Nerve and muscle involvement in mitochondrial disorders: an electrophysiological study

被引:14
作者
Mancuso, Michelangelo [1 ]
Piazza, Selina [1 ]
Volpi, Leda [1 ]
Orsucci, Daniele [1 ]
Calsolaro, Valeria [1 ]
Ienco, Elena Caldarazzo [1 ]
Carlesi, Cecilia [1 ]
Rocchi, Anna [1 ]
Petrozzi, Lucia [1 ]
Calabrese, Rosanna [1 ]
Siciliano, Gabriele [1 ]
机构
[1] Univ Pisa, Dept Neurosci, Neurol Clin, I-56126 Pisa, Italy
关键词
Electromyography; Nerve conduction studies; Mitochondrial diseases; Mitochondrial myopathy; mtDNA; Neuropathies; PERIPHERAL NEUROPATHY; DISEASE; ADULTS; DNA;
D O I
10.1007/s10072-011-0703-4
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Involvement of the peripheral nervous system in mitochondrial disorders (MD) has been previously reported. However, the exact prevalence of peripheral neuropathy and/or myopathy in MD is still unclear. In order to evaluate the prevalence of neuropathy and myopathy in MD, we performed sensory and motor nerve conduction studies (NCS) and concentric needle electromyography (EMG) in 44 unselected MD patients. NCS were abnormal in 36.4% of cases, and were consistent with a sensori-motor axonal multineuropathy (multifocal neuropathy), mainly affecting the lower limbs. EMG evidence of myopathy was present in 54.5% of patients, again mainly affecting the lower limbs. Nerve and muscle involvement was frequently subclinical. Peripheral nerve and muscle involvement is common in MD patients. Our study supports the variability of the clinical expression of MD. Further studies are needed to better understand the molecular basis underlying the phenotypic variability among MD patients.
引用
收藏
页码:449 / 452
页数:4
相关论文
共 10 条
[1]
Diagnostic criteria for respiratory chain disorders in adults and children [J].
Bernier, FP ;
Boneh, A ;
Dennett, X ;
Chow, CW ;
Cleary, MA ;
Thorburn, DR .
NEUROLOGY, 2002, 59 (09) :1406-1411
[2]
Peripheral neuropathy in mitochondrial encephalomyopathies [J].
Chu, CC ;
Huang, CC ;
Fang, W ;
Chu, NS ;
Pang, CY ;
Wei, YH .
EUROPEAN NEUROLOGY, 1997, 37 (02) :110-115
[3]
Mechanisms of disease: Mitochondrial respiratory-chain diseases [J].
DiMauro, S ;
Schon, EA .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (26) :2656-2668
[4]
Mitochondrial neuropathy [J].
Finsterer, J .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2005, 107 (03) :181-186
[5]
Electrophysiological study of neuromuscular system involvement in mitochondrial cytopathy [J].
Girlanda, P ;
Toscano, A ;
Nicolosi, C ;
Sinicropi, S ;
Picciolo, G ;
Macaione, V ;
Quartarone, A ;
Messina, C .
CLINICAL NEUROPHYSIOLOGY, 1999, 110 (07) :1284-1289
[6]
Progressive external ophthalmoplegia: A new family with tremor and peripheral neuropathy [J].
Hisama, FM ;
Mancuso, M ;
Filosto, M ;
DiMauro, S .
AMERICAN JOURNAL OF MEDICAL GENETICS PART A, 2005, 135A (02) :217-219
[7]
Late-onset mitochondrial disorder with electromyographic evidence of myotonia [J].
Howse, MLP ;
Wardell, TM ;
Fisher, CJ ;
Tilley, PJB ;
Chinnery, PF ;
Bindoff, L .
MUSCLE & NERVE, 2003, 28 (06) :757-759
[8]
Peripheral neuropathy with ataxia in childhood as a result of the G8363A mutation in mitochondrial DNA [J].
Pineda, M ;
Solano, A ;
Artuch, R ;
Andreu, AL ;
Playan, A ;
Vilaseca, MA ;
Colomer, J ;
Briones, P ;
Casademont, J ;
Montoya, J .
PEDIATRIC RESEARCH, 2004, 56 (01) :55-59
[9]
Prevalence of mitochondrial DNA disease in adults [J].
Schaefer, Andrew M. ;
McFarland, Robert ;
Blakely, Emma L. ;
He, Langping ;
Whittaker, Roger G. ;
Taylor, Robert W. ;
Chinnery, Patrick F. ;
Turnbull, Douglass M. .
ANNALS OF NEUROLOGY, 2008, 63 (01) :35-39
[10]
AUTOMATIC-ANALYSIS OF THE EMG INTERFERENCE PATTERN [J].
STALBERG, E ;
CHU, J ;
BRIL, V ;
NANDEDKAR, S ;
STALBERG, S ;
ERICSSON, M .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1983, 56 (06) :672-681