$Unique_ID{BRK02083} $Pretitle{} $Title{Charcot-Marie-Tooth Syndrome or Progressive Neural Muscular Atrophy} $Subject{Charcot-Marie-Tooth Syndrome progressive neural muscular atrophy myelin nerve nerves nervous system muscles brace orthopedic support devices Charcot Marie Tooth muscle dystrophy muscles} $Volume{} $Log{ Anatomy of Nerves*0008101.scf} Copyright (c) 1993 Tribune Media Services, Inc. Charcot-Marie-Tooth Syndrome or Progressive Neural Muscular Atrophy ------------------------------------------------------------------------------ QUESTION: I have an elderly friend who wears braces on his feet because he has no feeling in them. The doctor's have told him he has a rare disease called "Marie Shark Tooth Syndrome". He said that was all he was told. We would appreciate any information you may have on this. ------------------------------------------------------------------------------ ANSWER: Medical terms are confusing enough, but when the names of the discoverers are used to identify the condition, it becomes even more bewildering. The actual name of the syndrome derived from the names of three physicians who first described the disease in 1886 is Charcot (nothing to do with sharks), Marie (a last name, not the name of a woman), Tooth (nothing to do with teeth), thus Charcot-Marie-Tooth Syndrome, but perhaps better identified as "progressive neural muscular atrophy". It is a disease that attacks the myelin of nerves, a substance that acts much the same as insulation on electrical wire. When this substances disappears as the result of the disease, the nerve can no longer conduct impulses which, in turn, effects the muscles. Though arms and hands can be affected it is the legs and feet which are most often involved. Gradually muscles of the leg lose strength and mass. A brace is used to help keep the foot in place when the muscles can no longer do so. It is the most common inherited nerve disease, and since it is transmitted by a single dominant trait a family history of the disease can frequently be discovered. It is usually first seen in puberty or early adult life. The condition progresses slowly, is seldom totally incapacitating, and often comes to a halt. The only treatment is orthopedic support devices which further explains the need for the brace. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.