eMedicine Specialties > Neurology > Neuromuscular Diseases

Schwartz-Jampel Syndrome: Follow-up

Author: Stephen A Berman, MD, PhD, Professor, Department of Internal Medicine, Section of Neurology, Dartmouth Medical School; Chief, Neurology Service, White River Junction Veterans Medical Center
Coauthor(s): Eric Dinnerstein, MD, Consulting Staff Neurologist, Maine Neurology
Contributor Information and Disclosures

Updated: Feb 2, 2007

Follow-up

Prognosis

  • Except for the patients with Stuve-Wiedemann syndrome, which is fundamentally a different disease, most patients have a good prognosis.
  • Muscle stiffness, muscle weakness, and skeletal abnormalities may worsen gradually or remain essentially stable.

Patient Education

  • Because patients with SJS have a characteristic physical appearance, they may need extra psychosocial support.
  • As in all diseases causing muscle stiffness, the danger exists of iatrogenic addiction to muscle relaxants such as diazepam (which is not particularly useful in this condition).
  • If patients are treated with the medications listed in this article or with other medications, they should be educated about the adverse effects.
  • The subset (as many as 20%) of patients who also have mental retardation require special education for that problem.

Miscellaneous

Medicolegal Pitfalls

  • The tendency to malignant hyperthermia could lead to adverse outcomes in surgery.
  • Cosmetic surgery to relieve the blepharospasm, blepharophimosis, and ptosis carries a medicolegal risk.
 


More on Schwartz-Jampel Syndrome

Overview: Schwartz-Jampel Syndrome
Differential Diagnoses & Workup: Schwartz-Jampel Syndrome
Treatment & Medication: Schwartz-Jampel Syndrome
Follow-up: Schwartz-Jampel Syndrome
References

References

  1. Adams RD, Victor M, Ropper AH. Principles of Neurology. 1997;1490-1493.

  2. Arikawa-Hirasawa E, Wilcox WR, Le AH, et al. Dyssegmental dysplasia, Silverman-Handmaker type, is caused by functional null mutations of the perlecan gene. Nat Genet. Apr 2001;27(4):431-4. [Medline].

  3. Brown KA, al-Gazali LI, Moynihan LM, et al. Genetic heterogeneity in Schwartz-Jampel syndrome: two families with neonatal Schwartz-Jampel syndrome do not map to human chromosome 1p34-p36.1. J Med Genet. Aug 1997;34(8):685-7. [Medline].

  4. Christova LG, Alexandrov AS, Ishpekova BA. Single motor unit activity pattern in patients with Schwartz-Jampel syndrome. J Neurol Neurosurg Psychiatry. Feb 1999;66(2):252-3. [Medline].

  5. Cormier-Daire V, Superti-Furga A, Munnich A, et al. Clinical homogeneity of the Stüve-Wiedemann syndrome and overlap with the Schwartz-Jampel syndrome type 2. Am J Med Genet. Jun 30 1998;78(2):146-9. [Medline].

  6. Dagoneau N, Scheffer D, Huber C, et al. Null leukemia inhibitory factor receptor (LIFR) mutations in Stuve-Wiedemann/Schwartz-Jampel type 2 syndrome. Am J Hum Genet. Feb 2004;74(2):298-305. [Medline].

  7. Di Rocco M, Stella G, Bruno C, et al. Long-term survival in Stuve-Wiedemann syndrome: a neuro-myo-skeletal disorder with manifestations of dysautonomia. Am J Med Genet A. May 1 2003;118(4):362-8. [Medline].

  8. Fasanelli S, Kozlowski K, Reiter S, Sillence D. Dyssegmental dysplasia (report of two cases with a review of the literature). Skeletal Radiol. 1985;14(3):173-7. [Medline].

  9. Flynn TC, Carruthers JA, Carruthers JA. Botulinum-A toxin treatment of the lower eyelid improves infraorbital rhytides and widens the eye. Dermatol Surg. Aug 2001;27(8):703-8. [Medline].

  10. Giedion A, Boltshauser E, Briner J, et al. Heterogeneity in Schwartz-Jampel chondrodystrophic myotonia. Eur J Pediatr. Mar 1997;156(3):214-23. [Medline].

  11. Ho NC, Sandusky S, Madike V, et al. Clinico-pathogenetic findings and management of chondrodystrophic myotonia (Schwartz-Jampel syndrome): a case report. BMC Neurol. Jul 2 2003;3:3. [Medline].

  12. Morrison DA, Mellington FB, Hamada S, Moore AT. Schwartz-Jampel syndrome: surgical management of the myotonia-induced blepharospasm and acquired ptosis after failure with botulinum toxin A injections. Ophthal Plast Reconstr Surg. Jan-Feb 2006;22(1):57-9. [Medline].

  13. Nicole S, Ben Hamida C, Beighton P, et al. Localization of the Schwartz-Jampel syndrome (SJS) locus to chromosome 1p34-p36.1 by homozygosity mapping. Hum Mol Genet. Sep 1995;4(9):1633-6. [Medline].

  14. Nicole S, Davoine CS, Topaloglu H, et al. Perlecan, the major proteoglycan of basement membranes, is altered in patients with Schwartz-Jampel syndrome (chondrodystrophic myotonia). Nat Genet. Dec 2000;26(4):480-3. [Medline].

  15. Oue T, Nishimoto M, Kitaura M, et al. [Anesthetic management of a child with Schwartz-Jampel syndrome]. Masui. Jul 2004;53(7):782-4. [Medline].

