Congenital myasthenic syndrome (CMS): slow channel

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Congenital myasthenic syndrome (CMS): slow channel. This is caused by mutations in the Acetylcholine receptor (AChR) gene.

Pathology

  • This is caused by mutations in the Acetylcholine receptor (AChR) gene
  • The transmission is autosomal dominant
  • Can present in adolescence/later life
  • It is a post synaptic CMS

Clinical features

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Treatment

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Ineffective treatments

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References

  1. Bertorini TE. Neuromuscular Case Studies. Butterworth Heinemann Philadelphia 2008 p454.
  2. Spillane J, Beeson DJ, Kullmann DM. Myasthenia and related disorders of the neuromuscular junction. JNNP 2010; 81:850-857.
  3. Finlayson S, Beeson D, Palace J. Congenital myasthenic syndrome: an update. Pract Neurol 2013; 13:80-91.
  4. Harper CM, Fukodome T, Engel AG. Treatment of slow-channel congenital myasthenic syndrome with fluoxetine. Neurology 2003; 60:1710-1713.
  5. Peyer AK, Abicht A, Heinimann K, Sinnreich M, Fischer D. Quinine sulfate as a therapeutic option in a patient with slow channel congenital myasthenic syndrome. Neuromuscul Disord 2013; 23:571-574. 
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