DYSF and CHRNE ‘double-trouble’ mutations: A rare combination of limb girdle muscular dystrophy with congenital myasthenic syndrome in a South-Indian family

2019 ◽  
Vol 405 ◽  
pp. 287 ◽  
Author(s):  
K. Polavarapu ◽  
S. Vengalil ◽  
V. Preethish-Kumar ◽  
G. Arunachal ◽  
N.P. Mahajan ◽  
...  
Author(s):  
Aziz Shaibani

Ophthalmoplegia is usually chronic and therefore diplopia is not a feature. There is enough time for the brain to suppress one image. It is amazing how much impairment of eye movement has to occur before the patient becomes concerned or considers it as abnormal. Neglected myasthenia gravis may be confused with mitochondrial ophthalmoplegia or oculopharyngeal muscular dystrophy or even congenital myasthenic syndrome. Central cause of ophthalmoplegia should be ruled out first by performing doll’s eye movement. Detailed family history looking in particular for ptosis, ophthalmoplegia, and dysphagia is diagnostically very useful. Non neurological causes of ophthalmoplegia such as severe exophthalmus, and retroorbital pathology should be considered.


Author(s):  
Aziz Shaibani

Ophthalmoplegia is usually chronic, and therefore diplopia is not a feature. There is enough time for the brain to suppress one image. It is amazing how much of impairment of eye movement has to occur before the patient becomes concerned or considers it as abnormal. Neglected myasthenia gravis (MG) may be confused with mitochondrial ophthalmoplegia or oculopharyngeal muscular dystrophy (OPMD) or even congenital myasthenic syndrome (CMS). Central causes of ophthalmoplegia should be ruled out first by performing doll’s eye movement. A number of cases of different types of ophthalmoplegia are presented, along with clinical and laboratory methods to differentiate them.


2020 ◽  
Vol 72 ◽  
pp. 238-243
Author(s):  
Vaibhav Wadwekar ◽  
Sruthi S. Nair ◽  
Vaibhav Tandon ◽  
Abraham Kuruvilla ◽  
Muralidharan Nair

2017 ◽  
Vol 56 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Federica Montagnese ◽  
Elisabeth Klupp ◽  
Dimitrios C. Karampinos ◽  
Saskia Biskup ◽  
Dieter gläser ◽  
...  

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