Myotonic Dystrophy Typically presents in middle age with weakness of hands, legs and neck. - Mental deficiency - Frontal balding - Ptosis - Cataracts - Smooth expressionless forehead - Lateral smile or sneer - Classic Facial Appearance: Muscle wasting and weakness of the face leads to a long haggard appearance. - Cardiomyopathy (Heart block can occur) - Autosomal Dominant! Think "Domino!" - Muscle Wasting: Facial muscles, Sternocleidomastoid, Shoulder girdle and quads. - Myotonia occurs - inability to relax muscles so patients cannot let go following a hand shake! #Myotonic #Dystrophy #Myotonia #Diagnosis #signs #symptoms
