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EMG: myokymic discharges

MedGen UID:
867776
Concept ID:
C4022166
Finding
HPO: HP:0100288

Definition

The presence of spontaneous bursts of rapidly firing potentials that recur at regular intervals of 2-10 per second and are unaffected by voluntary effort. This is an electromyographic (EMG) finding. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEMG: myokymic discharges

Conditions with this feature

Hypotonia, infantile, with psychomotor retardation and characteristic facies 3
MedGen UID:
1798903
Concept ID:
C5567480
Disease or Syndrome
Infantile hypotonia with psychomotor retardation and characteristic facies-3 is a severe autosomal recessive neurodevelopmental disorder with onset at birth or in early infancy. Most affected individuals show very poor, if any, normal psychomotor development, poor speech, and inability to walk independently (summary by Bhoj et al., 2016). For a general phenotypic description and a discussion of genetic heterogeneity of infantile hypotonia with psychomotor retardation and characteristic facies, see IHPRF1 (615419).

Professional guidelines

PubMed

Al-Chalabi M, Hegde P, Moore SR, Abouainain Y, Keener M, Parvez H, Eid J, Saleem S, Sheikh A
J Clin Neuromuscul Dis 2023 Dec 1;25(2):94-106. doi: 10.1097/CND.0000000000000460. PMID: 37962197
Falah M, Schiff D, Burns TM
J Support Oncol 2005 Jul-Aug;3(4):271-82. PMID: 16092597

Recent clinical studies

Etiology

Moura J, Samões R, Cardoso M, Sousa AP, Damásio J, Marinho A, Carneiro P, Neves E, Silva AM, Santos E
Clin Neurol Neurosurg 2023 Nov;234:107994. Epub 2023 Sep 30 doi: 10.1016/j.clineuro.2023.107994. PMID: 37797365
Oishi T, Ryan CS, Vazquez Do Campo R, Laughlin RS, Rubin DI
Muscle Nerve 2021 Jun;63(6):861-867. Epub 2021 Mar 24 doi: 10.1002/mus.27219. PMID: 33675544
Whaley NR, Rubin DI
Muscle Nerve 2010 Jan;41(1):107-9. doi: 10.1002/mus.21540. PMID: 20014246
Bacsi AM, Kiernan MC
J Clin Neurosci 2008 Nov;15(11):1288-90. Epub 2008 Sep 23 doi: 10.1016/j.jocn.2007.09.011. PMID: 18815044
Esteban A, Traba A
Electroencephalogr Clin Neurophysiol 1993 Dec;89(6):382-91. doi: 10.1016/0168-5597(93)90111-2. PMID: 7507424

Diagnosis

Al-Chalabi M, Hegde P, Moore SR, Abouainain Y, Keener M, Parvez H, Eid J, Saleem S, Sheikh A
J Clin Neuromuscul Dis 2023 Dec 1;25(2):94-106. doi: 10.1097/CND.0000000000000460. PMID: 37962197
Küçükali CI, Kürtüncü M, Akçay Hİ, Tüzün E, Öge AE
Rev Neurosci 2015;26(2):239-51. doi: 10.1515/revneuro-2014-0066. PMID: 25719304
Nogués MA
Muscle Nerve Suppl 2002;11:S77-82. doi: 10.1002/mus.10151. PMID: 12116290
Shapiro BE, Rordorf G, Schwamm L, Preston DC
Neurology 1996 Jun;46(6):1604-6. doi: 10.1212/wnl.46.6.1604. PMID: 8649557
Albers JW, Allen AA 2nd, Bastron JA, Daube JR
Muscle Nerve 1981 Nov-Dec;4(6):494-504. doi: 10.1002/mus.880040606. PMID: 7311989

Therapy

Al-Chalabi M, Hegde P, Moore SR, Abouainain Y, Keener M, Parvez H, Eid J, Saleem S, Sheikh A
J Clin Neuromuscul Dis 2023 Dec 1;25(2):94-106. doi: 10.1097/CND.0000000000000460. PMID: 37962197
Santos MO, Swash M, de Carvalho M
Clin Neurophysiol 2017 Apr;128(4):643-646. Epub 2017 Feb 5 doi: 10.1016/j.clinph.2017.01.018. PMID: 28235725
Gonzalez G, Barros G, Russi ME, Nuñez A, Scavone C
Pediatr Neurol 2008 Jan;38(1):61-3. doi: 10.1016/j.pediatrneurol.2007.07.009. PMID: 18054698
Oh SJ, Alapati A, Claussen GC, Vernino S
Muscle Nerve 2003 Jun;27(6):757-60. doi: 10.1002/mus.10369. PMID: 12766989
Shapiro BE, Rordorf G, Schwamm L, Preston DC
Neurology 1996 Jun;46(6):1604-6. doi: 10.1212/wnl.46.6.1604. PMID: 8649557

Prognosis

Moura J, Samões R, Cardoso M, Sousa AP, Damásio J, Marinho A, Carneiro P, Neves E, Silva AM, Santos E
Clin Neurol Neurosurg 2023 Nov;234:107994. Epub 2023 Sep 30 doi: 10.1016/j.clineuro.2023.107994. PMID: 37797365
Rubin DI
Handb Clin Neurol 2019;160:257-279. doi: 10.1016/B978-0-444-64032-1.00017-5. PMID: 31277853
Valls-Solé J
Handb Clin Neurol 2013;115:367-80. doi: 10.1016/B978-0-444-52902-2.00020-5. PMID: 23931790
Whaley NR, Rubin DI
Muscle Nerve 2010 Jan;41(1):107-9. doi: 10.1002/mus.21540. PMID: 20014246
Blunt SB, Khalil NM, Perkin GD
Mov Disord 1997 Mar;12(2):235-8. doi: 10.1002/mds.870120215. PMID: 9087983

Clinical prediction guides

Aiguabella M, Gascón-Bayarri J, Montero J, Santín M, Peña C
Acta Neurol Belg 2011 Sep;111(3):245-8. PMID: 22141294
Valls-Sole J, Tolosa ES, Pujol M
Muscle Nerve 1992 Jan;15(1):37-42. doi: 10.1002/mus.880150107. PMID: 1732759
Calancie B, Ayyar DR, Eismont FJ
Electromyogr Clin Neurophysiol 1992 Sep;32(9):443-7. PMID: 1396296
Harper CM Jr, Thomas JE, Cascino TL, Litchy WJ
Neurology 1989 Apr;39(4):502-6. doi: 10.1212/wnl.39.4.502. PMID: 2538777
Bettoni L, Bortone E, Ghizzoni P, Lechi A
J Neurol Sci 1988 Mar;84(1):69-76. doi: 10.1016/0022-510x(88)90175-x. PMID: 3367153

Recent systematic reviews

Al-Chalabi M, Hegde P, Moore SR, Abouainain Y, Keener M, Parvez H, Eid J, Saleem S, Sheikh A
J Clin Neuromuscul Dis 2023 Dec 1;25(2):94-106. doi: 10.1097/CND.0000000000000460. PMID: 37962197

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