Abstract
The congenital myopathies are a group of neuromuscular disorders presenting early in childhood, but frequently showing static or only slowly progressive muscle weakness. They are often familial but quite distinct from both the progressive muscular dystrophies and the severely disabling spinal muscular atrophies. Congenital myopathies are characterized by histochemical type 1 fibre predominance and by a variety of peculiar structural changes within the fibre, upon which nomenclature and classification are based. The pathological changes have suggested a common pathogenesis of maturation arrest. Amongst these early onset myopathies there are several, if not many, different nosological entities, but they show considerable clinical and pathological overlap. Although usually of childhood onset, identical histology is occasionally found in an adult onset myopathy. Thus a problem of terminology and which disorders to include can perhaps be solved by borrowing Brooke’s title of ‘Congenital (more or less) muscle diseases’1. The myopathies described in this chapter all have distinctive morphological features, but whilst they may be suspected clinically they can only be identified with certainty by biopsy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Brooke, M.H. (1977). Congenital (more or less) muscle diseases. In A Clinician’s View of Neuromuscular Diseases, pp. 200–218. (Baltimore: Williams and Wilkins)
Spiro, A. J., Shy, G. M. and Gonatas, N.K. (1966). Myotubular myopathy. Arch. Neurol. (Chic.), 14, 1–13
Fardeau, M. (1982). Congenital myopathies. In Mastaglia, F. L. and Walton, J. (eds.) Skeletal Muscle Pathology. pp. 161–203. (Edinburgh: Churchill Livingstone)
van Wijngaarden, G.K., Fleury, P., Bethlem, J. and Meijer, A. E.F. H. (1969). Familial myotubular myopathy. Neurology, 19, 901–8.
Barth, P.G., van Wijngaarden, G. K. and Bethlem, J. (1975). X-linked myotubular myopathy with fatal neonatal asphyxia. Neurology, 25, 531–6
Kinoshita, M. and Cadman, T. E. (1968). Myotubular myopathy. Arch. Neurol. (Chic.), 18, 265–71
Bill, P. L. A., Cole, G. and Proctor, N.S.F. (1979). Centronuclear myopathy. J. Neurol., Neurosurg. Psychiatry, 42, 548–56.
Bradley, W. G., Price, D. L. and Watanabe, C. K. (1970). Familial centronuclear myopathy. J. Neurol., Neurosurg. Psychiatry, 33, 687–93
Engel, W. K., Gold, G. N. and Karpati, G. (1968). Type 1 fibre hypotrophy and central nuclei. Arch. Neurol. (Chic.), 18, 435–44
Lee, Y.-S. and Yip, W. C. L. (1981). A fatal congenital myopathy with severe type 1 fibre atrophy, central nuclei and multicores. J. Neurol. Sci., 50, 277–90
Harriman, D.G.F. and Haleem, M.A. (1972). Centronuclear myopathy in old age. J. Pathol., 108, 237–48
Karpati, G., Carpenter, S. and Nelson, R.F. (1970). Type 1 muscle fibre atrophy and central nuclei. A rare familial neuromuscular disease. J. Neurol. Sci., 10, 489–500
Kinoshita, M., Satoyoshi, E. and Matsuo, N. (1975). Myotubular myopathy and type 1 fibre atrophy in a family. J. Neurol. Sci., 26, 575–82
Bethlem, J., Wijngaarden, G.K., Meijer, A.E.F. H. and Hulsmann, W. C. (1969). Neuromuscular disease with type 1 fibre atrophy, central nuclei and myotube-like structures. Neurology, 19, 705–10
Bill, P., Cole, G., Proctor, N.S.F., Saffer, D. and Botes, A. (1979). Crural hypertrophy associated with centronuclear myopathy. J. Neurol., Neurosurg. Psychiatry, 42, 542–7
Headington, J. T., McNamara, J. O. and Brownell, A. K. (1975). Centronuclear myopathy: histochemistry and electron microscopy. Arch. Pathol. (Chic.), 99, 16–24
Jadro-Santel, D., Grcevic, N., Dogan, S., Franjic, J. and Bene, H. (1980). Centronuclear myopathy with type 1 fibre hypotrophy and fingerprint inclusions associated with Marfan’s syndrome. J. Neurol. Sci., 45, 43–56
Askanas, V., Engel, W. K., Reddy, N.B., Barth, P.G., Bethlem, J., Krauss, D.R., Hibberd, M.E., Lawrence, J.V. and Carter, L. S. (1979). X-linked recessive congenital muscle fibre hypo¬trophy with central nuclei. Arch. Neurol. (Chic.), 36, 604–9
Brooke, M.H. (1971). A neuromuscular disease characterised by fibre type disproportion. In Kakulas, B. A. (ed.) Clinical Studies in Myology. ( Amsterdam: Excerpta Medica )
Cavanagh, N.P. C., Lake, B. D. and McMeniman, P. (1979). Congenital fibre type disproportion myopathy. Arch. Dis. Childh., 54, 735–43
Clancy, R.R., Kelts, K. A. and Oehlert, J.W. (1980). Clinical variability in congenital fiber type disproportion. J. Neurol. Sci.,, 46 257–66
Spiro, A. J., Horoupian, D. S. and Snyder, D. R. (1977). Biopsy and autopsy studies of congenital muscle fiber type disproportion: a broadening concept. Neurology, 27, 405
Sugie, H., Hanson, R., Rasmussen, G. and Verity, M.A. (1982). Congenital neuromuscular disease with type 1 fibre hypotrophy, ophtalmoplegia and myofibril degeneration. J. Neurol., Neurosurg. Psychiatry, 45, 507–12
