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December 1966

Myopathien im Kindesalter.

Arch Neurol. 1966;15(6):673-674. doi:10.1001/archneur.1966.00470180113016

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This collection of short articles on muscle disease in childhood was delivered in June 1965, as part of a yearly postgraduate course in pediatrics. Presumably, the presentations were aimed at pediatricians, but the volume suffers from faults of organization which may impair its usefulness to those unfamiliar with the subject. Nowhere in the book is there a general clinical classification of muscle disease, and many diseases are not adequately described. The not-uncommon syndrome of juvenile muscular atrophy simulating muscular dystrophy (Kugelberg-Welander) is not considered. The subject of congenital myopathies, however, is well covered by Dr. H. Zellweger, who includes a careful consideration of the problems of distinguishing "hypotonia" from weakness. Prof P. E. Becker's brief recapitulation of the genetics of myopathies is lucid and unexceptionable. Dr. R. Richterich presents a simplified pathogenesis of Duchenne dystrophy which, though attractive, remains largely speculative. By this view a fundamental defect in the muscle

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