Rimbaux S, Pellieux S, Bergemer A-M, Saïkali I, Gherardi R, Fouquet B
Service de Médecine Physique et de Réadaptation, CHU Tours.
Rev Neurol (Paris). 2003 Jul;159(6-7 Pt 1):678-80.
We report the case of a 74-year-old patient who presented with an anterior inflexion of the trunk which increased during the day. His past medical history included treatment for hypothyroidism, a cure of cataracts and an increase of gammaGT. This camptocormic attitude revealed a proximal myotonic myopathy (PROMM). Clinical and paraclinical arguments (hypothyroidism, cataracts, weakness, EMG, muscle biopsy, biology) led to diagnosis.
我们报告了一例74岁患者,其表现为躯干向前屈曲,且在白天加重。他的既往病史包括甲状腺功能减退症治疗、白内障治愈以及γ-谷氨酰转移酶升高。这种脊柱前凸姿势提示近端型强直性肌病(PROMM)。临床和辅助检查依据(甲状腺功能减退症、白内障、肌无力、肌电图、肌肉活检、生物学检查)得出了诊断结果。