Clinical and electromyography analysis of 46 cases of adult spinal muscular atrophy.
	    		
		   		
	    	
    	
    	
   		
        
        	
        		- VernacularTitle:成人型脊髓性肌萎缩症46例临床分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Chuanwen ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Xiaojun HE
			        		
			        		;
		        		
		        		
		        		
			        		Ping ZHANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Adult spinal muscular atrophy;
			        		
			        		
			        		
				        		Clinical;
			        		
			        		
			        		
				        		Electromyography;
			        		
			        		
			        		
				        		Pathomorphism
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Practical Internal Medicine
	            		
	            		 2001;0(10):-
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To summarize the clinical, electromyography and muscular pathological feature in adult spinalmuscular atrophy (SMA_4). Methods The clinical and electromyography and pathological materials from 48 patients withSMA_4. were studied in retrospect tively. Results SMA_4 onset was averaged 38.23 years old,The disease showed proximalweakness and atrophy. The electromyoguphy in the patients with SMA_4. presented as abnormal insertion potential,fibrilla-tion potential and fascicular potential, positive spike in some patients, remarkable increase of mean amplitude, mean timelimit and polyphasic action potential,and so on. Muscle biopsy showed: 1. small groups atrophy mainly;2. extensive fibertype grouping and more hypertrophic fiber. Conclusions SMA_4 could be diagnosed by the clinical manifestations andelectromyography and muscle biopsy.