Presentation
These cutaneous markers for TSC may be present at birth, but most commonly develop during childhood. Ungual fibromas are present in 20%-90% of individuals with TSC (Figure 5). [clinicaladvisor.com]
Patients tend to present with symptoms after the age of 50 and then progression can be very variable depending on the individual. [icommunicatetherapy.com]
Patients typically present clinical symptoms between the ages of… Continue Reading BridgeBio Pharma Raises $299 Million January 23, 2019 By Daniel S. [globalgenes.org]
Some patients at presentation have focal epileptiform discharges, primarily in the occipital region. [thieme-connect.com]
In individuals with epilepsy non-convulsive status epilepticus may present with cognitive or behavioural deterioration without much else in the way of clinical signs. Progressive hydrocephalus may present late with cognitive decline. [jnnp.bmj.com]
Respiratoric
- Delayed Speech Development
speech and language development Deficiency of speech development Delayed language development Delayed speech Delayed speech acquisition Delayed speech development Impaired speech and language development Impaired speech development Language delay Language [rarediseases.info.nih.gov]
Cardiovascular
- Thrombosis
Pressure E-1868 106 Spinal Cord Injury E-1882 107 Determination of Brain Death in Infants and Children E-1910 108 Development and Function of the Cerebrovascular System E-1931 109 Arterial Ischemic Stroke in Infants and Children E-1941 110 Sinovenous Thrombosis [books.google.com]
G20210A, thrombosis, plasma prothrombin, Factor V Leiden, F5, R506Q, methylenetetrahydrofolate reductase, venous thrombosis, thromboembolism, clotting 0050547 Twin Zygosity (16 markers) Twin Zygosity Testing TWIN ZYG, Fetal zygosity, mono/dizygotic differentiation [aruplab.com]
Psychiatrical
- Distractibility
The employee tells the supervisor about his disability and the side effect of the medication he takes, and asks to be moved to a quieter work space to lessen the distractions. [eeoc.gov]
Neurologic
- Language Delays
[…] speech and language development Deficiency of speech development Delayed language development Delayed speech Delayed speech acquisition Delayed speech development Impaired speech and language development Impaired speech development Language delay Language [rarediseases.info.nih.gov]
Onset: Childhood Urine metabolites: Oligosaccharides and O-linked sialopeptides Clinical features: Intermediate between types I and II; variable and ranging from seizures and moderate psychomotor retardation to mild autistic features with speech and language [merckmanuals.com]
- Delayed Speech and Language Development
speech and language development Deficiency of speech development Delayed language development Delayed speech Delayed speech acquisition Delayed speech development Impaired speech and language development Impaired speech development Language delay Language [rarediseases.info.nih.gov]
Workup
An EEG is an essential part of the workup for LGS. Neuroimaging is an important part of the search for an underlying etiology (see Workup). [emedicine.medscape.com]
It is not always necessary to do the complete metabolic/genetic workup on every child. If the history or exam suggests the possibility of a metabolic or genetic disorder then the treating physician will undertake the evaluation. [childneurologyfoundation.org]
[…] activator protein PTG and interaction with laforin.[ 21 ] Because of clinically atypical features, some patients with mild Lafora disease could escape a correct diagnosis because adult patients with mild PME traditionally have not undergone diagnostic workup [thieme-connect.com]
Treatment
Brand-new chapters in the drug and diet section cover perampanel, ezogabine, and lacosamide, while the existing chapters on major medical treatments have been comprehensively updated to reflect the latest trials and studies. [books.google.com]
Treatment of mucopolysaccharidosis type I (Hurler syndrome) is enzyme replacement with α -l-iduronidase, which effectively halts progression and reverses all non-CNS complications of the disease. [merckmanuals.com]
Food and Drug Administration has chosen Wave Life Sciences’ planned phase 2/3 study of suvodirsen, its lead experimental therapy for the treatment of Duchenne muscular dystrophy, to break new ground. [globalgenes.org]
