Facioscapulohumeral muscular dystrophy (FSHD) typically presents before age 20 with weakness of the facial muscles and the stabilizers of the scapula or the dorsiflexion of the foot.
GENETIC COUNSELING
FSHD is inherited in an autosomal dominant manner. Offspring of an affected individual have a 50% chance of inheriting the mutant allele.
CLINICAL DIAGNOSIS
The diagnosis of FSHD is suspected in the presence of bilateral facial weakness and weakness of either the scapular stabilizers and foot dorsiflexion and the absence of:
1. ptosis
2. extraocular muscle weakness
3. sensory loss
4. skin rash
5. neurogenic changes on muscle biopsy
6. myotonia, fasciculations, or neurogenic potentials on EMG
TREATMENT:
The diagnosis of FSHD is suspected in the presence of bilateral facial weakness and weakness of either the scapular stabilizers and foot dorsiflexion and the absence of:
Physical Medicine and Rehabilitation
Surgical Management
CALL (404) 631-6156 TO BOOK AN APPOINTMENT WITH OUR DOCTORS TO DISCUSS MORE MUSCULAR DYSTROPHY.