KMID : 0361420100340040471
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Journal of Korean Academy of Rehabilitation Medicine 2010 Volume.34 No. 4 p.471 ~ p.474
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Merosin Negative Congenital Muscular Dystrophy Who Was Misdiagnosed Initially as Cerebral Palsy - A case report -
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Kim Soo-Yeon
Shin Yong-Beom Shin Myung-Jun Kim Sung-Nyun Kim Wan
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Abstract
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Congenital muscular dystrophies (CMDs) are autosomal recessive, heterogenous disorders characterized clinically by neonatal hypotonia, delayed motor milestones, joint contrac- tures, and dystrophic changes in the muscles. The classic forms of CMDs are subclassified into merosin positive and deficient (negative) types. Merosin (laminin ? chain)-negative CMD is caused by the mutation in the basal lamina of the ?2 chain gene (LAMA2 gene at 6q22-23). Merosin deficiency could disrupt the attachment of muscle cell to the extracellular matrix and lead to muscle cell necrosis. We report a case of merosin-negative CMD, confirmed by immunohistochemical staining of muscle samples, which is uncommon form in Korea.
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KEYWORD
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Merosin, Hypotonia, Muscular dystrophy
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