“…The non-dystrophic myotonias thus far have been shown to only involve the muscle system, whereas the dystrophic myotonias exhibit multisystem involvement concurrent with additional muscle weakness. Genes involved in Mc are the muscle voltage-gated sodium and chloride channel genes SCN4A ("Dinucleotide repeat polymorphisms at the SCN4A locus suggest allelic heterogeneity of hyperkalemic periodic paralysis and paramyotonia congenita," 1992; Du et al, 2012;Ruscák, 1997;Shirakawa, Sakai, Kitagawa, Hori, & Hirose, 2002) and CLCN1 (Bernard, Poulin, Puymirat, Sternberg, & Shevell, 2008;Grunnet et al, 2003;Wijnberg et al, 2012;Zhang, Bendahhou, Sanguinetti, & Ptácek, 2000), the Myotonic dystrophy protein kinase (DMPK) gene (Meola & Cardani, 2014), and the CCHC-type zinc finger, nucleic acid binding protein gene CNBP (Meola, 2013;Sun et al, 2011). In most forms of MD, membrane damage occurs after prolonged muscle contraction (Blake, Weir, Newey, & Davies, 2002;Petrof, Shrager, Stedman, Kelly, & Sweeney, 1993), which causes a delayed relaxation of the muscles (Beck, Fahlke, & George, 1996).…”