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The Neural Hypothesis of Muscular Dystrophy — A Review of Recent Experimental Evidence with particular reference to the Duchenne form

Published online by Cambridge University Press:  18 September 2015

R.E.P. Sica
Affiliation:
MRC Group in Developmental Neurobiology and Department of Medicine (Neurology), McMaster University, Hamilton, Ontario, Canada
A.J. McComas*
Affiliation:
MRC Group in Developmental Neurobiology and Department of Medicine (Neurology), McMaster University, Hamilton, Ontario, Canada
*
Room 4U7, McMaster University Medical Centre, 1200 Main St. West, Hamilton, Ontario, Canada L8S 4J9.
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Recent observations are considered to provide further evidence for an abnormality involving motoneurones in DMD. The dystrophic process appears to take place in two stages of which the first occurs during early embryonic life. This stage is thought to involve faulty inductive actions of the neural tube upon mesoderm and upon itself. The neural consequences vary among individuals and are manifested as mental retardation, EEG abnormalities and losses of functioning motor units. While the first two abnormalities are non-progressive, a further loss of motor units, associated with striking reductions in the numbers of excitable muscle fibers, takes place in trunk and large limb muscles at 9-12 years. The latter process, the cause of which is uncertain, constitutes the second stage of DMD.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1978

References

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