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Neurology physical examination on Instagram: "Percussion Myotonia of the Tongue? When the tongue is tapped with a reflex hammer or finger, the muscle contracts and then slowly relaxes, forming a persistent indentation at the site of tapping. Key Features Tap the tongue (usually with mouth slightly open). The tongue shows a localized dimple or depression. This dimple persists for several seconds before the tongue returns to normal shape. Indicates delayed relaxation of muscle fibers. --- Why Does
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Hercules Appearance in Myotonia Congenita Myotonia congenita (Thomsen and Becker types) is a hereditary myotonic disorder caused by mutations in the CLCN1 gene, leading to impaired chloride channels in skeletal muscle. One classic clinical feature is the “Hercules appearance” or “Herculean body habitus.” --- What is the Hercules Appearance? This refers to the unusually well-developed, muscular, athletic build seen in many patients with myotonia congenita, especially the Becker variant. Patients
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