Intellectual and cognitive function were studied in 35 patients with m
yotonic dystrophy (DM). All 5 patients with the congenital form showed
moderate or mild mental retardation. The 30 adult-onset patients had
normal intelligence and memory quotients. In this adult-onset group no
differences in cognitive function were observed either with respect t
o sex or physical disability. The sex of the affected parent, mother v
s. father, was also without effect in this group. A follow-up study wa
s performed in 16 patients with a mean test interval of 12 years. Ther
e was no severe cognitive impairment over this time span or a signific
ant correlation between the progression of physical and cognitive dysf
unction.