Slow-channel congenital myasthenic syndrome |
Dominantly inherited mutation in an acetylcholine receptor subunit gene |
CMS refractory to or worsened by acetylcholinesterase inhibitors |
ColQ subunit of the endplate-specific form of acetylcholinesterase, Dok-7, MuSK, agrin, LRP4, plectin, or laminin β2 |
Repetitive compound muscle action potential evoked by single nerve stimuli |
Slow-channel CMS and ColQ |
Delayed pupillary light response |
Some patients with ColQ mutations |
Congenital contractures |
Rapsyn, acetylcholine receptor δ or γ subunit, or choline acetyltransferase |
Greater than 50% decrease of compound muscle action potential amplitude after subtetanic stimulation at 10 Hz for 5 minutes followed by slow recovery over 5 to 10 minutes |
Choline acetyltransferase |
Sudden apnoeic episodes induced by fever or stress |
Choline acetyltransferase, rapsyin, or sodium channel myasthenia |
Limb-girdle and axial distribution of weakness |
Dok7, GFPT1, DPAGT1, ALG2, ALG14, GMPPB; occasionally rapsyn or ColQ |
Tubular aggregates of the sarcoplasmic reticulum in muscle fibres |
GFPT1, DPAGT1, ALG2 |
Autophagic myopathy |
GFPT1, DPAGT1 |
Stridor and vocal cord paralysis in neonates or infants |
Dok-7 |
Nephrotic syndrome and ocular malformations |
Laminin β2 |
Association with seizures or intellectual disability |
DPAGT1 |
Association with epidermolysis bullosa simplex and muscular dystrophy |
Plectin |
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