Human Phenotype Ontology 
Grandparent Node:
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EMG abnormality (HP:0003457)help
Parent Node:
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EMG: impaired neuromuscular transmission (HP:0100285)help
..Starting node
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EMG: decremental response of compound muscle action potential to repetitive nerve stimulation (HP:0003403)help
Term ID: 3403
Name: EMG: decremental response of compound muscle action potential to repetitive nerve stimulation
Synonym: EMG: decrement at repetitive stimulation; EMG: decremental response of CMAP to repetitive nerve stimulation
Definition: A compound muscle action potential (CMAP) is a type of electromyography (EMG). CMAP refers to a group of almost simultaneous action potentials from several muscle fibers in the same area evoked by stimulation of the supplying motor nerve and are recorded as one multipeaked summated action potential. This abnormality refers to a greater than normal decrease in the amplitude during the course of the investigation.
Comments:
Reference: HP:0003403
Genes and Diseases:
 
       Child Nodes:

 Sister Nodes: 
..expandEMG: incremental response of compound muscle action potential to repetitive nerve stimulation (HP:0030206) help
..expandIncreased jitter at single fiber EMG (HP:0030205) help
InputHPO IDHPO termDistanceGeneGene id entrezHGNC IDDiseaseIdDiseaseNameFrequencyOnsetHGMD variantsClinVar variants
 
HPO disease - gene - phenotype typical associations:
 
HPO disease - gene - phenotype less frequent non-typical associations:
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0AGRN CL E G H375790329OMIM:615120Myasthenic syndrome, congenital, 8127
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0AGRN CL E G H375790329ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent127
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0AK9 CL E G H22126433814ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent1
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0ALG14 CL E G H19985728287ORPHA:353327Congenital myasthenic syndromes with glycosylation defectHP:0040282 - Frequent12
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0ALG14 CL E G H19985728287OMIM:616227Myasthenic syndrome, congenital, 1512
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0ALG14 CL E G H19985728287OMIM:619036MYOPATHY, EPILEPSY, AND PROGRESSIVE CEREBRAL ATROPHY; MEPCA12
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0ALG2 CL E G H8536523159ORPHA:353327Congenital myasthenic syndromes with glycosylation defectHP:0040282 - Frequent46
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0BIN1 CL E G H2741052ORPHA:169186Autosomal recessive centronuclear myopathyHP:0040283 - Occasional99
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHAT CL E G H11031912OMIM:254210Myasthenic syndrome, congenital, 6, presynaptic.65
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNA1 CL E G H11341955OMIM:608930Myasthenic syndrome, congenital, 1B, fast-channel74
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNA1 CL E G H11341955ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent74
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNB1 CL E G H11401961OMIM:616313Myasthenic syndrome, congenital, 2A, slow-channel53
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNB1 CL E G H11401961ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent53
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRND CL E G H11441965OMIM:616321Myasthenic syndrome, congenital, 3A, slow-channel88
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRND CL E G H11441965ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent88
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNE CL E G H11451966OMIM:605809Myasthenic syndrome, congenital, 4A, slow-channel.139
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNE CL E G H11451966OMIM:608931Myasthenic syndrome, congenital, 4C, associated with acetylcholine receptor deficiency.139
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0CHRNE CL E G H11451966ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent139
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0COL13A1 CL E G H13052190ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent6
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0COLQ CL E G H82922226OMIM:603034Myasthenic syndrome, congenital, 5.90
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0COLQ CL E G H82922226ORPHA:98915Synaptic congenital myasthenic syndromesHP:0040281 - Very frequent90
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0DOK7 CL E G H28548926594ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent91
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0DPAGT1 CL E G H17982995ORPHA:353327Congenital myasthenic syndromes with glycosylation defectHP:0040282 - Frequent38
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0DPAGT1 CL E G H17982995OMIM:614750Myasthenic syndrome, congenital, 13, with tubular aggregates38
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0GFPT1 CL E G H26734241ORPHA:353327Congenital myasthenic syndromes with glycosylation defectHP:0040282 - Frequent128
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0GFPT1 CL E G H26734241OMIM:608931Myasthenic syndrome, congenital, 4C, associated with acetylcholine receptor deficiency.128
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0GFPT1 CL E G H26734241OMIM:610542Myasthenic syndrome, congenital, with tubular aggregates 1.128
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0GMPPB CL E G H2992522932ORPHA:353327Congenital myasthenic syndromes with glycosylation defectHP:0040282 - Frequent34
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0GMPPB CL E G H2992522932ORPHA:363623GMPPB-related limb-girdle muscular dystrophy R19HP:0040283 - Occasional34
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0LAMB2 CL E G H39136487ORPHA:98915Synaptic congenital myasthenic syndromesHP:0040281 - Very frequent92
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0LRP4 CL E G H40386696ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent124
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0MUSK CL E G H45937525ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent72
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0MYL1 CL E G H46327582OMIM:618414Myopathy, congenital, with fast-twitch (type ii) fiber atrophy
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0NOTCH2NLC CL E G H10099671753924OMIM:603472NEURONAL INTRANUCLEAR INCLUSION DISEASE
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0RAPSN CL E G H59139863OMIM:616326Myasthenic syndrome, congenital, 11, associated with acetylcholine receptor deficiency73
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0RAPSN CL E G H59139863ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent73
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0RYR1 CL E G H626110483ORPHA:169186Autosomal recessive centronuclear myopathyHP:0040283 - Occasional1200
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0SCN4A CL E G H632910591ORPHA:98913Postsynaptic congenital myasthenic syndromesHP:0040282 - Frequent263
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0SPEG CL E G H1029016901ORPHA:169186Autosomal recessive centronuclear myopathyHP:0040283 - Occasional20
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0SYT2 CL E G H12783311510OMIM:619461MYASTHENIC SYNDROME, CONGENITAL, 7B, PRESYNAPTIC, AUTOSOMAL RECESSIVE; CMS7B4
HP:0003403HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation0TTN CL E G H727312403ORPHA:169186Autosomal recessive centronuclear myopathyHP:0040283 - Occasional7128


Genes (27) :AGRN AK9 ALG14 ALG2 BIN1 CHAT CHRNA1 CHRNB1 CHRND CHRNE COL13A1 COLQ DOK7 DPAGT1 GFPT1 GMPPB LAMB2 LRP4 MUSK MYL1 NOTCH2NLC RAPSN RYR1 SCN4A SPEG SYT2 TTN

Diseases (21) :OMIM:615120 ORPHA:98913 ORPHA:353327 OMIM:616227 OMIM:619036 ORPHA:169186 OMIM:254210 OMIM:608930 OMIM:616313 OMIM:616321 OMIM:605809 OMIM:608931 OMIM:603034 ORPHA:98915 OMIM:614750 OMIM:610542 ORPHA:363623 OMIM:618414 OMIM:603472 OMIM:616326 OMIM:619461
 

Human Phenotype Ontology(HPO) is developed by the Human Phenotype Ontology Consortium. The version used here is December 15 2022 release.