雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A CASE OF UNCLASSIFIED FAMILIAR MUSCULAR ATROPHY Taiei Miura 1 , Hitoshi Ito 1 , Fumihiko Mori 1 , Yoshiharu Suzuki 1 , Ryoji Unno 2 , Seiichi Okayama 2 1Dept. of Neuropsychiatry. School of Med. Keio Univ. 2Dept. of Urology, Kawasaki City Hosptal pp.943-947
Published Date 1963/10/1
DOI https://doi.org/10.11477/mf.1406201549
  • Abstract
  • Look Inside

A 22-year-man came to the Clinic in Septem-ber, with the chief complaints of urinary reten-tion for one year and weight loss for three years.

On admission he aparently had symmetric muscular atrophy of trunk and extremities (especially proximal group). Deep reflexes were markedly hyperactive, but no other py-ramidal symptoms were discovered at any time. Abdominal reflexes were absent bilaterally. No fibrillation was found. There were neither pains, cutaneous eruptions, nor any other neu-rological abnormalities. Results of general ex-amination were not remarkable. Electromyo-gram of light biceps brachialis muscle revealed low amplitude NMU voltage at voluntary con-traction but non the other. Biopsy suggested dystrophic changes in the deltoid muscle. Uri-nary creatine was 246mg per day, creatinine 500mg per day. Serum aldolase was 10 U. The results of X ray examination were as follows: skull, negative; cervical thoracic and lumbar spinal columns, negative; stomach, chronic gastritis; myelogram, negative ; urethro-cys-togram revealed spasm of external urinary sphincter. In spite of therapeutic trials, no im-provement could be attained. His sister also had similar symptomes except for urinary ret-ention.

We discussed differential diagnosis of this case, but question as to what of muscular atrophy takes place from these findings cannot esasily answered.


Copyright © 1963, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

関連文献

もっと見る

文献を共有