  16. Regalo SC, Vitti M, Semprini M, et al. The effect of the Schwartz-Jampel syndrome on masticatory and facial musculatures--an electromyographic analysis. Electromyogr Clin Neurophysiol. Apr-May 2005;45(3):183-9. [Medline].

  17. Reither M, Urban M, Kozlowski KS, et al. [Stüve-Wiedemann syndrome in two siblings: focusing on a male patient with the longest actual survival rate]. Klin Padiatr. Mar-Apr 2006;218(2):79-84. [Medline].

  18. Saadat M, Mokfi H, Vakil H, et al. Schwartz syndrome: myotonia with blepharophimosis and limitation of joints. J Pediatr. Aug 1972;81(2):348-50. [Medline].

  19. Sadeghi H, Wang BS. Proliferation of Nb2 lymphoma cells in vitro in response to interleukin-7. Immunol Lett. Oct-Nov 1992;34(2):105-8. [Medline].

  20. Samimi SS, Lesley WS. Craniocervical CT and MR imaging of Schwartz-Jampel syndrome. AJNR Am J Neuroradiol. Sep 2003;24(8):1694-6. [Medline].

  21. Schwartz O, Jampel RS. Congenital blepharophimosis associated with a unique generalized myopathy. Arch Ophthalmol. Jul 1962;68:52-7. [Medline].

  22. Sigaudy S, Moncla A, Fredouille C. Congenital bowing of the long bones in two fetuses presenting features of Stuve-Wiedermann syndrome and Schwartz-Jampel syndrome type 2. Clin Dysmorphol. Oct 1998;7(4):257-62. [Medline].

  23. Sigaudy S, Moncla A, Fredouille C, et al. Congenital bowing of the long bones in two fetuses presenting features of Stüve-Wiedemann syndrome and Schwartz-Jampel syndrome type 2. Clin Dysmorphol. Oct 1998;7(4):257-62. [Medline].

  24. Singh B, Biary N, Jamil AA, al-Shahwan SA. Schwartz-Jampel syndrome: evidence of central nervous system dysfunction. J Child Neurol. Apr 1997;12(3):214-7. [Medline].

  25. Stevens MF, Golla E, Lipfert P. [Intraoperative and postoperative analgesia with a caudal catheter in a child suffering from Schwartz-Jampel syndrome.]. Anaesthesist. May 2006;55(5):555-60. [Medline].

  26. Stum M, Davoine CS, Vicart S, et al. Spectrum of HSPG2 (Perlecan) mutations in patients with Schwartz-Jampel syndrome. Hum Mutat. Aug 22 2006;27(11):1082-1091. [Medline].

  27. Stum M, Davoine CS, Fontaine B, Nicole S. Schwartz-Jampel syndrome and perlecan deficiency. Acta Myol. Oct 2005;24(2):89-92. [Medline].

  28. Superti-Furga A, Tenconi R, Clementi M, et al. Schwartz-Jampel syndrome type 2 and Stüve-Wiedemann syndrome: a case for "lumping". Am J Med Genet. Jun 30 1998;78(2):150-4. [Medline].

  29. Udani VP, Dharnidharka VR, Gajendragadkar AR, Udani SV. Sporadic Stiffman syndrome in a young girl. Pediatr Neurol. Jul 1997;17(1):58-60. [Medline].

  30. Vargel I, Canter HI, Topaloglu H. Results of Botilinum Toxin: An Application to Blepharospasmin Schwartz-Jampel Syndrome. J Craniofac Surg. Jul 2006;17(4):656-660. [Medline].

Further Reading

Keywords

Schwartz Jampel syndrome, chondrodystrophic myotonia, myotonic myopathy, dwarfism, chondrodystrophy, ocular and facial anomalies, Schwartz-Jampel-Aberfeld syndrome, SJA syndrome, SJS

Contributor Information and Disclosures

Author

Stephen A Berman, MD, PhD, Professor, Department of Internal Medicine, Section of Neurology, Dartmouth Medical School; Chief, Neurology Service, White River Junction Veterans Medical Center
Stephen A Berman, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Neurology, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Coauthor(s)

Eric Dinnerstein, MD, Consulting Staff Neurologist, Maine Neurology
Eric Dinnerstein, MD is a member of the following medical societies: American Academy of Neurology and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Daniel H Jacobs, MD, Clinical Associate Professor, Department of Neurology, University of Florida
Daniel H Jacobs, MD is a member of the following medical societies: American Academy of Neurology, American Society of Neurorehabilitation, and Society for Neuroscience
Disclosure: Teva Pharmaceutical Grant/research funds Consulting; Biogen Idex Grant/research funds Independent contractor; Serono EMD Royalty Speaking and teaching; Pfizer Royalty Speaking and teaching; Berlex Royalty Speaking and teaching

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Agapito S Lorenzo, MD, Laboratory Director, Associate Professor, Departments of Neurology, Creighton University and University of Nebraska Medical Center
Agapito S Lorenzo, MD is a member of the following medical societies: American Academy of Neurology and American Association of Neuromuscular and Electrodiagnostic Medicine
Disclosure: Nothing to disclose.

CME Editor

Matthew J Baker, MD, Consulting Staff, Collier Neurologic Specialists, Naples Community Hospital
Matthew J Baker, MD is a member of the following medical societies: American Academy of Neurology
Disclosure: Nothing to disclose.

Chief Editor

Nicholas Y Lorenzo, MD, Chief Editor, eMedicine Neurology; Consulting Staff, Neurology Specialists and Consultants
Nicholas Y Lorenzo, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Neurology
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.