Neuromuscular Home Page

		NEUROMUSCULAR DISEASE CENTER
		Washington University, St. Louis, MO USA

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Washington University

· NM Division
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· Hereditary
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· Lipid disorders
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· Distal
· Focal
· Fiber activity
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Muscle Other

· Acute
· Episodic
· Pain
· Hypertrophy
· Wasting
· Serum CK: Very high
· Serum CK: Unexpectedly high
· Serum CK: Low

· Motor
· Painful
· Ataxic
· Sensory neuronopathy
· Autonomic
· Motor-Sensory, Hered
· Motor, Hereditary
· Sensory, Hereditary
· Childhood
· Demyelinating
· Inflammatory
· Toxic
· Systemic disease

Nerve Other

· Demyelinating: Immune
· Axonal: Immune
· Asymmetric
· Proximal motor
· Hypertrophy
· Spontaneous activity
· Acute
· Arms
· Legs

· NMJ disorders
· Myasthenia gravis
· Myasthenic syndrome
· Congenital MG
· Botulism
· Acetylcholine receptors
· AChR toxins
· Presynaptic NMJ
· Postsynaptic NMJ

Synapse Other

· AChRs: Kinetic abnormalities
· MG: Differential diagnosis
· MG: Immune, Childhood
· Receptor disorders
· Catecholamines

· Spinal disorders
· FSP
· Ataxia
· Ataxia: Dominant
· Ataxia: Recessive
· Myopathy + CNS
· Neuropathy + CNS
· Paraneoplastic
· Mitochondrial

CNS Disorders: Other

· Spinal cord syndromes
· Spastic ataxia
· Familial spine disorders
· Myelopathy: Toxic
· Myelopathy: Infection
· Ataxia: Metabolic
· Ataxia: Congenital
· Ataxia: Paraneoplastic

· Molecular
· DNA repeat
· Mitochondria
· Ion channels
· Peroxisomes
· Protein degradation
· Glycogen
· Lipids
· Myelin
· Intermediate filaments

Subcellular Other

· Amyloid
· Mitochondrial disorders
· Mitochondrial DDx
· Complement
· Transmitter disorders
· Vitamin & Nutritional

· Neuromuscular Lab
· Muscle biopsy
· Nerve biopsy
· Pathology index
· Antibodies
· Muscle antibodies
· Nerve antibodies
· Carbohydrate antigens
· M-proteins
· Electrophysiology

Lab tests Other

· Muscle biopsy: DDx
· Nerve biopsy: DDx
· Cryoglobulins
· Anti-AChR antibodies
· Myositis-specific antibodies
· Paraneoplastic disorders
· Connective tissue disorders

· Adhesion
· Apoptosis
· ATP
· Axons
· Myelin
· Extracellular matrix
· Ion Channels
· Spliceosomes
· Transmitters
· Trophic factors

Basic Other

· Neuromuscular disease
· Dystrophin & Related proteins
· Myopathy-related proteins
· Muscle proteins: Contractile +...
· Mitochondrial pathways
· Fatty acid oxidation
· Immunotherapy

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Neuromuscular Medicine
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ACGME: NM Medicine
UCNS: NM Pathology
Start date: July 2020

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DISORDERS & SYNDROMES

Myopathy	Neuropathy
NM Junction	Motor Neuron
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Neuromuscular ◊ CNS ◊ ALS
Mitochondria ◊ CMT ◊ Myelin
MD ◊ Immune Myopathy ◊ Cramp

NEUROMUSCULAR CLINICAL
General principles ◊ Evaluations
Disease patterns: Wallet WebSites

LABORATORY TESTING
WU Neuromuscular Laboratory
Antibody: Types ◊ Requisition ◊ Info

Biopsy: Muscle; Nerve; Skin ◊ Requisition

WASHINGTON UNIVERSITY

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October 2019
Congenital
MG: AChR α1
Weakness
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September 2019
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MTDPS17
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August 2019
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Web Site Author
Alan Pestronk, MD
pestronka@neuro.wustl.edu

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