Skip to main content
Log in

A follow-up study of 60 cases of chronic spinal muscular atrophy

  • Original Articles
  • Published:
The Italian Journal of Neurological Sciences Aims and scope Submit manuscript

Abstract

60 cases of chronic spinal muscular atrophy (CSMA) were followed-up for a period varying from 5 to 40 years. The neuromuscular impairment was evaluated by Norris’ ALS score, both at the time of last examination and retrospectively at the time of diagnosis. Age at onset of symptoms was the most important factor in the progression of the neuromuscular damage. Monomelic or asymmetric location of symptoms at the time of diagnosis and duration of the disease were not significantly correlated to the worsening of ALS score.

Sommario

Sessanta casi di atrofia muscolare spinale cronica (CSMA) sono stati seguiti per un periodo compreso tra 5 e 40 anni. Per mezzo dell’ALS score di Norris è stato quantificato il danno neuromuscolare, sia al momento dell’ultima visita, sia, retrospettivamente, al momento della diagnosi. Il più importante fattore nella definizione della progressione del deficit è risultato essere l’età all’esordio dei sintomi. Non è stata evidenziata una relazione significativa tra una localizzazione monomelica o asimmetrica dei sintomi ed il peggioramento dell’ALS score.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Brooke M.H.:Motor neuron disease (Amyotrophic lateral sclerosis). In: A clinician’s view of neuromuscular diseases p. 44–57. Ed. Brooke M.H. Baltimore, William & Wilkins Company, 1976.

    Google Scholar 

  2. Chiò A., Brignolio F., Leone M., Mortara P., Rosso M.G., Tribolo A., Schiffer D.:A survival analysis of 155 cases of progressive muscular atrophy. Acta Neurol. Scand. 72:407–413, 1985.

    PubMed  Google Scholar 

  3. Compernolle T.:A case of juvenile muscular atrophy confined to one upper limb. Europ. neurol. 10:237–242, 1973.

    CAS  PubMed  Google Scholar 

  4. Dyck P.J., Lambert E.H.:Lower motor and primary sensory neuron disease with peroneal muscular atrophy. II. Neurologic, genetic and electrophysiologic findings in various neuronal degenerations. Arch. Neurol. 18:619–625, 1968.

    CAS  PubMed  Google Scholar 

  5. Emery A.E.H.:The nosology of spinal muscular atrophies. J. Med. Genet. 8:481–495, 1971.

    CAS  PubMed  Google Scholar 

  6. Harding A.E., Thomas P.K.:Hereditary distal spinal muscular atrophy. J. Neurol. Sci. 45:337–348, 1980.

    Article  CAS  PubMed  Google Scholar 

  7. Harding A.E., Bradbury P.G., Murray N.M.F.:Chronic asymmetrical spinal muscular atrophy. J. Neurol. Sci. 59:69–83, 1983.

    Article  CAS  PubMed  Google Scholar 

  8. Hirayama K., Tsubaki T., Toyokura Y., Okinaka S.:Juvenile muscular atrophy of unilateral upper extremity. Neurology 13:373–380, 1963.

    CAS  PubMed  Google Scholar 

  9. Kewey H., Yi I.:Adult spinal muscular atrophy. A report of four cases. J. Neurol. Sci. 61:249–259, 1983.

    Google Scholar 

  10. Lawyer T. jr.,Netskt M.S.:Amyotrophic lateral sclerosis. A clinico-anatomic study of fifty-three cases. Arch. Neurol. Psych. 6:171–192, 1953.

    Google Scholar 

  11. Meadows J.C., Marsden C.D., Harriman D.G.F.:Chronic spinal muscular atrophy in adults. J. Neurol. Sci. 9:527–550, 1983.

    Google Scholar 

  12. Mueller R.:Progressive motor neuron disease in adults. A clinical study with special reference to the course of the disease. Acta Psychiat. Neurol. 27:137–156, 1952.

    Google Scholar 

  13. Namba T., Aberfeld D.C., Grob D.:Chronic proximal spinal muscular atrophy. J. Neurol. Sci 11:401–423, 1970.

    Article  CAS  PubMed  Google Scholar 

  14. Norris F.H., Calancini P.R., Fallat R.J., Panchari S., Jewett B.:The administration of guanidine in amyotrophic lateral sclerosis. Neurology 24:721–728, 1974.

    PubMed  Google Scholar 

  15. Norris F.H. jr.:Adult spinal motor neuron disease. Progressive muscular atrophy (Aran’s disease) in relation to amyotrophic lateral sclerosis. In: Handbook of clinical neurology, vol. 22, System Disorders and atrophies (II) p. 1–56. Eds. Vinken P.J., Bruyn G.W. Amsterdam, North-Holland Publishing Company, 1975.

    Google Scholar 

  16. O’Sullivan D.J., Mc Leod J.G.:Distal chronic spinal muscular atrophy involving the hands. J. Neurol. Neurosurg. Psychiat 41:653–658, 1978.

    CAS  PubMed  Google Scholar 

  17. Pearn J.H., Hugson P.:Distal spinal muscular atrophy. A clinical and genetic study. J. Neurol. Sci 43:188–191, 1979.

    Article  Google Scholar 

  18. Rowland L.P.:Diverse forms of motor neuron diseases. In: Human motor neuron diseases p. 1–11. Ed. Rowland L.P., New York, Raven Press, 1982.

    Google Scholar 

  19. Schiffer D., Brignolio F., Chiò A., Leone M., Rosso M.G.:A study of prognostic factors in motor neuron disease. In: Advances in Experimental Medicine and Biology, Vol. 209, Amyotrophic Lateral Sclerosis: Therapeutic, Psycological and Research Aspects. Cosi V., Kato A.C., Parlette W., Pinelli P., Poloni M., eds. Plenum Press, 255–263, 1987.

  20. Serratrice G., Gastaut J.L.:Amyotrophies spinales chroniques distales ou formes spinales de la maladie de Charcot-Marie. Rev. Neurol. (Paris) 135:815–826, 1979.

    CAS  Google Scholar 

  21. Serratrice G.:Classification of adult chronic spinal muscular amyotrophies. Cardiomyology 2:255–273, 1983.

    Google Scholar 

  22. Siegel S.:Nonparametric statistics for the behavioral sciences. McGraw-Hill Book Company Inc., New York, 1956.

    Google Scholar 

  23. Singh N., Sachdev K., Susheela A.K.:Juvenile muscular atrophy localized to arms. Arch. Neurol. 37:297–299, 1980.

    CAS  PubMed  Google Scholar 

  24. Uebayashi Y., Yase Y., Tanaka H., Shimada Y., Toyokura Y.:Prognosis of motor neuron disease in Japan. Neuroepid. 2:243–256, 1983.

    Google Scholar 

  25. Virmani V., Mohan P.K.:Non-familial segmental muscular atrophy in juvenile and young subjects. Acta Neurol. Scand. 72:336–340, 1985.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schiffer, D., Brignolio, F., Chiò, A. et al. A follow-up study of 60 cases of chronic spinal muscular atrophy. Ital J Neuro Sci 9, 47–51 (1988). https://doi.org/10.1007/BF02334407

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02334407

Key-Words

Navigation