2012
DOI: 10.5535/arm.2012.36.4.569
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Upper Thoracic Myelopathy Caused by Delayed Neck Extensor Weakness in Myotonic Dystrophy

Abstract: Myotonic dystrophy is the most common autosomal dominant myopathy in adults. Our patient, a 41 year-old female suffering from myotonic muscular dystrophy, developed upper thoracic myelopathy due to hypertrophy of the ligamentum flavum and the posterior longitudinal ligament. She had a typical hatchet face and ptosis with "head hanging forward" appearance caused by neck weakness. Motor weakness, sensory changes and severe pain below T4 level, along with urinary incontinence began 3 months ago. Genetic and elect… Show more

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Cited by 4 publications
(2 citation statements)
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“…The same patient had additionally, signs of upper motor neuron dysfunction. In the literature, myelopathy was described only in one case as a result of hypertrophy of ligamentum flavum and posterior longitudinal ligament due to mechanical stress on the spinal cord, secondary to neck extensor muscle weakness, although in our patient MRI is normal . Additionally, we found one paper with a description of a family in which DM coexists with spastic paraplegia, what was not excluded in our patient .…”
Section: Discussionmentioning
confidence: 63%
“…The same patient had additionally, signs of upper motor neuron dysfunction. In the literature, myelopathy was described only in one case as a result of hypertrophy of ligamentum flavum and posterior longitudinal ligament due to mechanical stress on the spinal cord, secondary to neck extensor muscle weakness, although in our patient MRI is normal . Additionally, we found one paper with a description of a family in which DM coexists with spastic paraplegia, what was not excluded in our patient .…”
Section: Discussionmentioning
confidence: 63%
“…Only reported cases with well-documented relevant information about gender, CTG repeat size of the DMPK , and/or the DM1 phenotype of the transmitting parent and the affected child were included. After a literature search related to Korean DM1 [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ], 39 parent–child matched pairs with information about each gender, the CTG repeat size of the DMPK , and/or the DM1 phenotype were included in this study.…”
Section: Intergenerational Data Collection and Analysismentioning
confidence: 99%