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Treatment and Management of Disorders of Neuromuscular Hyperexcitability and Periodic Paralysis. Neuromuscul Disord 2022. [DOI: 10.1016/b978-0-323-71317-7.00018-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Paula de Moraes Jorge A, Monteiro ER, Hoogenboom BJ, Oliveira A, Palassi Quintela MV. Computer photogrammetry as a postural assessment in Schwartz-Jampel syndrome: A case report. J Bodyw Mov Ther 2020; 26:72-76. [PMID: 33992300 DOI: 10.1016/j.jbmt.2020.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 11/10/2020] [Accepted: 12/12/2020] [Indexed: 12/26/2022]
Abstract
The Schwartz-Jampel Syndrome (SJS) is a rare genetic disorder characterized by myotonia and bone dysplasia, which may change the posture. The subject of this case report was a seven-year-old boy diagnosed with SJS and presenting generalized muscle and joints contractures. The purpose of the present case report was to identify postural asymmetries in a patient with SJS through photogrammetry. Postural analysis was conducted using photogrammetry with the Postural Assessment Software (SAPO®). Photogrammetry is a postural assessment system performed through photographic images. These images are acquired by camera and transported to the computer. SAPO® software performs the assessment of this photograph throughout 3D analysis and compares with a predefined protocol. The results of the present case report document several recurrent postural imbalances seen in SJS including myotonia, facial dysmorphism, and skeletal deformities. Thus, even with little evidence in the literature, physical therapy treatment is indicated to increase the functionality of the individual.
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Affiliation(s)
| | - Estêvão Rios Monteiro
- Undergraduate Program in Physiotherapy, Augusto Motta University Center, Rio de Janeiro, Brazil; Postgraduate Program in Physical Education, Federal University of Rio De Janeiro, Rio de Janeiro, Brazil; Undergraduate Program in Physical Education, Augusto Motta University Center, Rio de Janeiro, Brazil.
| | | | - Alexsandro Oliveira
- Undergraduate Program in Physiotherapy, Augusto Motta University Center, Rio de Janeiro, Brazil.
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Elsayed SM, Gamal R. REMOVED: An Egyptian patient with Schwartz-Jampel syndrome type I and new ocular findings. EGYPTIAN JOURNAL OF MEDICAL HUMAN GENETICS 2017. [DOI: 10.1016/j.ejmhg.2017.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Treatment of Blepharospasm in Schwartz-Jampel Syndrome: Botulinum Toxin A Injection or Surgery. Ophthalmic Plast Reconstr Surg 2017; 33:S47-S49. [DOI: 10.1097/iop.0000000000000503] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bandeira ID, Jagersbacher JG, Barretto TL, Santos CV, Lucena R. Botulinum toxin type A in the treatment of facial myotonia in Schwartz-Jampel syndrome. Muscle Nerve 2017; 56:E10-E11. [DOI: 10.1002/mus.25610] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Revised: 02/05/2017] [Accepted: 02/07/2017] [Indexed: 11/06/2022]
Affiliation(s)
- Igor Dórea Bandeira
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - João Gabriel Jagersbacher
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - Thiago Lima Barretto
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
| | - Camilo Vieira Santos
- Professor Edgard Santos University Hospital, Federal University of Bahia; Bahia Brazil
| | - Rita Lucena
- Department of Neuroscience and Mental Health, Medical School of Bahia; Federal University of Bahia; Praça XV de Novembro, s/n - Largo do Terreiro de Jesus Salvador Bahia Brazil 40025-010
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Eshraghi B, Shadravan M, Aalami E, Pour EK. Orbicularis Oculi Myectomy as a Treatment for Blepharospasm in a Case of Schwartz Jampel Syndrome. J Ophthalmic Vis Res 2016; 11:329-32. [PMID: 27621795 PMCID: PMC5000540 DOI: 10.4103/2008-322x.188401] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose: To describe a patient with Schwartz Jampel vel Aberfeld syndrome (SJS) who underwent orbicularis oculi myectomy as a treatment for blepharospasm. Case Report: A 4-year-old child with SJS did not respond to an injection of a single dose of botulinum toxin after one month, so orbicularis myectomy was then performed under general anesthesia. During the procedure, orbicularis vermiform movements were a useful guide for the extent of myectomy that the patient needed. He responded very well to this procedure and experienced significant relief of blepharospasm documented in follow-up visits for up to 6 months. Conclusion: Blepharospasm in patients with SJS can be treated with orbicularis oculi myectomy as a good functional method with faster and durable response in comparison to botulinum toxin injection.
