Differenzialdiagnostik und Therapie von Myalgien

 

 Buy Article Permissions and Reprints

Lernziele

Der vorliegende Beitrag befasst sich mit Differenzialdiagnostik und Therapie von Myalgien. Ziel ist es, folgende Kenntnisse zu vermitteln:

Kenntnis der Klassifikation und Ätiologie von Myalgien – neurogene und myogene Ursachen, Empfehlungen zur Diagnostik und Differenzialdiagnostik von Myalgien; Vorstellung eines diagnostischen Pfades, angelehnt an aktuelle Leitlinien der Deutschen Gesellschaft für Neurologie, Therapieempfehlungen zur Behandlung von Myalgien.

Literatur

• 1 Naylor J R, Young J B. A general population survey of rest cramps.  Age Ageing. 1994;  23 418-420
  Google Scholar
• 2 Mills K R, Newham D J, Edwards R HT. Muscle pain. In: Wall P D, Melzak R, eds. Textbook of pain.. New York: Churchill-Livingstone; 1985: 319-330
  Google Scholar
• 3 Layzer R B. The origin of muscle fasciculations and cramps.  Muscle Nerve. 1994;  17 1243-1249
  Google Scholar
• 4 Lucia A, Nogales-Gadea G, Pérez M et al. McArdle disease: what do neurologists need to know?.  Nat Clin Pract Neurol. 2008;  4 568-577
  Google Scholar
• 5 Pourmand R. The value of muscle biopsy in myalgia.  Neurologist. 1997;  3 173-177
  Google Scholar
• 6 Filosto M, Tonin P, Vatterni G et al. The role of muscle biopsy in investigating isolated muscle pain.  Neurology. 2007;  68 181-186
  Google Scholar
• 7 Plotnikoff G A, Quigley J M. Prevalence of severe hypovitaminosis D in patients with persistent, non-specific musculoskeletal pain.  Mayo Clin Proc. 2003;  78 1463-1470
  Google Scholar
• 8 Livingstone C, Chinnery P F, Turnbull D M. The ischaemic lactate-ammonia test.  Ann Clin Biochem. 2001;  38 304-310
  Google Scholar
• 9 Park J H, Olsen N J. Utility of magnetic resonance imaging in the evaluation of patients with inflammatory myopathies.  Curr Rheumatol Rep. 2001;  3 334-345
  Google Scholar
• 10 Bayas A, Gold R. Diagnostische Prinzipien bei Muskelerkrankungen.  Fortschr Neurol Psychiatr. 2003;  71 61-66
  Google Scholar
• 11 Hill C L, Zhang Y, Sigurgeirsson B et al. Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study.  Lancet. 2001;  357 96-100
  Google Scholar
• 12 Schneider C, Reiners K, Toyka K V. Myotone Dystrophie und proximale myotone Myopathie (PROMM). Myotone Muskelerkrankungen mit multisystemischen Manifestationen.  Nervenarzt. 2001;  72 618-624
  Google Scholar
• 13 Lochmüller H, Reimers C D, Fischer P et al. Exercise-induced myalgia in hypothyroidism.  Clin Invest. 1993;  71 999-1001
  Google Scholar
• 14 Pasternak R C, Smith S C, Bairey-Merz C N et al. ACC/AHA/NHLBI clinical advisory on the use and safety of statins.  Stroke. 2002;  33 2337-2341
  Google Scholar
• 15 Döser S, März W, Reinecke M F et al. Empfehlung zur Statintherapie im Alter.  Internist. 2004;  45 1053-1062
  Google Scholar
• 16 De Pinieux G, Chariot P, Ammi-Said M et al. Lipid-lowering drugs and mitochondrial function: effects of HMG-CoA reductase inhibitors on serum ubiquinone and blood lactate/pyruvate ratio.  Br J Clin Pharmacol. 1996;  42 333-337
  Google Scholar
• 17 Grable-Esposito P, Katzberg H D, Greenberg S A et al. Immune-mediated necrotizing myopathy associated with statins.  Muscle Nerve. 2010;  41 185-190
  Google Scholar
• 18 Bird H A, Leeb B F, Montecucco C M et al. A comparison of the sensitivity of diagnostic criteria for polymyalgia rheumatica.  Ann Rheum Dis. 2005;  64 626-629
  Google Scholar
• 19 Wolfe F, Smythe H A, Yunus M B et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicentre criteria committee.  Arthr Rheum. 1990;  33 160-172
  Google Scholar
• 20 Miller R G, Jackson C E, Kasarskis E J et al. Practice parameter update: The care of the patient with amyotrophic lateral sclerosis: multidisciplinary care, symptom management, and cognitive/behavioral impairment (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology.  Neurology. 2009;  73 1227-1233
  Google Scholar
• 21 Fetell M R, Smallberg G, Lewis L D et al. A benign motor neuron disorder: delayed cramps and fasciculation after poliomyelitis or myelitis.  Ann Neurol. 1982;  11 423-427
  Google Scholar
• 22 Pentland B, Donald S M. Pain in the Guillain-Barre syndrome: a clinical review.  Pain. 1994;  59 159-164
  Google Scholar
• 23 Rish B L. Nerve root compression and night cramps.  JAMA. 1985;  254 361
  Google Scholar
• 24 Lockman J, Burns T M. Stiff-person syndrome.  Pract Neurol. 2007;  7 106-108
  Google Scholar
• 25 Newsom-Davis J, Buckley C, Clover L et al. Autoimmune disorders of neuronal potassium channels.  Ann NY Acad Sci. 2003;  998 202-210
  Google Scholar
• 26 Daniell H W. Simple cure for nocturnal leg cramps.  N Engl J Med. 1979;  301 216
  Google Scholar
• 27 Horns P N, Ratcliffe L P, Leggett J C et al. Pregnancy outcomes among active and sedentary primiparous women.  J Obstet Gynecol Neonatal Nurs. 1996;  25 49-54
  Google Scholar
• 28 Man-Son-Hing M, Wells G, Lau A. Quinine for nocturnal leg cramps: a meta-analysis including unpublished data.  J Gen Intern Med. 1998;  13 600-606
  Google Scholar
• 29 Dahle L O, Berg G, Hammar M et al. The effect of oral magnesium substitution on pregnancy-induced leg cramps.  Am J Obstet Gynecol. 1995;  173 175-180
  Google Scholar
• 30 Serrao M, Rossi P, Cardinali P et al. Gabapentin treatment for muscle cramps: an open-label trial.  Clin Neuropharmacol. 2000;  23 45-49
  Google Scholar

Dr. Jochen Schäfer

Klinik für Neurologie, Uniklinikum C. G. Carus

Fetscherstr. 74

01307 Dresden

Email: schaefer@rcs.urz.tu-dresden.de