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June 24, 2010Neurology

Redefining dysferlinopathy phenotypes based on clinical findings and muscle imaging studies

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Key result

Miyoshi myopathy and limb-girdle muscular dystrophy 2B phenotypes showed no significant differences in disease progression, prognosis, genotype, or MRI pattern of muscle involvement.

Why the study?

Do clinical or MRI markers differentiate phenotypes of dysferlin myopathy (LGMD2B vs Miyoshi myopathy)?

Population

29 patients with confirmed mutations in the DYSF gene

Design

Cohort

Follow-up

mean 6.4 +/- 5.7 years

Authors

CPCarmen ParadasBiomedical Research Networking Center on Neurodegenerative DiseasesJLJaume LlaugerHospital de Sant PauJDJordi Díaz‐ManeraNewcastle upon Tyne Hospitals NHS Foundation Trust

Discussion

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Implication

Clinical distinction of Miyoshi myopathy from LGMD2B lacks support by progression or MRI; supports unified dysferlin myopathy classification but remains hypothesis-generating.

Study Design

Type

Observational (n=29)

Structured PICO

Do clinical or MRI markers differentiate phenotypes of dysferlin myopathy (LGMD2B vs Miyoshi myopathy)?

P
Population
29 patients with confirmed DYSF gene mutations (14 Miyoshi myopathy, 12 LGMD2B, 1 asymptomatic, 2 carriers) followed for a mean of 6.4 years.
E
Exposure
Lower limb MRI studies and annual clinical examination
O
Outcome
Clinical or MRI markers to differentiate phenotypes of dysferlin myopathysurrogate

Splitting dysferlin myopathy into separate phenotypes (MM and LGMD2B) is not supported by clinical progression or MRI patterns, favoring grouping them under dysferlin myopathy.

Cite This Study

Paradas et al. (2010) conducted an observational in Dysferlin myopathy (n=29). Miyoshi myopathy (MM) phenotype vs. Limb-girdle muscular dystrophy 2B (LGMD2B) phenotype was evaluated on Rate of progression, functional prognosis, mutations, and MRI pattern of muscle involvement. Miyoshi myopathy and limb-girdle muscular dystrophy 2B phenotypes showed no significant differences in disease progression, prognosis, genotype, or MRI pattern of muscle involvement.

synapsesocial.com/papers/6a97775d44220fce7874af29https://doi.org/10.1212/wnl.0b013e3181ea1564
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Miyoshi-type distal muscular dystrophy. Clinical spectrum in 24 Dutch patients1997 · 85 citations
  2. 2Phenotypic Study in 40 Patients With Dysferlin Gene Mutations2007 · 270 citations
  3. 3Dysferlin mutations in LGMD2B, Miyoshi myopathy, and atypical dysferlinopathies2005 · 122 citations
  4. 4Dysferlin mutations in Japanese Miyoshi myopathy2003 · 80 citations
  5. 5Distinct muscle imaging patterns in myofibrillar myopathies2008 · 265 citations