McArdle’s disease (GSD type V): investigations

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

McArdle’s disease (GSD type V): investigations. This has a high risk of false positive results. Fully referenced neurology checklist.

Non-ischaemic forearm test

  • This has a high risk of false positive results
  • It however has a lesser risk of compartment syndrome than the ischaemic test

Function tests

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Muscle biopsy

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Other neurological tests

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Genetics

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References

  1. Quinlivan R. McArdle's disease: a clinical review. JNNP 2010; 81:1182-1188.
  2. Hilton-Jones D. McArdle’s disease. Pract Neurol 2001; 1:122-125.
  3. Løkken N, Revsbech KL, Jacobsen LN, et al. Muscle MRI in McArdle disease: a European multicenter observational study. Neurology 2022 (Online ahead of print).
  4. Álvarez-Velasco R, Nuñez-Peralta CA, Alonso-Pérez J, et al. High prevalence of paraspinal muscle involvement in adults with McArdle disease. Muscle Nerve 2022; 65:568-573.
  5. Andersen ST, Duno M, Schwartz M, Vissing J. Do carriers of PYGM mutations have symptoms of McArdle disease? Neurology 2006; 67:716-718.

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