1
|
Woelfel C, Meurs K, Friedenberg S, DeBruyne N, Olby NJ. A novel mutation of the CLCN1 gene in a cat with myotonia congenita: Diagnosis and treatment. Vet Med (Auckl) 2022; 36:1454-1459. [PMID: 35815860 PMCID: PMC9308434 DOI: 10.1111/jvim.16471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 05/27/2022] [Indexed: 11/29/2022]
Abstract
Case Description A 10‐month‐old castrated male domestic longhair cat was evaluated for increasing frequency of episodic limb rigidity. Clinical Findings The cat presented for falling over and lying recumbent with its limbs in extension for several seconds when startled or excited. Upon examination, the cat had hypertrophied musculature, episodes of facial spasm, and a short‐strided, stiff gait. Diagnostics Electromyography (EMG) identified spontaneous discharges that waxed and waned in amplitude and frequency, consistent with myotonic discharges. A high impact 8‐base pair (bp) deletion across the end of exon 3 and intron 3 of the chloride voltage‐gated channel 1 (CLCN1) gene was identified using whole genome sequencing. Treatment and Outcome Phenytoin treatment was initiated at 3 mg/kg po q24 h and resulted in long‐term improvement. Clinical Relevance This novel mutation within the CLCN1 gene is a cause of myotonia congenita in cats and we report for the first time its successful treatment.
Collapse
Affiliation(s)
- Christian Woelfel
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Kathryn Meurs
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Steven Friedenberg
- Veterinary Medical Center, University of Minnesota, Saint Paul, Minnesota, USA
| | - Nicole DeBruyne
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| | - Natasha J Olby
- College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA
| |
Collapse
|
2
|
Zakia LS, Palumbo MIP, Teixeira RBC, Resende LAL, Soares MP, de Oliveira-Filho JP, Amorim RM, Borges AS. Neuromyotonia in a horse. J Vet Intern Med 2018; 33:287-291. [PMID: 30511761 PMCID: PMC6335518 DOI: 10.1111/jvim.15353] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 09/21/2018] [Indexed: 01/04/2023] Open
Abstract
This article describes the clinical and electromyographic findings of neuromyotonia in a 19‐month‐old male crossbred Quarter Horse that presented with stiffness and muscle asymmetry in the hind limbs as well as sacrococcygeal, paravertebral, and gluteal myokymia. An electromyographic study showed spontaneous continuous muscle fiber activity with high‐frequency discharges, fibrillations, positive sharp waves, fasciculation potentials, and complex repetitive discharges. Histological examination of the gluteal muscle showed a mixed neurogenic and myopathic pattern. The findings are consistent with neuromyotonia.
Collapse
Affiliation(s)
- Luiza Stachewski Zakia
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Sciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil
| | - Mariana Isa Pocci Palumbo
- School of Veterinary Medicine and Animal Sciences, Federal University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | | | - Luiz Antônio Lima Resende
- Department of Neurology, Psychology and Psychiatry, School of Medicine of Botucatu, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil
| | | | - José Paes de Oliveira-Filho
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Sciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil
| | - Rogério Martins Amorim
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Sciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil
| | - Alexandre Secorun Borges
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine and Animal Sciences, Sao Paulo State University (Unesp), Botucatu, Sao Paulo, Brazil
| |
Collapse
|
3
|
Gundasheva D. Biochemical response to physical exercise in show-jumping horses. COMPARATIVE EXERCISE PHYSIOLOGY 2016. [DOI: 10.3920/cep150033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The information on the biochemical response of horses submitted to physical exercise by jumping over obstacles is limited and controversial. The purpose of the present study was to monitor the change in activity of muscle enzymes creatine kinase (CK), aspartate aminotransferase (AST) and alanine aminotransferase (ALT), as well as the serum concentrations of triacylglycerols, cholesterol and creatinine in performance horses. Correlations between study parameters were also estimated. Six healthy Hanoverian geldings were submitted to physical exercise similar to a competition consisting of jumping over barriers over four consecutive days. The applied exercise induced increases of biochemical parameters CK, AST, ALT, triacylglycerols, total cholesterol and creatinine within the reference ranges. The changes in these parameters reflected the changes in skeletal muscle and kidney functions as well as alterations in the type of used energy. Negative correlations were established between CK and ALT at 2 hours, and between triacylglycerols and total cholesterol during the entire period of the study. Also, a positive association was established between СK and AST at 24 hours and between total cholesterol and creatinine before exercise, and at 0 and 2 hours post-exercise. The data from the present study could be utilised as guidelines for prevention and early detection of metabolic disturbances in show jumping horses.
