoot may exist as an isolated pathology or as part of a larger clinical en... more Background: The surgical treatment of calcaneal deformity in patients with myelomeningocele has not been uniformly successful in correcting the deformity and preventing [scinapse.io]