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Journal List > Arch Dis Child > v.48(5); May 1973

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Arch Dis Child. 1973 May; 48(5): 386–388.
PMCID: PMC1648366
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Spinal muscular atrophy in childhood
Two clues to clinical diagnosis
A. Moosa and V. Dubowitz
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Abstract
A coarse tremor was noted in 13 children suffering from the childhood form of spinal muscular atrophy. Tremor has not been seen in any other condition producing proximal muscle weakness in childhood, and its presence should therefore suggest the diagnosis of spinal muscular atrophy.
In addition, the feet of patients with spinal muscular atrophy tended to evert, whereas in Duchenne muscular dystrophy there was either no deformity or a tendency to toe walking.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
  • BYERS RK, BANKER BQ. Infantile muscular atrophy. Arch Neurol. 1961 Aug;5:140–164. [PubMed]
  • DUBOWITZ V. INFANTILE MUSCULAR ATROPHY. A PROSPECTIVE STUDY WITH PARTICULAR REFERENCE TO A SLOWLY PROGRESSIVE VARIETY. Brain. 1964 Dec;87:707–718. [PubMed]
  • DUBOWITZ V. NONPROGRESSIVE NEUROGENIC MUSCULAR ATROPHY WITH 'VOLUNTARY FASCICULATION'. Proc R Soc Med. 1964 Feb;57:117–118. [PubMed]
  • Gardner-Medwin D, Hudgson P, Walton JN. Benign spinal muscular atrophy arising in childhood and adolescence. J Neurol Sci. 1967 Jul–Aug;5(1):121–158. [PubMed]
  • Kennedy WR, Alter M, Sung JH. Progressive proximal spinal and bulbar muscular atrophy of late onset. A sex-linked recessive trait. Neurology. 1968 Jul;18(7):671–680. [PubMed]
  • KUGELBERG E, WELANDER L. Heredofamilial juvenile muscular atrophy simulating muscular dystrophy. AMA Arch Neurol Psychiatry. 1956 May;75(5):500–509. [PubMed]
  • Munsat TL, Woods R, Fowler W, Pearson CM. Neurogenic muscular atrophy of infancy with prolonged survival. The variable course of Werdnig-Hoffmann Disease. Brain. 1969 Mar;92(1):9–24. [PubMed]
  • Peters HA, Opitz JM, Goto I, Reese HH. The benign proximal spinal progressive muscular atrophies. Acta Neurol Scand. 1968;44(5):542–560. [PubMed]
  • Spiro AJ, Fogelson MH, Goldberg AC. Microcephaly and mental subnormalitiy in chronic progressive spinal muscular atrophy of childhood. Dev Med Child Neurol. 1967 Oct;9(5):594–601. [PubMed]
  • WOHLFART G, FEX J, ELIASSON S. Hereditary proximal spinal muscular atrophy, a clinical entity simulating progressive muscular dystrophy. Acta Psychiatr Neurol Scand. 1955;30(1-2):395–406. [PubMed]
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