Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs

Charcot-Marie-Tooth (CMT) disease is a hereditary neuropathy of motor and sensory impairment with distal predominance. Atrophy and weakness of lower limbs are the first signs of the disease. It can be classified, with the aid of electromyography and nerve conduction studies, as demyelinating (CMT1)...

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Main Authors: Eduardo Luis de Aquino Neves, Fernando Kok
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2011-06-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400003&lng=en&tlng=en
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author Eduardo Luis de Aquino Neves
Fernando Kok
author_facet Eduardo Luis de Aquino Neves
Fernando Kok
author_sort Eduardo Luis de Aquino Neves
collection DOAJ
description Charcot-Marie-Tooth (CMT) disease is a hereditary neuropathy of motor and sensory impairment with distal predominance. Atrophy and weakness of lower limbs are the first signs of the disease. It can be classified, with the aid of electromyography and nerve conduction studies, as demyelinating (CMT1) or axonal (CMT2). OBJECTIVE: Clinical and neurophysiological investigation of a large multigenerational family with CMT2 with autosomal dominant mode of transmission. METHOD: Fifty individuals were evaluated and neurophysiological studies performed in 22 patients. RESULTS: Thirty individuals had clinical signs of motor-sensory neuropathy. Babinski sign was present in 14 individuals. Neurophysiological study showed motor-sensory axonal polyneuropathy. CONCLUSION: The clinical and neurophysiological characteristics of this family does not differ from those observed with other forms of CMT, except for the high prevalence of Babinski sign.
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spelling doaj.art-fd49254cd235455dbea2d6aa5a34b2e92022-12-21T19:16:53ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272011-06-0169342443010.1590/S0004-282X2011000400003S0004-282X2011000400003Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signsEduardo Luis de Aquino Neves0Fernando Kok1Universidade de São PauloUniversidade de São PauloCharcot-Marie-Tooth (CMT) disease is a hereditary neuropathy of motor and sensory impairment with distal predominance. Atrophy and weakness of lower limbs are the first signs of the disease. It can be classified, with the aid of electromyography and nerve conduction studies, as demyelinating (CMT1) or axonal (CMT2). OBJECTIVE: Clinical and neurophysiological investigation of a large multigenerational family with CMT2 with autosomal dominant mode of transmission. METHOD: Fifty individuals were evaluated and neurophysiological studies performed in 22 patients. RESULTS: Thirty individuals had clinical signs of motor-sensory neuropathy. Babinski sign was present in 14 individuals. Neurophysiological study showed motor-sensory axonal polyneuropathy. CONCLUSION: The clinical and neurophysiological characteristics of this family does not differ from those observed with other forms of CMT, except for the high prevalence of Babinski sign.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400003&lng=en&tlng=endoença de Charcot-Marie-ToothCMT2neuropatia hereditária axonal
spellingShingle Eduardo Luis de Aquino Neves
Fernando Kok
Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
Arquivos de Neuro-Psiquiatria
doença de Charcot-Marie-Tooth
CMT2
neuropatia hereditária axonal
title Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
title_full Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
title_fullStr Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
title_full_unstemmed Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
title_short Clinical and neurophysiological investigation of a large family with dominant Charcot-Marie-Tooth type 2 disease with pyramidal signs
title_sort clinical and neurophysiological investigation of a large family with dominant charcot marie tooth type 2 disease with pyramidal signs
topic doença de Charcot-Marie-Tooth
CMT2
neuropatia hereditária axonal
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000400003&lng=en&tlng=en
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