Moroz A, Kalva S
Department of Rehabilitation Medicine, New York University Medical Center, NY, USA.
Arch Phys Med Rehabil. 1998 Aug;79(8):1022-3. doi: 10.1016/s0003-9993(98)90105-8.
Myotonic dystrophy is a rare genetic neuromuscular disorder with multisystem involvement. Hydrocephalus and cognitive deterioration are not commonly considered part of adult-onset myotonic dystrophy. This report describes a case of progressive distal muscle weakness, cognitive decline, and longstanding ventricular enlargement. Review of the literature suggests that hydrocephalus may be associated with myotonic dystrophy while progressive cognitive decline is rare in the adult form of the disease.
强直性肌营养不良症是一种罕见的遗传性神经肌肉疾病，可累及多系统。脑积水和认知功能减退通常不被认为是成人型强直性肌营养不良症的一部分。本报告描述了一例进行性远端肌无力、认知功能下降和长期脑室扩大的病例。文献回顾表明，脑积水可能与强直性肌营养不良症有关，而进行性认知功能下降在该疾病的成人型中较为罕见。
