Concurrent Paraspinous Myopathy and Myasthenia Gravis.
Publication/Presentation Date
6-1-2017
Abstract
Paraspinous myopathy is a rare neuromuscular disorder characterized by selective involvement of the cervical, thoracic, or lumbar muscles. Leading clinical features include a bent spine or dropped head (antecollis). In myasthenia gravis (MG), patients may have camptocormia secondary to neuromuscular junction dysfunction of the paraspinal muscles, and this condition usually responds to acetylcholinesterase inhibitors or immunosuppressive treatments. However, concomitant MG and paraspinous myopathy with histologic and electrophysiologic evidence of myopathic changes of the paraspinal muscles has only been reported twice in the literature. In this case series, 5 patients with MG with paraspinous myopathy are reported. While neck and extension truncal weakness is not uncommon in MG, most often the weakness is due to neuromuscular junction dysfunction. Coexisting paraspinous myopathy and MG is under-recognized, is often resistant to mainstay treatments, and should be considered in patients presenting with neck or trunk extensor weakness.
Volume
18
Issue
4
First Page
218
Last Page
222
ISSN
1537-1611
Published In/Presented At
Romano, A. E., Al-Qudah, Z., Kaminski, H. J., Katirji, B., & Salame, K. (2017). Concurrent Paraspinous Myopathy and Myasthenia Gravis. Journal Of Clinical Neuromuscular Disease, 18(4), 218-222. doi:10.1097/CND.0000000000000165
Disciplines
Medical Sciences | Medicine and Health Sciences | Neurology
PubMedID
28538252
Department(s)
Department of Medicine, Department of Medicine Faculty
Document Type
Article