Muscle Disease Flashcards

1
Q

What are five neuronal diseases?

A
Poliomyelitis
Amyotrophic lateral sclerosis
Multiple sclerosis
Spinal cord injury
Myastenia Gravis
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2
Q

What is poliomyelitis?

A

A transmitted viral disease

Inflammation of the anterior horn of the spinal cord

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3
Q

What are the symptoms of poliomyelitis?

A

Flaccid palsy

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4
Q

What is post polio-syndrome?

A

40 years after poliomyelitis
Weakness, fatigue, pain
Loss of motor units
Motor units that still exist are overstrained
Moderate exercise can increase aerobic and anaerobic fitness
Vigorous exercise is prohibited

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5
Q

What is the incidence of ALS?

A

1 : 100,000

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6
Q

What is ALS?

A

Rapid and progressive loss of motor neurons
Early symptoms include muscle atrophy and weakness
Late symptoms include paralysis
Premature death

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7
Q

What may lead to early detection of ALS?

A

Testing of cerebrospinal fluid?

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8
Q

What do studies show in relation to exercise and ALS?

A

Deterioration by vigorous exercise, but animal studies suggest this may not be true
Aerobic exercise may strengthen unaffected muscles and improve cardiovascular health

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9
Q

What is MS?

A

Random patches of inflammation in CNS

Demyelination

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10
Q

What is the prevalence of MS in caucasians?

A

~ 1/1000

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11
Q

How much higher is the risk for women than men in MS?

A

2 times

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12
Q

10 years after diagnosis with MS how many patients are unemployable?

A

50%

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13
Q

What are the symptoms of MS?

A
Paraesthesia
Optic neuritis
Spasticity
Tremor
Pain
Uncommon fatigue
Thermoregularion
Weakness
Clumsiness
Incontinence
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14
Q

What is the treatment for MS?

A

Drug treatment

Physiotherapy to relieve secondary problems

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15
Q

What are four types of hereditary muscular dystrophy?

A

Duchenne
Becker
Myotonic dystrophy
Mitochondrial myopathies

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16
Q

What is an example of acquired myopathy?

A

Polymyositis/Dermatomyositis

17
Q

What is the incidence of Duchenne Muscular Dystrophy? (DMD)

A

1 in 3000-3500 males

X-chromosomal recessive

18
Q

At what age is DMD usually recognised?

A

Age ~ 5

19
Q

At what age do patients with DMD die?

A

Age ~ 25

20
Q

What is polymyositis/dermatomyositis?

A

Auto-immune disease
Inflammation in muscle and skin
Correlates with plasma levels of creatin kinase
Exercise prohibited

21
Q

What is mitochondrial myopathy?

A

Mutations in mtDNA and or nuclear DNA
Impaired exercise capacity which may promote sedentary lifestyle
Sedentary lifestyle worsens situation
Exercise may improve condition but long term effects unknown