Difference between revisions of "Myotonia"

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==Myotonia==
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|linkpage = Nervous System - Pathology
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* Myotonia is the term given to sustained muscle contraction.
|linktext =Nervous System
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* Myotonia may be congenital or acquired.
|maplink = Nervous System (Content Map) - Pathology
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===Congenital===
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* Myotonia congenita is caused by an ion channel defect.
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* Certain breeds of dogs are predisposed to myotonia congenita.
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** Chow chow
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*** The condition is caused by a defect in the sodium channel.
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** Schnauzer
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*** The condition is caused by a defect in the chloride channel.
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====Clinical Signs====
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* Stiffness is present from birth.
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** Signs improve with exercise.
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* Hypertrophy of the [[Tongue - Anatomy & Physiology|tongue]] and appendicular muscles.
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* Percussion dimple formation
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* Biopsy results may:
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** Be normal, or
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** Show type 1 fibre predominance or hypertrophy.
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====Treatment====
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* Exercise avoidance.
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* Drugs:
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** Metilxantine
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** Procainamide
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===Acquired===
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* Acquired myotonia may be caused by:
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** Herbicides
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*** For example, (2,4-D) and dicamba.
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** [[Hyperadrenocorticoidism ]]
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*** This may be natural (i.e. increased endogenous steroid production), or iatrogenic (i.e. prolonged corticosteroid administration).
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[[Category:Tremors and Movement Disorders]]
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[[Category:Muscles - Pathology]]

Latest revision as of 14:32, 9 November 2011

Myotonia

  • Myotonia is the term given to sustained muscle contraction.
  • Myotonia may be congenital or acquired.

Congenital

  • Myotonia congenita is caused by an ion channel defect.
  • Certain breeds of dogs are predisposed to myotonia congenita.
    • Chow chow
      • The condition is caused by a defect in the sodium channel.
    • Schnauzer
      • The condition is caused by a defect in the chloride channel.

Clinical Signs

  • Stiffness is present from birth.
    • Signs improve with exercise.
  • Hypertrophy of the tongue and appendicular muscles.
  • Percussion dimple formation
  • Biopsy results may:
    • Be normal, or
    • Show type 1 fibre predominance or hypertrophy.

Treatment

  • Exercise avoidance.
  • Drugs:
    • Metilxantine
    • Procainamide

Acquired

  • Acquired myotonia may be caused by:
    • Herbicides
      • For example, (2,4-D) and dicamba.
    • Hyperadrenocorticoidism
      • This may be natural (i.e. increased endogenous steroid production), or iatrogenic (i.e. prolonged corticosteroid administration).