myotonic muscular dystrophy

myotonic muscular dystrophy /-ton″ik/ , a severe form of muscular dystrophy marked by ptosis, facial weakness, and dysarthria. Weakness of the hands and feet precedes that in the shoulders and hips. Myotonia of the hands is usually present. Electromyography is helpful in establishing the diagnosis. Although there is no specific treatment, active and passive exercises are used to alleviate symptoms. Also called myotonia atrophica, Steinert’s disease.

Myotonic muscular dystrophy: characteristic facial expression (Perkin et al, 2011)