PMID- 27784478 OWN - NLM STAT- MEDLINE DCOM- 20170515 LR - 20181202 IS - 0578-1310 (Print) IS - 0578-1310 (Linking) VI - 54 IP - 10 DP - 2016 Oct 2 TI - [Correlation between thigh muscle magnetic resonance imaging findings and clinical features of congenital muscular dystrophies: a preliminary study]. PG - 756-760 LID - 10.3760/cma.j.issn.0578-1310.2016.10.009 [doi] AB - Objective: To analyze the clinical and magnetic resonance imaging (MRI) features of congenital muscular dystrophy (CMD) to improve the diagnostic level. Method: Clinical manifestations and thigh muscle MRI results of 8 cases of CMD diagnosed on genetic level from April 2013 to November 2015 were investigated. MRI was performed on the thigh muscles of all cases. Fatty infiltration of different muscles described in T1WI was graded to evaluate. Clinical symptoms and signs, as well as muscle MRI features were analyzed by statistical description. Result: Among these 8 cases, 2 cases were diagnosed with Ullrich congenital muscular dystrophy (UCMD), 1 case had rigid spine with muscular dystrophy type 1 (RSMD1), 1 case had LMNA related muscular dystrophy (L-CMD), 1 case had congenital muscular dystrophy 1C (MDC1C) and 3 cases had congenital muscular dystrophy 1A (MDC1A), with 4 were males and 4 females, aged from 0.9 year to 4.8 years (median age was 2.2 years). All of these 8 cases presented with muscle weakness and hypotonia from birth to within the first six months, together with delayed motor development and joint contractures. Some cases had spinal deformity or skin changes. Various degrees of fatty infiltration in gluteus maximus and thigh muscles were shown in all of the cases, and differences among CMD subtypes in the form of fatty infiltration were detected; muscle edema was present in 5 cases, and muscle atrophy in 7 cases. However, none of them has muscle hypertrophy. Semimembranous muscle absence was detected in 1 case. Conclusion: The clinical manifestations and thigh muscle MRI findings of CMD have some features, and vary in certain CMD subtypes. MRI examination combined with clinical features may provide useful information to select appropriate genetic or other diagnostic techniques, which may help clinicians to make accurate diagnosis. FAU - Wang, L L AU - Wang LL AD - *Department of Pediatrics, Peking University First Hospital, Beijing 100034, China. FAU - Du, J AU - Du J FAU - Fu, X N AU - Fu XN FAU - Fan, Y B AU - Fan YB FAU - Wei, C J AU - Wei CJ FAU - Ding, J AU - Ding J FAU - Tan, D D AU - Tan DD FAU - Xiao, J X AU - Xiao JX FAU - Xiong, H AU - Xiong H LA - chi PT - Journal Article PL - China TA - Zhonghua Er Ke Za Zhi JT - Zhonghua er ke za zhi = Chinese journal of pediatrics JID - 0417427 RN - Muscular Dystrophy, Congenital, 1C RN - Muscular dystrophy congenital, merosin negative RN - Rigid spine syndrome RN - Scleroatonic muscular dystrophy SB - IM MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Mallory Bodies/*pathology MH - Muscle, Skeletal MH - Muscular Dystrophies/*pathology MH - Muscular Dystrophies, Limb-Girdle MH - Sclerosis/*pathology MH - Scoliosis/*pathology MH - Thigh/*pathology EDAT- 2016/10/28 06:00 MHDA- 2017/05/16 06:00 CRDT- 2016/10/28 06:00 PHST- 2016/10/28 06:00 [pubmed] PHST- 2017/05/16 06:00 [medline] PHST- 2016/10/28 06:00 [entrez] AID - 10.3760/cma.j.issn.0578-1310.2016.10.009 [doi] PST - ppublish SO - Zhonghua Er Ke Za Zhi. 2016 Oct 2;54(10):756-760. doi: 10.3760/cma.j.issn.0578-1310.2016.10.009.