Introduction

 
 

Since 1985 the subspecialty muscular pathology (Myology) works in our hospital. The responsible for its implementation were Dr. Carlos Cervera (clinical), Dr. Lluis Montserrat (neurophysiologist) Dr. Jose Maria Fernandez (neurophysiologist) and Dr. Carmen Navarro (neuropathologist) whom we consider as pioneers of the current Clinics and Units of neuromuscular diseases. Prof. Augustin Codina-Puiggros (chief of neurology department) suggested this 180 degree turn from the traditional system to this new model, which worked successfully in different neurological institutions like the Salpetriere in Paris, the National Hospital -Queen Square in London and the Columbia University in New York. It was a treat for us to enjoy learning from these five teachers of the clinic, semiotics, neurophysiology and neuropathology. With their teaching, excellent professionals has formed, who now occupy important positions in hospitals throughout the Spanish geography and Hispanic American countries.

Myology unit provides, multidisciplinary diagnostic and assistance to patients, at any age (children and adults) with suspected disease of striated muscle. For the transition from pediatric care to adult, it has designed a program to carry out this.

The benefits offered by this unit includes extensive experience in performing biopsies (more than a thousand) of muscle, nerve, skin, subcutaneous fat and labial mucosa, access to clinical trials even gene therapy for certain diseases, genetic diagnosis, anatomical and pathological diagnosis, electromyography techniques including single fiber, transcranial magnetic stimulation, evoked potentials, electroretinography, EEG, polysomnography, magnetic resonance neuromuscular and other imaging techniques (PET, DaTSCAN, ultrasonography, CT, radiology), rehabilitation therapy, speech therapy, speech therapy, treatment of swallowing disorders, nutritional support, enteral and parenteral techniques food, orthopedic surgery, assisted ventilation program, neuropsychological, social aid, personalized medicine in  multidisciplinary care, specialized for patients with myopathies pregnancy care, prevention of complications program during procedures requiring general anesthesia and health education / training sick and family.

These activities have helped to improve the quality of life of patients who are treated in our  unit, with the different forms of muscular dystrophy, Steinert disease and other myotonic diseases, congenital muscular dystrophies, congenital myopathies, distal myopathies, metabolic myopathies, mitochondrial diseases , muscle diseases by alterations in muscle membrane channels, and other inflammatory myophaties.