Table 3.
Comparison of selected clinical characteristics in the Chloride and Sodium Channel Myotonias
Chloride channel myotonia (n=18) |
Sodium Channel myotonia (n=11) |
|
---|---|---|
Eye closure myotonia | ||
Present (% of whole group) |
56 | 91 |
Warm-up phenomenon (% of those with EC myotonia) |
80 | 60* |
Paradoxical myotonia (% of those with EC myotonia) |
20 | 70* |
Clinically symptomatic **
(% of whole group) |
17 | 82 |
Falls*** | ||
Present (%) | 78 | 27 |
Mild (%) | 33 | 18 |
Moderate (%) | 22 | 0 |
Severe (%) | 22 | 1 |
EC = eye closure
Some sodium channel myotonia patients had a combination of paradoxical eye closure myotonia and warm-up
The patient considers the eye closure myotonia uncomfortable or interfering with daily activities e.g. driving, walking in the cold.
Mild: Infrequent falls with minor or no injuries; Moderate: fairly frequent falls, occasional injuries; Severe: ‘locking’ with trauma to head or face