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Treatment of Paramyotonia Congenita with Acetazolamide

Published online by Cambridge University Press:  18 September 2015

Timothy J. Benstead*
Affiliation:
Department of Internal Medicine, Victoria General Hospital, Dalhousie University, Halifax, Nova Scotia
Peter R. Camfield
Affiliation:
Department of Pediatrics, Izaak Walton Killam Hospital for Children, Dalhousie University, Halifax, Nova Scotia
David B. King
Affiliation:
Department of Internal Medicine, Victoria General Hospital, Dalhousie University, Halifax, Nova Scotia
*
Division of Neurology, Victoria General Hospital, 1278 Tower Road, Halifax, Nova Scotia, Canada B3H 2Y9
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Abstract:

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Treatment of paramyotonia congenita with acetazolamide has been shown to reduce myotonic symptoms but severe weakness has developed in some patients leading to a recommendation not to use the drug in this disorder. We studied a patient with the characteristic clinical and electrophysiological profile of paramyotonia congenita. Myotonia was effectively treated with a very low dose of acetazolamide and no weakness developed. We conclude that acetazolamide can be a safe and effective medication in paramyotonia congenita.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

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