Stroke in a Man with Myotonic Muscular Dystrophy : A case report.

, Kim, Deog Young; , Park, Chang il; , Ohn, Suk Hoon; , Yang, Eun Joo

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2006;30(6):665-669.

Kim, Deog Young , Park, Chang il , Ohn, Suk Hoon , Yang, Eun Joo

¹Department of Rehabilitation Medicine and Research Institute, Yonsei University College of Medicine, Korea. graceloves@medimail.co.kr
²Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University College of Medicine, Korea.

뇌졸중이 발생한 근긴장성 이영양증 ⁣증례 보고⁣

김덕용, 박창일, 온석훈¹, 양은주

연세대학교 의과대학 재활의학교실 및 재활의학연구소, ¹성균관대학교 의과대학 삼성서울병원 재활의학과

Abstract

Myotonic dystrophy is the most common autosomal dominant myopathy in adults. It is a disorder with multisystemic clinical features affecting the skeletal muscle, the heart, the eye, and the endocrine system. We experienced a 45-year- old myotonic muscular dystrophy male patient who developed cerebral infarction without well-known risk factors. He had typical haRchet face and ptosis with atrophy of gastrocnemius muscles. Typical myotonic discharge and severe affected myotonic dystrophin gene were shown. Right side motor weakness, sensory change and aphasia were developed after attack. We investigated all the possible risk factors of cerebral infarction. However, we could not find any well-known risk factors. Only abnormal left ventricular relaxation, one of cardiac problems in myotonic muscular dystrophy was shown. We think that his cerebral infarction may be related with the cardiac problem related with myotonic muscular dystrophy. (J Korean Acad Rehab Med 2006; 30: 665-669)

Key Words: Myotonic muscular dystrophy, Stroke