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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Diagnostic clues to the defective protein in congenital myasthenic syndromes

Diagnostic clues to the defective protein in congenital myasthenic syndromes
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
Hz: hertz.
Modified from: Engel AG, Shen XM, Selcen D, Sine SM. Congenital myasthenic syndromes: pathogenesis, diagnosis, and treatment. Lancet Neurol 2015; 14:420. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 103283 Version 2.0

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