Presentation
Analysis of pedigrees The pedigree of an Italian family from the new group is presented in figure 4. Five members carried mutation COL4A1 p. G1369R and presented with very varied clinical phenotypes. [ncbi.nlm.nih.gov]
Congenital Cephalic Disorders In addition to porencephaly there can be other forms of damage to the brain present at birth. [rarediseases.org]
Here we report a family in which three siblings presented severe hypermetropia and porencephaly. Probands' father had severe hypermetropia and bilateral cataracts. [frontiersin.org]
Histone deacetylase inhibitors EP1929306A4 (fr) * 2005-09-01 2009-11-11 Precision Therapeutics Inc Tests de chimiosensibilite faisant appel a des cellules tumorales presentant des caracteristiques phenotypiques persistantes EP1775590A1 (fr) * 2005-10- [patents.google.com]
Musculoskeletal
- Muscle Cramp
Painful muscle cramps can occur and can develop before three years of age. Various muscles can be affected and muscle strength can become weakened. [rarediseases.org]
COL4A1 mutations and hereditary angiopathy, nephropathy, aneurysms, and muscle cramps. N Engl J Med. (2007) 357:2687–95. doi: 10.1056/NEJMoa071906 PubMed Abstract | CrossRef Full Text | Google Scholar 14. [frontiersin.org]
Workup
Clinical Testing and Workup Advanced imaging techniques can include computerized tomography (CT) scanning and magnetic resonance imaging (MRI). [rarediseases.org]
Treatment
There are no standardized treatment protocols or guidelines for affected individuals. Due to the rarity of the disease, there are no treatment trials that have been tested on a large group of patients. [rarediseases.org]
RTVP based compositions and methods for the treatment of prostate cancer US20050187153A1 (en) * 2001-06-08 2005-08-25 Baylor College Of Medicine RTVP based compositions and methods for the treatment of prostate cancer, autoimmunity and infectious disease [patents.google.com]
Yet, as for all COL4A1 mutations, no specific treatment is currently available, and, due to the variable penetrance, adapted follow-up is challenging. [frontiersin.org]
Drug resistance was reported in 24/36 (66.6%); 8 patients (22.2%) had a “good response” to treatment. No single drug stood out for efficacy data (table 3a/b, doi.org/10.5061/dryad.gj58t0v). Three patients had surgical treatment for epilepsy. [ncbi.nlm.nih.gov]
Prognosis
Several factors including the small number of identified cases, the lack of large clinical studies, and the possibility of other genes or factors influencing the disorder make it challenging to develop a complete picture of associated symptoms and prognosis [rarediseases.org]
Cell-based detection and differentiation of disease states AU2002254524A1 (en) * 2001-04-06 2002-10-21 The Government Of The United States Of America, Represented By The Secretary, Department Of Health A Use of semenogelin in the diagnosis, prognosis [patents.google.com]
Etiology
Milder presentations are likely underdiagnosed, due to limited awareness of the full spectrum of neurologic presentations, such that clinicians (in particular those seeing adults) may suspect COL4A1/2 etiology only in the most severe cases. [ncbi.nlm.nih.gov]
Prevention
Pharmaceutical composition for treatment and/or prevention of cancer US9273130B2 (en) 2012-02-21 2016-03-01 Toray Industries, Inc. [patents.google.com]
Drugs that prevent irregular heartbeats (anti-arrhythmic medications) are used to treat supraventricular arrythmia. Surgery or endovascular therapy can be used to treat intracranial hemorrhage. [rarediseases.org]
Cesarean delivery for pregnancies with fetus at risk for a COL4A1-related disorder is recommended to prevent brain vascular injury attributable to birth trauma during delivery (6). [frontiersin.org]