Collapse
Affiliation(s)
- D. Gundasheva
- Department of General and Clinical Pathology, Faculty of Veterinary Medicine, Trakia University, Student's Campus, 6000 Stara Zagora, Bulgaria
| |
Collapse
|
4
|
Rogatko CP, Glass EN, Kent M, Hammond JJ, de Lahunta A. Use of botulinum toxin type A for the treatment of radiation therapy-induced myokymia and neuromyotonia in a dog. J Am Vet Med Assoc 2016; 248:532-7. [PMID: 26885596 DOI: 10.2460/javma.248.5.532] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
CASE DESCRIPTION A 5-year-old castrated male Maltese was evaluated for intermittent clinical signs of muscle cramping and abnormal movements of the skin of the right pelvic limb at the site where an infiltrative lipoma had twice been resected. After the second surgery, the surgical field was treated with radiation therapy (RT). The clinical signs developed approximately 14 months after completion of RT. CLINICAL FINDINGS When clinical signs were present, the right biceps femoris and semitendinosus muscles in the area that received RT were firm and had frequently visible contractions, and the skin overlying those muscles had episodic vermiform movements. Electromyography of those muscles revealed abnormal spontaneous activity with characteristics consistent with myokymic discharges and neuromyotonia. Magnetic resonance imaging of the affected leg revealed no evidence of tumor regrowth. The myokymia and neuromyotonia were considered secondary to RT. TREATMENT AND OUTCOME 4 U of Clostridium botulinum toxin type A (BoNT-A) neurotoxin complex was injected into the affected muscles at each of 6 sites twice during a 24-hour period (ie, 48 U of BoNT-A were administered). The clinical signs were completely resolved 10 days after BoNT-A treatment and were controlled by repeated BoNT-A treatment every 3 to 4 months for > 1 year. CLINICAL RELEVANCE To our knowledge, this is the first report of myokymia and neuromyotonia secondary to RT in a dog. For the dog of this report, injection of BoNT-A into the affected muscles was safe, effective, and easy to perform.
Collapse
|
5
|
Myokymia and neuromyotonia in veterinary medicine: a comparison with peripheral nerve hyperexcitability syndrome in humans. Vet J 2013; 197:153-62. [PMID: 23583699 DOI: 10.1016/j.tvjl.2013.03.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2012] [Revised: 01/12/2013] [Accepted: 03/04/2013] [Indexed: 01/17/2023]
Abstract
Involuntary muscle hyperactivity can result from muscle or peripheral nerve hyperexcitability or central nervous system dysfunction. In humans, diseases causing hyperexcitability of peripheral nerves are grouped together under the term 'peripheral nerve hyperexcitability' (PNH). Hyperexcitability of the peripheral motor nerve can result into five different phenotypic main variants, i.e. fasciculations, myokymia, neuromyotonia, cramps and tetany, each with their own clinical and electromyographic characteristics. This review focuses on the most commonly described expressions of PNH in veterinary medicine, i.e. myokymia and neuromyotonia, in particular in young Jack Russell terriers. Data from 58 veterinary cases with generalized myokymia and neuromyotonia were analyzed, including unpublished treatment and follow-up data on eight Jack Russell terriers from a previous study and seven additional Jack Russell terriers. A dysfunction of the potassium channel or its associated proteins has been found in many human syndromes characterized by PNH, in particular in generalized myokymia and neuromyotonia, and is suspected to occur in veterinary medicine. Potential pathomechanisms of potassium channel dysfunction leading to signs of PNH are broad and include genetic mutations, antibody-mediated attack or ion channel maldistribution due to axonal degeneration or demyelination. A more accurate classification of the different PNH syndromes will facilitate a more rapid diagnosis and guide further research into natural occurring PNH in animals.
