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Complete Myotonia Evaluation #147
Type of Disorder: Neuromuscular Disorders
Typical Presentation: Adults may present with myotonia, ptosis and muscle wasting. Other symptoms may include frontal balding, cataracts, cardiac complications, infants may present with severe hypotonia, skeletal deformities, developmental delay and mental retardation.
Indications for Testing: Proximal and/or distal stiffness or weakness. Non-dystrophyc, non-syndromic myotonia with mild hypertrophy. Dystrophic but non-syndromic myotonia for differential.
Disease(s) tested for: Myotonic dystrophy, Type 2, Myotonic dystrophy, Type 1, Myotonia congenita, Sodium Channel Myotonia
Test Details
Test Code: 147
Profile includes: DM1 DNA Test, DM2 DNA Test, CLCN1 DNA Sequencing Test, SCN4A DNA Sequencing test
Informed Consent Required: Yes
Medicare ABN Required: Yes
Technical Information
Utility: Detects CTG repeat expansions in the DMPK gene, CCTG repeat expansions in the ZNF9 gene, and point mutations in the CLCN1 and SCN4A gene
Methodology: PCR, Fragment analysis, Southern Blot, DNA Sequencing
Reference Value: CLCN1 and SCN4A: No mutation detected, DM1 normal: 5-37 CTG repeats; DM2 normal: Less than 177 base pairs
CPT Code(s): 83891(1), 83898(52), 83904(52), 83909(4), 83912(1)
Patents: 5,955,265; 5,977,333; 6,902,896
Shipping Considerations
Preferred Specimen Requirements
Type: Whole blood
Minimum Volume: 20 ml
Collection Tube: Lavender top (EDTA)
Storage Conditions: Refrigerate
Shipping Conditions: Room temperature, avoid freezing
Test Turnaround: 21-28 days
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