Main clinical features
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characterized by onset in the first or second decade of a peripheral axonal neuropathy predominantly affecting motor more than sensory nerves
also have delayed muscle relaxation and action myotonia associated with neuromyotonic discharges on needle EMG resulting from hyperexcitability of the peripheral nerves
asymmetric gait impairment, foot drop, and action myotonia on fast handgrip; electrophysiological studies showed symmetrical axonal motor greater than sensory neuropathy, and neuromyotonic discharges on needle electromyography |