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Affiliation(s)
- Bahram Eshraghi
- Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahla Shadravan
- Department of Ophthalmic Plastic and Reconstructive Surgery, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Aalami
- Department of Ophthalmic Plastic and Reconstructive Surgery, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Elias Khalili Pour
- Department of Ophthalmic Plastic and Reconstructive Surgery, Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Ozge G, Uysal Y, Melih Ceylan O, Erdurman FC. Surgical management of 2 cases with Schwartz-Jampel syndrome. Can J Ophthalmol 2015; 50:e110-2. [PMID: 26651316 DOI: 10.1016/j.jcjo.2015.08.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2014] [Revised: 07/29/2015] [Accepted: 08/24/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Gokhan Ozge
- Gulhane Military Medical Academy and Faculty of Medicine, Ankara.
| | - Yusuf Uysal
- Gulhane Military Medical Academy and Faculty of Medicine, Ankara
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Basiri K, Fatehi F, Katirji B. The Schwartz-Jampel syndrome: Case report and review of literature. Adv Biomed Res 2015; 4:163. [PMID: 26436077 PMCID: PMC4581134 DOI: 10.4103/2277-9175.162538] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Accepted: 04/17/2014] [Indexed: 11/04/2022] Open
Abstract
Schwartz-Jampel syndrome (SJS), first described in the United States in 1962, is a hereditary disorder characterized by facial dysmorphism and muscle stiffness. We describe the first case of a Persian 9-year-old boy with SJS and review the literature. The child had a short neck, blepharophimosis, flattened face, hypertrichosis of the eyelids, prominent eyebrows, high arched palate, low set ears, micrognathia, short stature, and skeletal deformities. He had proximal muscle hypertrophy, distal muscle wasting and generalized hyporeflexia. Bone X-ray revealed pseudofracture of humerus. Needle electromyography revealed continuous myotonic discharges at rest with no waxing and waning in all tested muscles. Based on clinical and electrodiagnostic findings, the diagnosis of SJS type 1B was made and procainamide was started which resulted in clinical improvement. The diagnosis of SJS should be suspected when a child presents with the triad of myotonia, facial dysmorphism and skeletal deformities.
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Affiliation(s)
- Keivan Basiri
- Isfahan Neurosciences Research Center, Alzahra Hospital, Department of Neurology, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Farzad Fatehi
- Iranian Center of Neurological Research, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Bashar Katirji
- Department of Neurology, Neuromuscular Center and EMG Laboratory, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
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Abstract
Botulinum toxin injections are the treatment of choice for the management of essential blepharospasm in adults. No cases of congenital blepharospasm have been described in the literature so far, and no cases of botulinum toxin injection in an infant have been reported. A 4-week-old girl was referred to our department with absent eye opening and spasmodically closed eyes. Pregnancy and delivery had been normal. A neuropediatric examination did not reveal useful findings. A periorbital injection of botulinum toxin was performed at the age of 2 months to prevent deprivation amblyopia. Four days later, clearly visible bilateral eye opening and commencement of eye contact were observed. At the age of 3 years, her eyelids remain open and no side effects of botulinum toxin therapy have occurred.
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Affiliation(s)
- Bettina Wabbels
- Department of Ophthalmology, University of Bonn, Bonn, Germany
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Arya R, Sharma S, Gupta N, Kumar S, Kabra M, Gulati S. Schwartz Jampel syndrome in children. J Clin Neurosci 2012; 20:313-7. [PMID: 23219824 DOI: 10.1016/j.jocn.2012.01.057] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2011] [Revised: 10/14/2011] [Accepted: 01/12/2012] [Indexed: 11/30/2022]
Abstract
Schwartz Jampel syndrome is a rare neuromuscular disorder with autosomal recessive inheritance characterized by myotonia, distinctive facial features including blepharospasm and a puckered chin, short stature and skeletal dysplasia. We report six Indian children with this disorder presenting with different clinical manifestations.
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Affiliation(s)
- Ravindra Arya
- Division of Pediatric Neurology, Department of Pediatrics, 3rd floor, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India
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Multidisciplinary approach to the treatment of a patient with chondrodystrophic myotonia (Schwartz-Jampel vel Aberfeld syndrome): case report and literature review. Ann Plast Surg 2012; 67:315-9. [PMID: 21263291 DOI: 10.1097/sap.0b013e3181fac1ec] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Chondrodystrophic myotonia, Schwartz-Jampel syndrome, is a rare congenital disorder, which results from disturbance in a perlecan protein synthesis. Most affected are the muscles, acting in generalized myotonia, leading to joint contractures, weird-looking mask-like face appearance, and causing vision disturbances. Also, impaired bones and cartilages result in skeletal anomalies and dental disorders. Allergic reactions to numerous drugs occur in affected individuals. Surgical treatment is risky, due to a low tolerance of anesthetics and high risk of malignant hyperthermia. In this article, a case of 17-year-old girl with Schwartz-Jampel syndrome is presented. The patient with typical syndrome debilitations underwent long diagnostic scheme and multiple treatments in order to restore acceptable appearance and function. All procedures were performed with cautious anesthesiologists' supervision. Modern diagnostic tools can improve the diagnosis rate while multidisciplinary evaluation and advanced treatment techniques can reveal symptoms, minimizing the hazard of anesthesia and improving the quality of life.
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Aburahma SK, Al-Khateeb T, Alrefai A, Amarin Z. Botulinum toxin A injections for the treatment of Schwartz-Jampel syndrome: a case series. J Child Neurol 2009; 24:5-8. [PMID: 19168812 DOI: 10.1177/0883073808320621] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Schwartz-Jampel syndrome is a rare autosomal recessive disorder characterized by myotonia and skeletal dysplasia. Botulinum toxin A is emerging as a therapeutic option for patients with this syndrome. This study describes the use of botulinum toxin A in 4 children with Schwartz-Jampel syndrome. The response to this therapeutic modality was limited and variable.
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