뇌졸중이 발생한 근긴장성 이영양증 -증례 보고-

Abstract

Myotonic dystrophy is the most common autosomal dominant myopathy in adults. It is a disorder with multisystemic clinical features affecting the skeletal muscle, the heart, the eye, and the endocrine system. We experienced a 45-yearold myotonic muscular dystrophy male patient who developed cerebral infarction without well-known risk factors. He had typical haRchet face and ptosis with atrophy of gastrocnemius muscles. Typical myotonic discharge and severe affected myotonic dystrophin gene were shown. Right side motor weakness, sensory change and aphasia were developed after attack. We investigated all the possible risk factors of cerebral infarction. However, we could not find any well-known risk factors. Only abnormal left ventricular relaxation, one of cardiac problems in myotonic muscular dystrophy was shown. We think that his cerebral infarction may be related with the cardiac problem related with myotonic muscular dystrophy.