Yonsei Med J.  2004 Feb;45(1):150-152. 10.3349/ymj.2004.45.1.150.

A Case of Congenital Neuromuscular Disease with Uniform Type 1 Fiber

Affiliations
  • 1Department of Neurology, Brain Korea 21 Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. ycchoi@yumc.yonsei.ac.kr
  • 2Department of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Congenital neuromuscular disease with uniform type 1 fiber (CNMDU1) is a rare but distinct form of nonprogressive, congenital myopathy. CMNDU1 is characterized by a type 1 muscle fiber content of more than 99%. This condition has only been previously described in a few reports. The authors report an 11-year-old girl who exhibited delayed developmental milestones, proximal muscle weakness, and bilateral ptosis. Her serum creatine kinase level was normal but an electromyographic study showed myopathic changes. A biopsy specimen from the left deltoid muscle revealed a uniformity of type 1 fibers (greater than 99%) with a moderate variation in fiber size. This is the first case of CNMDU1 reported in Korea.

Keyword

Congenital neuromuscular disease with uniform type 1 fiber (CNMDU1) ; congenital myopathy

MeSH Terms

Biopsy
Child
Developmental Disabilities/*pathology
Female
Human
Muscle Fibers, Slow-Twitch/*pathology
Muscle, Skeletal/*pathology
Neuromuscular Diseases/congenital/*pathology
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