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Proximal Myopathy with Extrapyramidal Signs

Presentation

The clinical presentation is that of progressive/relapsing and remitting muscle weakness present for more than 2 months, symmetrical proximal and distal extremity weakness and hyporeflexia. [neuroweb.us]

Particular clinical presentations of neurometabolic disorders include ataxias, movement disorders, childhood epilepsies, or peripheral neuropathy. [oxfordmedicine.com]

401768 Classification level: Disorder Synonym(s): - Prevalence: <1 / 1 000 000 Inheritance: Autosomal recessive Age of onset: Childhood, Infancy ICD-10: G71.3 OMIM: 615673 UMLS: - MeSH: - GARD: 12978 MedDRA: - The documents contained in this web site are presented [orpha.net]

Many disorders present with prominent neurologic (central, peripheral, and autonomic) as well as myopathic features. [neupsykey.com]

This may present with some difficulty in diagosis, particularly when the proximal limb-girdle musculature is the sole site of presentation. [intranet.tdmu.edu.ua]

Workup

Workup - other ECG Malabsorption workup Karyotyping and family screening 26. Treatment of Hypocalcemia 27. [slideshare.net]

Aspartate aminotransferase levels Other studies may include the following: Electrocardiography Antinuclear antibody levels Genetic testing Electromyography Magnetic resonance imaging (to assess complications or rule out neurologic disease) Muscle biopsy See Workup [emedicine.medscape.com]

Treatment

Acute and preventive pharmacologic treatment of cluster headache. Neurology 2010, 75 ( 5 ):463-73. CrossRef PubMed Google Scholar 24. [link.springer.com]

[…] for which specific treatments are available. [mentalhealth.com]

More Symptoms of Myopathy with extrapyramidal signs » Treatments See also the following treatment articles: Treatments for Myopathy Causes See also causal information: Causes of Myopathy Similar Topic Articles Myopathy Extrapyramidal signs Names and Terminology [familydiagnosis.com]

Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]

Such treatments may include the following: Supportive: Management of airway, breathing, circulation; hydration; intensive care management may be needed in some cases Drug therapy Physical therapy Bracing Surgery See Treatment for more detail. [emedicine.medscape.com]

Prognosis

Prognosis of MELAS syndrome is poor. [pliem.co.za]

The prognosis is most favorable when the onset of symptoms occurs after the second decade of life. [intranet.tdmu.edu.ua]

A poor prognosis for patients has been suggested if there are infratentorial lesions early in the course of the illness (particularly the MCP). Acute disseminated encephalomyelitis frequently evolves into MS. [neurodiffdx.com]

This distinction is important for genetic counseling of family members and for the patient’s prognosis, in that HSP generally carries a more favorable prognosis. [2] Other components of the differential diagnosis of HSP are similar to those of PLS. [emedicine.medscape.com]

For patients with CIPA/HSAN type IV, the prognosis for independent function depends on the ability to manage secondary clinical problems, especially the orthopedic issues. [pediatrics.aappublications.org]

Etiology

These conditions have widely varying etiologies, including congenital or inherited, idiopathic, infectious, metabolic, inflammatory, endocrine, and drug-induced or toxic. [emedicine.medscape.com]

They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]

Etiology and Pathology The etiology is unknown. [intranet.tdmu.edu.ua]

Muscle disease often results in an increase in creatine kinase levels in the blood, although this is quite nonspecific in terms of etiologic diagnosis. [dartmouth.edu]

Epidemiology

Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]

Vågå study of headache epidemiology. Cephalalgia 2003, 23 ( 7 ):528–533. CrossRef PubMed Google Scholar 5. Russell MB: Epidemiology and genetics of cluster headache. Lancet Neurol 2004, 3 ( 5 ):279–283. CrossRef PubMed Google Scholar 6. [link.springer.com]

At first considered a rare condition, it is now recognized as one of the most frequent dementing disorders, second in incidence only to Alzheimer disease in most hospital-based epidemiological studies. [usmle.net]

Epidemiologic data suggest that smoking may be an established risk factor for sporadic ALS. [8] The peak age of onset is between 55 and 75 years. [emedicine.medscape.com]

Epidemiology The prevalence of PD is 133 per 100 000 people. This disease is considered to be one of the most common ones among old people after dementia, epilepsy, cerebral vascular diseases. The beginning of the disease is at the age of 55. [intranet.tdmu.edu.ua]

Pathophysiology

The output is generated by the deep cerebellar nuclei and … [PDF][PDF] Disorders of the cerebellum and its connections CM Fredericks - Fredericks CM, Saladin LK. eds: Pathophysiology …, 1996 - deardegree.com The cerebellum, which lies just dorsal to the [scholar.google.it]

Pathophysiology  Ionized calcium is affected by:  Albumin  Blood pH  Serum phosphate  Serum magnesium  Serum bicarbonate  Exogenous factors  Citrate / free fatty acids (TPN) 5. [slideshare.net]

Involvement of the autonomic nervous system in the pathophysiology of Rett syndrome. Eur Child Adolesc Psychiatry. 1997 ; 6(suppl 1) : 42 – 45 ↵ Weese-Mayer DE, Boothby CM, Lieske SP, et al. [pediatrics.aappublications.org]

Pathophysiology of weakness in a patient with congenital end-plate acetylcholinesterase deficiency. Muscle Nerve 20 02; 25(4): 585 - 592 3. Hanada S, Kumashiro R, Kaji R, Harada M, Sata M. [neuro-tokushima.com]

Whereas the pathophysiology of muscular dystrophy 3 and the core myopathies 4 involves abnormal mitochondrial Ca 2+ handling, the phenotype associated with MICU1 deficiency is caused by a primary defect in mitochondrial Ca 2+ signaling, demonstrating [nature.com]

Prevention

Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. ‎ [books.google.es]

We consider verapamil and lithium to be first-line preventives for chronic CH, although the trial evidence is at best Class II. [link.springer.com]

MICU1 acts both as an activator or inhibitor of mitochondrial calcium uptake: acts as a gatekeeper of MCU at low concentration of calcium, preventing channel opening; enhances MCU opening at high calcium concentration, allowing a rapid response of mitochondria [flybase.org]

Unfortunately, there are no preventive or curative measures for the disease to date. Dietary restriction is beneficial, but compliance is often limited. [pliem.co.za]

Patients require aids to maintain ambulation and prevent falling. [intranet.tdmu.edu.ua]

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