Myopathy as a first symptom of Huntington's disease in a marathon runner

Christoph M. Kosinski, Christiane Schlangen, Frank N. Gellerich, Zemfira Gizatullina, Markus Deschauer, Johannes Schiefer, Anne B. Young, Georg Bernhard Landwehrmeyer, Klaus V. Toyka, Bernd Sellhaus, Katrin S. Lindenberg

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

A semi professional marathon runner at risk for Huntington's disease (HD) (43 CAG repeats) developed signs of a slowly progressive myopathy with exercise-induced muscle fatigue, pain, elevated creatine kinase level, and worsening of his running performance many years before first signs of chorea were detected. Muscle biopsy displayed a mild myopathy with mitochondrial pathology including a complex IV deficiency and analysis of the patient's fibroblast culture demonstrated deficits in mitochondrial function. Challenging skeletal muscle by excessive training might have disclosed myopathy in HD even years before the appearance of other neurological symptoms.

Original languageEnglish
Pages (from-to)1637-1640
Number of pages4
JournalMovement Disorders
Volume22
Issue number11
DOIs
StatePublished - 15 Aug 2007
Externally publishedYes

Keywords

  • Mitochondrial disease
  • Neurodegenerative disease
  • Oxidative stress

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