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January 1, 2016European Neurology

Muscle MRI of the Upper Extremity in the Myotonic Dystrophy Type 1

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Authors

KHKouji HayashiTHTadanori HamanoYKYasutaka Kawamura

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Overview

Observational study demonstrates upper extremity muscle MRI damage correlates with weakness in myotonic dystrophy type 1, highlighting its clinical utility for tracking disease.

Key Points

  • To evaluate the relationship between upper extremity muscle MRI findings and muscle weakness in patients with myotonic dystrophy type 1.
  • Enrolled 19 patients with myotonic dystrophy type 1 from 15 families.
  • Assessed muscle weakness using the modified Medical Research Council scale alongside genetic testing.
  • Performed upper extremity muscle MRI scans to assess muscle involvement patterns.
  • The flexor digitorum profundus, flexor pollicis longus, flexor digitorum superficialis, extensor pollicis, abductor pollicis longus, lateral head of triceps brachii, and infraspinatus were frequently and severely affected.
  • Muscle strength and disease duration significantly correlated with MRI severity across several arm and forearm muscles, particularly the flexor digitorum profundus and biceps brachii.
  • Trinucleotide repeat expansion size of myotonin protein kinase showed no significant correlation with muscle MRI findings.

Cite This Study

Hayashi et al. (2016) studied this question.

synapsesocial.com/papers/6aa04d47742952fb2b176fe0https://doi.org/10.1159/000448328
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessment of a disease-specific muscular impairment rating scale in myotonic dystrophy2001 · 386 citations
  2. 2Magnetic resonance imaging of skeletal muscles in sporadic inclusion body myositis2011 · 145 citations
  3. 3Estimation of body composition in muscular dystrophy by MRI and stereology2000 · 44 citations
  4. 4Larger expansions of the CTG repeat in muscle compared to lymphocytes from patients with myotonic dystrophy1993 · 207 citations