Edit concept Question Editor Create issue ticket

Hereditary Areflexic Dystasia

Roussy Levy Syndrome


Presentation

  • Acronym ROULS Synonyms Roussy-Levy hereditary areflexic dystasia Any medical or genetic information present in this entry is provided for research, educational and informational purposes only.[uniprot.org]
  • This means that only one mutated gene is needed from a parent to cause the condition Autosomal dominant: Autosomal dominant conditions are traits or disorders that are present when only one copy of the mutation is inherited on a non-sex chromosome.[dovemed.com]
  • One unusual case presented in middle life with incapacitating muscle cramps associated with calf hypertrophy and only mild clinical signs of neuropathy.[doi.org]
  • ; however, as Roussy Levy syndrome is considered a form of Charcot-Marie-Tooth (CMT) disease resembling CMT type 1, the symptoms may be managed in a similar manner. [6] While there is no cure for CMT1, treatment is specific to the signs and symptoms present[rarediseases.info.nih.gov]
Ataxia
  • Entry H01155 Disease Name Roussy-Levy syndrome Description Roussy-Levy syndrome (RLS) is a dominantly inherited early-onset syndrome consisting of gait ataxia, pes cavus, areflexia, eventually associated with muscle atrophy, postural tremors, limb ataxia[genome.jp]
  • Wood NW (1998) Diagnosing Friedreich’s ataxia. Arch Dis Child 78:204–207 PubMed CrossRef Google Scholar Copyright information Authors and Affiliations S. Zubair 1 N. R. Holland 3 B. Beson 4 J. T. Parke 1 C. I. Prodan 1 2 Email author 1.[doi.org]
  • This syndrome, a dominantly transmitted hereditary ataxia with tremor, was first described in 1926 by Gustave Roussy and Gabrielle Lévy.[movementdisorders.org]
  • The phenotype differs, however, in that it includes static tremor of the upper limbs and gait ataxia.[uniprot.org]
Areflexia
  • IN 1926, Roussy and Lévy 1 described a familial syndrome characterized by (1) clumsy gait, (2) abnormalities of equilibrium which were evident on standing and more pronounced with eye closure, (3) areflexia, (4) clubfeet, (5) awkwardness and weakness[jamanetwork.com]
  • Roussy; Gabrielle Lйvy, French neurologist, 1886â “1935] see under syndrome … Medical dictionary Roussy-Lйvy syndrome — a slowly progressive autosomal dominant disorder in which sensory ataxia is associated with areflexia, atrophy of muscles of distal[medicine.academic.ru]
  • Neurological damage may result in absent tendon reflexes (areflexia), some distal sensory loss and decreased excitability of muscles to galvanic and faradic stimulation.[en.wikipedia.org]
  • Name Roussy-Levy Hereditary Areflexic Dystasia Synonyms ROUSSY-LEVY SYNDROME Classification genetic, neurological Phenotypes Abnormality of the immune system ; Areflexia ; Autosomal dominant inheritance ; Decreased motor nerve conduction velocity ; Decreased[mousephenotype.org]
Cerebellar Ataxia
  • ataxia Cerebellar ataxia (loss of muscle coordination) Cerebellar ataxia due to toxin Cerebellar ataxia, early-onset Cerebellar ataxia, late-onset Drug-induced cerebellar ataxia Early onset cerebellar ataxia Early onset cerebellar ataxia with essential[icd9data.com]
  • Roussy-Lévy disease [roo͡sē′ lāvē′] Etymology: Gustave Roussy, French pathologist, 1874-1948; Gabrielle Lévy, French neurologist, 1886-1935 an inherited cerebellar ataxia associated with muscle wasting of the extremities, absence of tendon reflexes, and[medical-dictionary.thefreedictionary.com]
  • NIH: National Institute of Neurological Disorders and Stroke Acute cerebellar ataxia Olivopontocerebellar atrophy [ Read More ][icdlist.com]
  • Affected individuals may also have nystagmus and late-onset cerebellar ataxia.[mendelian.co]
Hyporeflexia
  • […] dominant inheritance ; Decreased motor nerve conduction velocity ; Decreased number of peripheral myelinated nerve fibers ; Distal amyotrophy ; Distal muscle weakness ; Distal sensory impairment ; Gait ataxia ; Hammertoe ; Hypertrophic nerve changes ; Hyporeflexia[mousephenotype.org]
  • Additional features of rhythmic shaking (static tremor) in the hands and an unsteady gait ( gait ataxia ) are specific to Roussy Levy syndrome. 0001288 Hypertrophic nerve changes 0003382 Hyporeflexia Decreased reflex response Decreased reflexes Alterations[rarediseases.info.nih.gov]
  • On examination, most patients with CMT exhibit distally dominant weakness, hyporeflexia, and muscle atrophy affecting the legs earlier and more significantly than the arms.[emedicine.medscape.com]
  • […] less frequent symptoms Patients with Ataxia and Peripheral demyelination. may also develop some of the following symptoms: Uncommon Symptoms - Between 30% and 50% cases Slow progression Sensory ataxia Sensory impairment Falls Pes cavus Babinski sign Hyporeflexia[mendelian.co]
Abnormal Gait
  • Foot drop causes frequent tripping, and with increasing weakness and attempts at compensation, the affected person develops an abnormal gait.[mda.org]
  • Also seen with Charcot-Marie-Tooth Disease is a condition known as " drop foot ", where the foot cannot be raised at the ankle, (see picture to the right) Ankle sprains, abnormal gait, diminished sensation, reflexes, and muscle strength are frequently[footdoc.ca]

