About: Stiff-person Syndrome Associated with Myotonic Dystrophy Type 2-a Case Report     Goto   Sponge   NotDistinct   Permalink

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Description
  • Stiff-person syndrome (SPS) is manifested by increased tone of the trunk muscles that gradually spreads to the limbs. The mechanism underlying this muscle hypertonia involves derangement of the inhibitory action of gamma-aminobutyric acid (GABA) at cortical and spinal levels with subsequent continuous motor unit activity. A co-contraction mechanism with a board-like abdomen and painful lumbar hyperlordosis plays an important role. Symptomatic treatment involves drugs that enhance inhibition (baclofen and benzodiazepines). Causal treatment focuses on immunosuppression (corticosteroids, intravenously administered immunoglobulins, and plasmapheresis). A combination of SPS and another genetic disease has not yet been described. We describe a case study of a 46-year-old man with gradual development of severe SPS whose electromyography (EMG) showed continuous motor unit activity as well as several myotonic discharges. Genetic testing was indicative of myotonic dystrophy type 2 (DM2).
  • Stiff-person syndrome (SPS) is manifested by increased tone of the trunk muscles that gradually spreads to the limbs. The mechanism underlying this muscle hypertonia involves derangement of the inhibitory action of gamma-aminobutyric acid (GABA) at cortical and spinal levels with subsequent continuous motor unit activity. A co-contraction mechanism with a board-like abdomen and painful lumbar hyperlordosis plays an important role. Symptomatic treatment involves drugs that enhance inhibition (baclofen and benzodiazepines). Causal treatment focuses on immunosuppression (corticosteroids, intravenously administered immunoglobulins, and plasmapheresis). A combination of SPS and another genetic disease has not yet been described. We describe a case study of a 46-year-old man with gradual development of severe SPS whose electromyography (EMG) showed continuous motor unit activity as well as several myotonic discharges. Genetic testing was indicative of myotonic dystrophy type 2 (DM2). (en)
Title
  • Stiff-person Syndrome Associated with Myotonic Dystrophy Type 2-a Case Report
  • Stiff-person Syndrome Associated with Myotonic Dystrophy Type 2-a Case Report (en)
skos:prefLabel
  • Stiff-person Syndrome Associated with Myotonic Dystrophy Type 2-a Case Report
  • Stiff-person Syndrome Associated with Myotonic Dystrophy Type 2-a Case Report (en)
skos:notation
  • RIV/00216208:11130/14:10292735!RIV15-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 47511
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/14:10292735
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • stiff-person syndrome; myotonic dystrophy; immunoglobulins; GABAergic inhibition; co-contraction (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • CZ - Česká republika
http://linked.open...ontrolniKodProRIV
  • [841F1EB31892]
http://linked.open...i/riv/nazevZdroje
  • Česká a slovenská neurologie a neurochirurgie
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 77
http://linked.open...iv/tvurceVysledku
  • Zámečník, Josef
  • Ehler, E.
  • Kopal, A.
  • Mandysova, P.
  • Vojtisek, P.
http://linked.open...ain/vavai/riv/wos
  • 000331010400017
issn
  • 1210-7859
number of pages
http://localhost/t...ganizacniJednotka
  • 11130
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