Common Symptoms of Neurogenic Muscle Atrophy

May 30, 2022 Source: Cainiu Health
Dr. Li Man
Introduction
Neurogenic muscle atrophy most commonly occurs in poliomyelitis—specifically, lesions of the anterior horn cells of the spinal cord—which result in flaccid paralysis. Patients with muscle atrophy and functional loss may also exhibit weakness and difficulty walking in the contralateral leg. In neurology, progressive spinal muscular atrophy—a form of neurogenic atrophy—may be observed; affected individuals progressively lose the ability to chew and experience dysphagia.

Neuropathic muscular atrophy is a relatively common condition, typically presenting with unilateral paralysis, muscle atrophy, and potential loss of function. What are the common symptoms of neuropathic muscular atrophy?

Common Symptoms of Neuropathic Muscular Atrophy

Neuropathic muscular atrophy may manifest as muscle atrophy, unilateral paralysis, and functional impairment. The most common example is poliomyelitis (polio), in which patients may also exhibit weakness and gait difficulty in the contralateral leg. In neurology clinics, progressive spinal muscular atrophy (SMA) is another recognized form of neuropathic atrophy; affected individuals progressively lose the ability to chew and swallow. As the disease advances, respiratory muscles become involved, leading to labored breathing—often requiring mechanical ventilation—and ultimately resulting in respiratory failure, the most frequent cause of death.

Patients with amyotrophic lateral sclerosis (ALS)—commonly known as “locked-in syndrome” or “motor neuron disease”—also experience a rare form of muscular atrophy caused by degeneration and apoptosis of motor neurons. Early signs may include atrophy of hand muscles, particularly the thenar and hypothenar eminences. As the disease progresses, patients may develop fasciculations (muscle twitching) throughout the body and atrophy of the tongue muscles; when the tongue is protruded, its surface appears uneven and bumpy.

With continued disease progression, weakness and atrophy spread to all four limbs. In advanced stages, patients become bedridden, and respiratory muscle involvement necessitates ventilatory support. Early detection and prompt intervention are crucial to slow disease progression and prevent worsening. We hope this information proves helpful!