Schwartz-jampel syndrome: report of five cases

We describe five patients with Schwartz-Jampel syndrome (SJS) examined at the outpatient service for neuromuscular disorders at our Institution from 1996 to 1999 with the objective of emphasizing the characteristic dysmorphic phenotype of SJS and its different clinical forms. Two cases presented SJS...

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Main Authors: Umbertina Conti Reed, Rubens Reimão, Adriana Ávila Espíndola, Fernando Kok, Lúcio Gobbo Ferreira, Maria Bernardete Dutra Resende, Thelma Correia Messias, Mary Souza Carvalho, Aron Diament, Milberto Scaff, Suely Kazue Nagahashi Marie
Format: Article
Language:English
Published: Thieme Revinter Publicações 2002-09-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500010&tlng=en
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author Umbertina Conti Reed
Rubens Reimão
Adriana Ávila Espíndola
Fernando Kok
Lúcio Gobbo Ferreira
Maria Bernardete Dutra Resende
Thelma Correia Messias
Mary Souza Carvalho
Aron Diament
Milberto Scaff
Suely Kazue Nagahashi Marie
author_facet Umbertina Conti Reed
Rubens Reimão
Adriana Ávila Espíndola
Fernando Kok
Lúcio Gobbo Ferreira
Maria Bernardete Dutra Resende
Thelma Correia Messias
Mary Souza Carvalho
Aron Diament
Milberto Scaff
Suely Kazue Nagahashi Marie
author_sort Umbertina Conti Reed
collection DOAJ
description We describe five patients with Schwartz-Jampel syndrome (SJS) examined at the outpatient service for neuromuscular disorders at our Institution from 1996 to 1999 with the objective of emphasizing the characteristic dysmorphic phenotype of SJS and its different clinical forms. Two cases presented SJS-type 1A, two had SJS-type 1B and one manifested SJS-type 2. Two boys with 3 and 13 years of age had generalized stiffness and the characteristic facial as well as osteoarticular changes from birth. Other two boys with 11 and 7 years had less marked dysmorphic changes at birth and manifested myotonia, as a limiting factor, during the second year of age. A girl with two months of age had severe myotonia from birth leading to feeding diffuculties. In all cases the diagnosis was based on dysmorphic features, and on electromyographic changes showing continuous electrical activity of muscle fibers. All were treated with carbamazepine, 20-30 mg/Kg since diagnosis. The four boys (all with normal intelligence) improved of myotonia in daily activities, markedly in three, and moderately in one. The girl did not improve and showed global development delay: by the last follow-up (at 20 months of age) she did not sit unsupported, and had mental retardation. Carbamazepine in SJS-type 1 improves general daily performance and psychological status of the patients.
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spelling doaj-art-c02ba94936cd465e8f45c35e615af96f2025-08-20T03:22:39ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272002-09-01603B73473810.1590/S0004-282X2002000500010Schwartz-jampel syndrome: report of five casesUmbertina Conti Reed0Rubens Reimão1Adriana Ávila Espíndola2Fernando Kok3Lúcio Gobbo Ferreira4Maria Bernardete Dutra Resende5Thelma Correia Messias6Mary Souza Carvalho7Aron Diament8Milberto Scaff9Suely Kazue Nagahashi Marie10Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloWe describe five patients with Schwartz-Jampel syndrome (SJS) examined at the outpatient service for neuromuscular disorders at our Institution from 1996 to 1999 with the objective of emphasizing the characteristic dysmorphic phenotype of SJS and its different clinical forms. Two cases presented SJS-type 1A, two had SJS-type 1B and one manifested SJS-type 2. Two boys with 3 and 13 years of age had generalized stiffness and the characteristic facial as well as osteoarticular changes from birth. Other two boys with 11 and 7 years had less marked dysmorphic changes at birth and manifested myotonia, as a limiting factor, during the second year of age. A girl with two months of age had severe myotonia from birth leading to feeding diffuculties. In all cases the diagnosis was based on dysmorphic features, and on electromyographic changes showing continuous electrical activity of muscle fibers. All were treated with carbamazepine, 20-30 mg/Kg since diagnosis. The four boys (all with normal intelligence) improved of myotonia in daily activities, markedly in three, and moderately in one. The girl did not improve and showed global development delay: by the last follow-up (at 20 months of age) she did not sit unsupported, and had mental retardation. Carbamazepine in SJS-type 1 improves general daily performance and psychological status of the patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500010&tlng=enSchwartz-Jampel syndromemyotoniacarbamazepine
spellingShingle Umbertina Conti Reed
Rubens Reimão
Adriana Ávila Espíndola
Fernando Kok
Lúcio Gobbo Ferreira
Maria Bernardete Dutra Resende
Thelma Correia Messias
Mary Souza Carvalho
Aron Diament
Milberto Scaff
Suely Kazue Nagahashi Marie
Schwartz-jampel syndrome: report of five cases
Arquivos de Neuro-Psiquiatria
Schwartz-Jampel syndrome
myotonia
carbamazepine
title Schwartz-jampel syndrome: report of five cases
title_full Schwartz-jampel syndrome: report of five cases
title_fullStr Schwartz-jampel syndrome: report of five cases
title_full_unstemmed Schwartz-jampel syndrome: report of five cases
title_short Schwartz-jampel syndrome: report of five cases
title_sort schwartz jampel syndrome report of five cases
topic Schwartz-Jampel syndrome
myotonia
carbamazepine
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000500010&tlng=en
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