Bodensteiner J B, Grunow J E
Muscle Nerve. 1984 Jul-Aug;7(6):486-7. doi: 10.1002/mus.880070612.
Myotonic dystrophy in the neonate is commonly accompanied by facial diplegia, generalized muscular hypotonia, talipes equinovarus, and muscular respiratory failure. The gastrointestinal manifestations of this disease include poor sucking, choking, regurgitation, aspiration, and swallowing difficulties. Gastroparesis can be a major contributor to the feeding difficulties experienced by these infants. We report on an infant with congenital myotonic dystrophy in whom a severe gastric motility problem was alleviated by metoclopramide therapy. This smooth muscle manifestation may be an important and potentially remediable source of morbidity in these infants.
新生儿强直性肌营养不良通常伴有双侧面瘫、全身性肌张力减退、马蹄内翻足和肌肉性呼吸衰竭。该疾病的胃肠道表现包括吸吮无力、呛咳、反流、误吸和吞咽困难。胃轻瘫可能是这些婴儿喂养困难的主要原因。我们报告了一例先天性强直性肌营养不良的婴儿，其严重的胃动力问题通过甲氧氯普胺治疗得到缓解。这种平滑肌表现可能是这些婴儿发病的一个重要且可能可补救的原因。