Collapse
|
6
|
Vanhaesebrouck AE, Bhatti SF, Polis IE, Plessas IN, Van Ham LM. Neuromyotonia in a dachshund with clinical and electrophysiological signs of spinocerebellar ataxia. J Small Anim Pract 2011; 52:547-50. [DOI: 10.1111/j.1748-5827.2011.01123.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
7
|
Myokymia and neuromyotonia in 37 Jack Russell terriers. Vet J 2010; 189:284-8. [PMID: 20724183 DOI: 10.1016/j.tvjl.2010.07.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2010] [Revised: 05/31/2010] [Accepted: 07/14/2010] [Indexed: 10/19/2022]
Abstract
The clinical and clinicopathological characteristics, treatment and outcome of vermicular muscle contractions (myokymia) and generalized muscle stiffness (neuromyotonia) in 37 Jack Russell terriers were evaluated retrospectively. Thirty dogs were affected by both disorders, whereas seven were presented with myokymia and never developed neuromyotonia. Clinical signs started at the mean age of 8 months. Except for signs of myokymia and neuromyotonia, clinical and neurological examination was normal in all dogs. Thirty dogs demonstrated typical signs of hereditary ataxia. Changes in serum chemistry included increased creatine kinase, aspartate aminotransferase and alanine aminotransferase concentrations. Electromyographic abnormalities, especially in muscles showing macroscopically visible myokymia, consisted of semirhythmic bursts of doublet, triplet, or multiplet discharges of a single motor unit. The amplitudes varied between 80 μV and 1 mV and occurred with an interburst frequency between 10 and 40 Hz and an intraburst frequency between 150 and 280 Hz. Most dogs were treated with a sodium channel blocker with variable results. Seven dogs died (most likely because of hyperthermia) or were euthanased during a neuromyotonic attack; 15 dogs were euthanased due to worsening of clinical signs, or lack of or no long-lasting effect of medication, and three were euthanased for unknown or unrelated reasons. Nine dogs were lost to follow-up and three were still alive 5-10.5 years after the start of clinical signs. In conclusion, young Jack Russell terriers with myokymia and neuromyotonia should undergo a complete blood and electrophysiological examination. Long-term prognosis is not favourable.
Collapse
|
8
|
Vanhaesebrouck AE, Van Soens I, Poncelet L, Duchateau L, Bhatti S, Polis I, Diels S, Van Ham L. Clinical and electrophysiological characterization of myokymia and neuromyotonia in Jack Russell Terriers. J Vet Intern Med 2010; 24:882-9. [PMID: 20492485 DOI: 10.1111/j.1939-1676.2010.0525.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Generalized myokymia and neuromyotonia (M/NM) in Jack Russell Terriers (JRTs) is related to peripheral nerve hyperexcitability syndrome in humans, a symptom complex resulting from diverse etiologies. OBJECTIVE Clinical and electrodiagnostic evaluation is used to narrow the list of possible etiological diagnoses in JRTs with M/NM. ANIMALS Nine healthy JRTs and 8 affected JRTs. METHODS A prospective study was conducted comparing clinical and electrophysiological characteristics in 8 JRTs affected by M/NM with 9 healthy JRT controls. RESULTS All affected dogs except 1 had clinical signs typical of hereditary ataxia (HA). In 6 dogs, neuromyotonic discharges were recorded during electromyogram. Motor nerve conduction studies showed an axonal neuropathy in only 1 affected dog. Compared with controls, brainstem auditory-evoked potentials (BAEP) showed prolonged latencies (P<.05) accompanied by the disappearance of wave components in 3 dogs. Onset latencies of tibial sensory-evoked potentials (SEP) recorded at the lumbar intervertebral level were delayed in the affected group (P<.001). The BAEP and SEP results of the only neuromyotonic dog without ataxia were normal. CONCLUSIONS AND CLINICAL IMPORTANCE The BAEP and spinal SEP abnormalities observed in JRTs with M/NM were associated with the presence of HA. Therefore, these electrophysiological findings presumably arise from the neurodegenerative changes characterizing HA and do not directly elucidate the pathogenesis of M/NM. An underlying neuronal ion channel dysfunction is thought to be the cause of M/NM in JRTs.
Collapse
Affiliation(s)
- A E Vanhaesebrouck
- Department of Small Animal Medicine and Clinical Biology, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.
| | | | | | | | | | | | | | | |
Collapse
|
9
|
Vanhaesebrouck AE, Bhatti SF, Bavegems V, Gielen IM, Van Soens I, Vercauteren G, Polis I, Van Ham LM. Inspiratory stridor secondary to palatolingual myokymia in a Maltese dog. J Small Anim Pract 2010; 51:173-5. [DOI: 10.1111/j.1748-5827.2009.00865.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|