Multicore myopathy, classified with the benign congenital myopathies, is manifest clinically as proximal muscle weakness, hypotonia, and delayed motor development. We report an unusual case of multicore myopathy with an expanded clinical syndrome involving the central nervous system, as well as additional congenital malformations. Clinical manifestations included microcephaly, mental retardation, spasticity with hyperreflexia, cerebellar dysfunction, short stature, Hirschsprung's disease, pharyngeal web, and facial dysmorphism. (J Child Neurol 1994;9:275-277).
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References
1.
Saper JR: Benign congenital myopathy: A cause for mild, non-progressive or slowly progressive muscle weakness. Am J Med1974 ;57:157-160.
2.
Engel AG, Gomez MR, Groover RV: Multicore disease: A recently recognized congenital myopathy associated with multifocal degeneration of muscle fibers. Mayo Clin Proc1971;46:666-681.
3.
Shuaib A., Martin Jme, Mitchell LB, Brownell KW: Multicore myopathy: Not always a benign entity. Can J Neurol Sci1988; 15:10-14.
4.
Koch BM, Bertorini TE, Eng GD, Boehm R.: Severe multicore disease associated with reaction to anesthesia. Arch Neurol1985;42:1204-1206.
5.
Duane DD, Engel AG: Emetine myopathy. Neurology1970;20: 733-739.
6.
Tice LW, Engel AG: The effects of glucocorticoids on red and white muscles in the rat . Am J Pathol1967;50:311-333.
7.
Hurst JA, Markiewicz M., Kumar D., Brett EM: Unknown syndrome: Hirschsprung's disease, microcephaly, and iris coloboma: A new syndrome of defective neuronal migration. J Med Genet1988;25:494-500.
8.
Porter J., Klein VR, Wilson GN, Schneider NR: Gastrointestinal malformation in genetic disorders: A case of partial trisomy 2q with short esophagus and tubular stomach. Clin Pediatr1991;30:559-562.