RT Book, Section A1 Bissonnette, Bruno A1 Luginbuehl, Igor A1 Marciniak, Bruno A1 Dalens, Bernard J. SR Print(0) ID 58077121 T1 Myotonia Congenita T2 Syndromes: Rapid Recognition and Perioperative Implications YR 2006 FD 2006 PB The McGraw-Hill Companies PP New York, NY SN 9780071354554 LK accessanesthesiology.mhmedical.com/content.aspx?aid=58077121 RD 2024/04/19 AB Rare genetic disorder characterized by myotonia, muscle stiffness, and abnormal muscle hypertrophy that gives the impression of Herculean or “bodybuilder-like” appearance. Two main forms of myotonia congenita have been described: Thomsen disease and Becker disease. In Thomsen disease, symptoms and findings are usually apparent from infancy to approximately 2 to 3 years of age. In many cases, muscles of the eyelids, hands, and legs are most affected. In Becker disease, symptoms most commonly become apparent between the ages of 4 and 12 years. Affected individuals develop progressive myotonia; however, muscle rigidity and hypertrophy tend to be more severe.