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Abstract

The description of the muscular manifestations of thyroid deficiency was made by Kocher [1] and by Hoffman [2] shortly after the recognition of myotonia by Erb [3] and others. The differentiation of these two syndromes is sometimes difficult and the two may coexist. My purpose in this report is to compare the two syndromes and to describe in some detail the phenomenon of delay in muscle contraction and relaxation which is characteristic of hypothyroidism. We call this phenomenon pseudomyotonia because it resembles true myotonia although it appears to have an entirely different mechanism.

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References

  1. Kocher, T.: Zur Verhütung der Cretinismus und cretinoider Zustände nach neuen Forschungen. Dtsch. Z. Chir. 26, 556 (1892).

    Article  Google Scholar 

  2. Hoffmann, J.: Dtsch. Z. Nervenheilk. 89, 278 (1896).

    Google Scholar 

  3. Erb, W.: Die Thomsensche Krankheit (myotonia congenita). (128 pp.), (12, 25, 42, 43, 92). Leipzig 1886.

    Google Scholar 

  4. Thomasen, E.: Myotonia: Thomsen’s Disease (Myotonia Congenita), Paramyotonia, and dystrophia Myotonica. Aarhus, Denmark: Universitetsforlaget 1948.

    Google Scholar 

  5. Waldstein, S. S., D. Bronsky, H. B. Shrifter, and Y. T. Oester: The electromyogram in myxedema. Arch. intern. Med. 101, 97 (1958).

    Article  CAS  Google Scholar 

  6. Lambert, E. H., L. O. Underdahl, S. Beckett, and L. O. Mederos: A study of the ankle jerk in myxedema. J. clin. Endocr. 11, 1186 (1951).

    Article  PubMed  CAS  Google Scholar 

  7. Chaney, W. C.: Tendon reflexes in myxedema: A valuable aid in diagnosis. J. Amer. med. Ass. 82, 2013 (1924).

    Article  Google Scholar 

  8. Nuttall, F. Q., and R. P. Doe: The Achilles reflex in thyroid disorders. Ann. intern. Med. 61, 269 (1964).

    PubMed  CAS  Google Scholar 

  9. Goldstone, H., and F. R. Ford: Severe myotonia as a complication of postoperative thyroid deficiency. Bull. Johns Hop. Hosp. 97, 53 (1955).

    CAS  Google Scholar 

  10. Wade, A. F.: A case of myotonia congenita with hypothyroidism. Brit. med. J. 1, 1223 (1957).

    Article  PubMed  CAS  Google Scholar 

  11. Sisson, J. C., W. H. Beierwaltes, G. H. Koepke, and K. R. Magee: “Myotonia” of the orbicularis oculi with myxedema. Arch, intern. Med. 110, 323 (1962).

    Article  CAS  Google Scholar 

  12. Jarcho, L. W., and F. H. Tyler: Myxedema, pseudomyotonia and myotonia congenita. Arch. intern. Med. 102, 357 (1958).

    Article  CAS  Google Scholar 

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Erich Kuhn

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© 1966 Springer-Verlag, Berlin · Heidelberg

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Tyler, F.H. (1966). The Differentiation of Myotonia and Pseudomyotonia. In: Kuhn, E. (eds) Progressive Muskeldystrophie Myotonie · Myasthenie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-92920-5_39

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  • DOI: https://doi.org/10.1007/978-3-642-92920-5_39

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-92921-2

  • Online ISBN: 978-3-642-92920-5

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