Workup

  • Workup should be performed by a neurologist and brain imaging to look for evidence of infarction or tumor should be obtained.[ipfs.io]

Treatment

  • Treatment is symptomatic and supportive. Source: Genetic and Rare Diseases Information Center (GARD), supported by ORDR-NCATS and NHGRI.[diseaseinfosearch.org]
  • Fascial Manipulation on the Treatment of Carpal Tunnel Syndrome Completed NCT02495298 Phase 2 Search NIH Clinical Center for Roussy-Levy Hereditary Areflexic Dystasia[malacards.org]
  • Make informed clinical choices for each patient, from diagnosis and treatment selection through post-treatment strategies and management of complications, with new evidence-based criteria throughout.[books.google.com]
  • Treatment with clonazepam and gabapentin did not yield any benefits. Treatment with intravenous cyclophosphamide at a dose of 1 g/m 2 was repeated four times at 3-month intervals because of recurrent urinary infections.[movementdisorders.org]

Prognosis

  • (Outcomes/Resolutions) The prognosis for Roussy-Lévy Syndrome depends on the severity of the signs and symptoms of the disorder Individuals with mild forms of Roussy-Lévy Syndrome have a better prognosis than those with severe forms of the disorder However[dovemed.com]
  • Management and prognosis are reviewed separately. (See "Charcot-Marie-Tooth disease: Management and prognosis" .)[uptodate.com]
  • Prognosis for people with CMT The prognosis for people with hereditary neuropathy depends on the symptoms. Some types of hereditary neuropathy (CMT) progress (get worse) more slowly than other types.[ohsu.edu]
  • Part I explores basic techniques to researching charcot-marie-tooth disorder (e.g. finding guidelines on diagnosis, treatments, and prognosis), followed by a number of topics, including information on how to get in touch with organizations, associations[amazon.com]

Etiology

  • (Etiology) Roussy-Lévy Syndrome is caused by the inheritance of mutated genes, specifically the MPZ and PMP22 genes It is inherited in an autosomal dominant manner.[dovemed.com]

Epidemiology

  • Epidemiology and Genetics of Essential Tremor . Movement Disorders, Vol. 13, Issue. S3, p. 55.[cambridge.org]
  • Charcot-Marie-Tooth disease in Molise, a central-southern region of Italy: an epidemiological study. Neuroepidemiology . 2002 Sep-Oct. 21(5):241-5. [Medline] . Braathen GJ. Genetic epidemiology of Charcot-Marie-Tooth disease.[emedicine.medscape.com]
  • Braathen, Genetic epidemiology of Charcot–Marie–Tooth disease, Acta Neurologica Scandinavica, 126, (iv-22), (2012).[doi.org]
  • D. (2002) Taxonomy and epidemiology of spinal cord injury pain. In: Yezierski, R.P. and Burchiel, K. (eds.)[shiga-med.ac.jp]
  • Relevant External Links for SH3TC2 Genetic Association Database (GAD) SH3TC2 Human Genome Epidemiology (HuGE) Navigator SH3TC2 Atlas of Genetics and Cytogenetics in Oncology and Haematology: SH3TC2 No data available for Genatlas for SH3TC2 Gene Mutations[genecards.org]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of NT remains poorly understood.[movementdisorders.org]
  • "Central post-stroke pain: clinical characteristics, pathophysiology, and management". The Lancet Neurology . 8 (9): 857–868. doi : 10.1016/S1474-4422(09)70176-0 . "Pain: Hope Through Research" .[ipfs.io]
  • New insights into the pathophysiology of pes cavus in Charcot-Marie-Tooth disease type 1A duplication. J Neurol . 2011 Sep. 258 (9):1594-602. [Medline] . Shaffer LG, Kennedy GM, Spikes AS.[emedicine.medscape.com]
  • Importantly, CMT1A has one of the highest de novo mutation rates, similar to neurofibromatosis type 1, as discussed in Pathophysiology. Consequently, cases occur in which a family history is truly absent.[emedicine.medscape.com]

Prevention

  • Currently, there are no specific methods or guidelines to prevent Roussy-Lévy Syndrome, since it is a genetic condition Genetic testing of the expecting parents (and related family members) and prenatal diagnosis (molecular testing of the fetus during[dovemed.com]
  • The residual tremor has remained virtually absent at rest, with postural and kinetic components that no longer prevent the patient from feeding and washing herself (see Video 1).[movementdisorders.org]
  • (Prevention Genetics), Clinical DNA Testing and DNA Banking - Marshfield, WI, USA TAT : 3-5 weeks price : 2,140.00 Charcot Marie Tooth - Comprehensive Sequencing Panel method(s): Sequencing, Next Gen PreventionGenetics (Prevention Genetics), Clinical[genetests.org]
  • They are important, because timely intervention with plasma exchange can prevent death in the GBS and severe permanent disability in CIDP.[neuropathology-web.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!