DOI: 10.36347/sjmcr.2015.v03i10.005

Pages: 945-946

41-Year-Old Male Fell Down A Flight Of Approximately 20 Stairs Without Alcohol. Upon Arrival, He Had Bruises With A Clear Consciousness, A Bald Head And Atrophic Muscles. He Did Not Have Major Trauma But Systemic Muscle Weaknesses Without Any Sensory Disturbance. The Grip Dynamometer Disclosed 0 Mmhg, Indicating Grip Myotonia On Both Hands. After Admission, Electromyography Revealed Myotonic Discharges And An Expansion Of The Cytosine-Thymine-Guanine Triplet Repeat Was Recognized. Finally, He Received A Definite Diagnosis Of Myotonic Dystrophy. Physicians Should Pay Attention To Potential Underlying Diseases When A Middle-Aged Patient Has A Fall While They Were Sober.