Progressive Muscular Atrophy
Abstract
Progressive muscular atrophy (PMA) is a rare, sporadic, adult-onset motor neuron disease, clinically characterized by isolated lower motor neuron features; however, clinically evident upper motor neuron signs may emerge in some patients. Subclinical upper motor neuron involvement is identified pathologically, radiologically, and neurophysiologically in a substantial number of patients with PMA. Patients with subclinical upper motor neuron involvement do not fulfill the revised El Escorial criteria to participate in amyotrophic lateral sclerosis clinical trials. Intravenous immunoglobulin therapy is only marginally beneficial in a small subgroup of patients with lower motor neuron syndrome without conduction block.
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Informal caregivers of patients with ALS or PMA face stressful demands due to the prospect of an early death and severe impairments of the patient.
“Informal caregivers of patients with ALS or PMA face stressful demands due to the prospect of an early death and severe impairments of the patient.”
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- Authors
- Liewluck, T., & Saperstein, D. S.
- Affiliations
- Mayo Clinic (US)
- University of Arizona (US)
- Corresponding author
- Liewluck, Teerin
- Venue
- Neurologic Clinics
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 33
- Issue
- 4
- Pages
- 761-773
- ISSN
- 0733-8619 (ISSN-L)
- OpenAlex
- W1826779307
- Cited by
- 65
- References
- 81
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 2 · 2015: 3
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurologic Clinics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Health Sciences › Medicine › Neurology › Peripheral Neuropathies and Disorders
- Keywords
- progressive muscular atrophy, motor neuron disease, lower motor neuron disease, upper motor neuron involvement, El Escorial criteria, intravenous immunoglobulin therapy, conduction block, adult-onset disease
- MeSH terms
- Diagnosis, Differential, Humans, Muscular Atrophy, Spinal, Severity of Illness Index, Motor Neuron Disease, Immunoglobulins, Intravenous, Disease Management, Neuroimaging
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