Weakness | What is the Gene | EMG/NCV | Muscle | Pharmacology |
---|---|---|---|---|
What is FTD?
( TDP-43)
Type of dementia linked to the ALS population.
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What is SOD1
Gene responsible for familial ALS
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What is prolonged F waves?
Nerve conduction abnormality seen on the initial phase of an AIDP patient
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What is weakness of finger flexion and knee extension
classic clinical finding of inclusion body myositis
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What is acetylcholinesterase inhibitors
MOA of pyridostigmine
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What is Kennedy's disease
55 M with slow progressive lower motor neuron signs with decreased libido and gynecomastia
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What is DMD
4 year old boy brought to clinic for difficulty walking with abnormally large calf.
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What are positive sharp waves, fibrillations and fasciculations?
Acute signs of neuronal injury on EMG/NCV
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What is inclusion body myositis
Rimmed vacuoles seen on muscle biopsy
(image 2) |
What is riluzole
Medication for ALS that is a glutamate release inhibitor
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What is multifocal motor neuropathy
65 Y M with progressive weakness over months. Exam shows pure motor weakness, no sensory involvement, decreased reflexes, fasciculations. EMG shows conduction block of motor neurons outside of compression sites
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What is duplication of the PMP22 gene
patients with CMT1A (Charcot Marie tooth type 1A), what is the genotype?
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What is decreased SNAP conduction velocity of the median nerve? ( sensory nerve action potential)
first abnormal emg/ncv finding on a carpal tunnel patient
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What is dermatomyositis?
Perifascular atrophy on muscle biopsy
(atrophic fibers in the borders of the fascicles) Image 3 |
What is Mexelitine
( Na channel blockers)
medication effective for treatment of myotonic dystrophy
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What is primary lateral sclerosis
50 Y Female with only UMN signs that are stable>5 years
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What is CTG repeats on the DMPK gene?
Patient with myotonic dystrophy type 1, what is the genotype?
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What is high amplitude motor unit action potentials?
(MUAPs)
Classically seen on EMG on a patient with chronic neuronal injury
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What is myotonic dystrophy type 1
25 Y man has frontal balding, atrophy of temporals and master muscles, b/l ptosis, UE weakness. Percussion of thenar eminence causes prolonged contraction and slow relaxation
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risdiplam (Evyrsd)
Oral treatment option for SMA
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What is acute intermittent porphyria?
(causes axonal motor neuropathy)
Patient with episodes of vomiting, abdominal pain and proximal UE weakness
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What is CACNA1S gene?
22 year old female with weakness and muscle cramps after exercise. improves with potassium, what is the genotype?
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What is limb girdle muscular dystrophy
49 Y Male with chronic hx of myalgia's referred to EMG for progressive muscle weakness
Image 1 |
What is Emery-Dreifuss?
14 Y boy w/ progressive weakness of the shoulders/upper arms, prominent contractures at the elbows, no pseduohypertrophy of the calves , EKG showed complete AV block
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45, 51, 53
FDA approved medications for exon skipping therapy: which exon are the target?
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