Kinoshita, M., Satoyoshi, E. and Kumagai, M. (1975). Familial type 1 fiber atrophy. J. Neurol. Sci., 25, 11–17
Brooke, M.H. and Engel, W. K. (1969). The histographic analysis of human muscle biopsies with regard to fiber types. 4. Children’s biopsies. Neurology, 19, 591–605
Shy, G. M., Engel, W. K., Somers, J. E. and Wanko, T. (1963). Nemaline myopathy: a new congenital myopathy. Brain, 86, 793–807
Neustein, H. B. (1973). Nemaline myopathy: a family study with three autopsied cases. Arch. Pathol. (Chic.), 96, 192–5
Hudgson, P., Gardner-Medwin, D., Fulthorpe, J. J. and Walton, J. N. (1 967). Nemaline myopathy. Neurology, 17, 125–42
McComb, R. D., Marksbery, W. R. and O’Connor, W. N. (1979). Fatal neonatal nemaline myopathy with multiple congenital anomalies. J. Pediatr., 94, 47–51
Kondo, K. and Yuasa, T. (1980). Genetics of congenital nemaline myopathy. Muscle Nerve, 3, 308–1 5
Dahl, D.S. and Klutzow, F. W. (1974). Congenital rod disease: further evidence of innervational abnormalities as the basis for the clinicopathologic features. J. Neurol. Sci., 23, 371–85
Hopkins, I. J., Russell Lindsey, J. and Ford, F. R. (1966). Nemaline myopathy: a long-term clinicopathologic study of affected mother and daughter. Brain, 89, 299–31 1
Engel, A. G. (1966). Recent studies on neuromuscular disease. Late-onset rod myopathy (a new syndrome?). Light and electron microscopic observations in two cases. Mayo Clin. Proc., 41, 713–41
Fulthorpe, J. J., Gardner-Medwin, D., Hudgson, P. and Walton, J.N. (1968). Nemaline myopathy: a histological and ultra- structural study of skeletal muscle from a case presenting with infantile hypotonia. Neurology, 19, 735–48
Yamaguchi, M., Robson, R. M., Stromer, M. H., Dahl, D. S. and Oda, T. (1982). Nemaline myopathy rod bodies: structure and composition. J. Neurol. Sci., 56, 35–56
Meier, C., Voellmy, W., Gertsch, M., Zimmerman, A. and Geissbuhler, J. (1984). Nemaline myopathy appearing in adults as cardiomyopathy. Arch. Neurol., 41, 443–5
Byrne, E., Blumbergs, P. C. and Hallpike, J.F. (1982). Central core disease: study of a family with five affected generations. J. Neurol. Sci., 53, 77–83
Morgan-Hughes, J.A., Brett, E.M., Lake, B.D. and Tome, F. M.S. (1973). Central core disease or not? Observations on a family with a non-progressive myopathy. Brain, 96, 527–36
Armstrong, R.M., Koenigsberger, R., Mellinger, J. and Lovelace, R. E. (1971). Central core disease with congenital hip dislocation: study of two families. Neurology, 21, 369–76
Dubowitz, V. and Platts, M. (1965). Central core disease of muscle with focal wasting. J. Neurol., Neurosurg. Psychiatry, 28, 432–7
Isaacs, H., Heffron, J. J. A and Badenhorst, M. (1975). Central core disease: a correlated genetic, histochemical ultramicroscopio, and biochemical study. J. Neurol., Neurosurg. Psychiatry, 38, 1177–86
Patterson, V. H., Hill, T. R.G., Fletcher, P. J.H. and Heron, J.R. (1979). Central core disease. Clinical and pathological evidence of progression within a family. Brain, 102, 581–94
Eng, G.D., Epstein, B.S., Engel, W. K., McKay, D.W. and McKay, R. (1978). Malignant hyperthermia and central core disease in a child with congenital dislocating hips. Arch. Neurol., 35, 189–97
Neville, H. E. (1973). Ultrastructural changes in muscle disease. In Walton, J. N. (ed.) Muscle Biopsy. A Modern Approach. pp. 389–393. (Philadelphia: W. B. Saunders)
Engel, A. G., Gomez, M. R. and Groover, R. V. (1 971). Multicore disease. A recently recognised congenital myopathy associated with multifocal degeneration of muscle fibres. Mayo Clin. Proc., 46, 666–81
Ricoy, J.R., Cabello, A. and Goizueta, G. (1980). Myopathy with multiple minicore. Report of two siblings. J. Neurol. Sci., 48, 81–92
Lee, Y. S. and Yip, W. C. L. (1981). A fatal congenital myopathy with severe type 1 fibre atrophy, central nuclei and multicores. J. Neurol. Sci., 50, 277–90
Bonnette, H., Roelofs, R. and Olson, W. H. (1974). Multicore disease: report of a case with onset in middle age. Neurology, 24, 1039 - 44
Heffner, R., Cohen, M., Duffner, P. and Daigler, G. (1 976). Multicore disease in twins. J. Neurol., Neurosurg. Psychiatry, 39, 602 – 6
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1985 Janice R. Anderson
About this chapter
Cite this chapter
Anderson, J.R. (1985). Congenital Myopathies. In: Atlas of Skeletal Muscle Pathology. Current Histopathology, vol 9. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4866-2_12
Download citation
DOI: https://doi.org/10.1007/978-94-009-4866-2_12
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-8653-0
Online ISBN: 978-94-009-4866-2
eBook Packages: Springer Book Archive