Serratrice G, Pellissier J F, Bes A, Arne-Bes M C
Clinique rhumatologique et des maladies neuromusculaires, CHU Timone, Marseille.
Rev Neurol (Paris). 1987;143(10):693-7.
A 34 year-old man had complained since childhood of weakness of the right lower limb. His mother had a myopathy. Examination showed weakness and amyotrophy of the antero-external regions of the legs, mainly on the left, moderate weakness of the right scapular girdle and slight facial weakness. Serum creatine kinase was increased. Electromyogram and CT scan images were of the myogenic type. Biopsy showed a centronuclear myopathy. The course was slowly progressive. Centronuclear myopathy is rare in adults. The facio-scapulo-humeral localization has been described in numerous other pathologic types of myopathy.
一名34岁男性自幼便诉说右下肢无力。他的母亲患有肌病。检查发现腿部前外侧区域无力和肌萎缩,主要在左侧,右侧肩胛带中度无力,面部轻度无力。血清肌酸激酶升高。肌电图和CT扫描图像显示为肌源性类型。活检显示为中央核性肌病。病程呈缓慢进展。中央核性肌病在成年人中较为罕见。面肩肱型定位在许多其他病理类型的肌病中已有描述。