You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]
In either case, the treatment that gives the child the best chance to achieve complete control of spasms is the treatment of choice. [childneurologyfoundation.org]
Prognosis
The prognosis for LGS is poor with a 5% mortality in childhood and persistent seizures into adulthood (80%–90%). [3] LGS was named for neurologists William G. [en.wikipedia.org]
Long-term prognosis of Lennox-Gastaut syndrome. Epilepsia. 1996. 37 Suppl 3:44-7. [Medline]. Ohtsuka Y, Amano R, Mizukawa M, Ohtahara S. Long-term prognosis of the Lennox-Gastaut syndrome. Jpn J Psychiatry Neurol. 1990 Jun. 44(2):257-64. [Medline]. [emedicine.medscape.com]
Long-term prognosis in childhood epilepsy: survival and seizure prognosis. Epilepsia 1987 ;28: 324 - 330 13. Berg AT, Shinnar S, Testa FM, Levy SR, Smith SN, Beckerman B. Mortality in childhood-onset epilepsy. [nejm.org]
Evolution and Prognosis Prognosis of BECTS is excellent. By the mid teenage children outgrow of the disease in 100% cases [ 45 ]. [omicsonline.org]
Peripheral Visual Fields: Prognosis: The likely outcome or course of a disease; the chance of recovery or recurrence. [childneurologyfoundation.org]
Etiology
Etiology LGS can be classified according to its suspected etiology as either idiopathic or symptomatic. [emedicine.medscape.com]
First and foremost is the underlying etiology or cause. Some etiologies will lead to death or mental retardation, whether or not the patient developed infantile spasms. [childneurologyfoundation.org]
Ataxia, X-linked Non Progressive Cerebellar Ataxia, X-linked Cerebellar Ataxia, Vitamin B12 Deficiency Ataxia, Toxic Exposure Ataxia, Unclassified Autosomal Dominant Spinocerebellar Ataxia, Thyroid Antibody Ataxia, Sporadic Adult-onset Ataxia of Unknown Etiology [crm.diseaseinfosearch.org]
Vadlamudi L, Kjeldsen MJ, Corey LA, Solaas MH, Friis ML, et al. (2006) Analyzing the etiology of benign rolandic epilepsy: a multicenter twin collaboration. Epilepsia 47: 550-555. [omicsonline.org]
Etiologic and pathogenetic aspects. Acta Paediatr Scand 1981 ; 70 : 445 –52. ↵ Khalifa MM, Struthers JL. Klinefelter syndrome is a common cause for mental retardation of unknown etiology among prepubertal males. [jnnp.bmj.com]
Epidemiology
From basic mechanisms and epidemiology, through diagnosis and therapy, to quality of life issues, the new edition of this established reference covers every aspect of childhood epilepsy and will continue to be the definitive core text for all professionals [books.google.com]
Prevalence and descriptive epidemiology of Lennox-Gastaut syndrome among Atlanta children. Epilepsia. 1997 Dec. 38(12):1283-8. [Medline]. Arzimanoglou A, French J, Blume WT, Cross JH, Ernst JP, Feucht M, et al. [emedicine.medscape.com]
Relevant External Links for CLN8 Genetic Association Database (GAD) CLN8 Human Genome Epidemiology (HuGE) Navigator CLN8 Atlas of Genetics and Cytogenetics in Oncology and Haematology: CLN8 No data available for Genatlas for CLN8 Gene Mutations in CLN7 [genecards.org]
Commission on Epidemiology and Prognosis, International League Against Epilepsy. Guidelines for epidemiologic studies on epilepsy. Epilepsia 1993 ;34: 592 - 596 24. [nejm.org]
"Prevalence and descriptive epidemiology of Lennox–Gastaut syndrome among Atlanta children". Epilepsia. 38 (12): 1283–8. doi : 10.1111/j.1528-1157.1997.tb00065.x. PMID 9578523. ^ a b c d Tyagi, Satyanand; et al. (Jul–Sep 2010). [en.wikipedia.org]
Pathophysiology
See the following articles for more information: Pathophysiology The pathophysiology of LGS is not known. No animal models exist. A variety of possible pathophysiologies have been proposed. [emedicine.medscape.com]
They can present as refractive error, strabismus, cortical visual impairment, and premature retinopathy. [9] Causes [ edit ] The disease pathophysiology is mostly unknown, but some evidence implicates cortical hyperexcitability occurring at critical periods [en.wikipedia.org]
The current review focuses on the newer advancements in the understanding of the clinical presentation & pathophysiology of BECTS, its genetics and the prognosis. [omicsonline.org]
Pathophysiology TSC1 and TSC2 function as tumor suppressor genes. TSC1 encodes the protein hamartin while TSC2 encodes the protein tuberin. Together, hamartin and tuberin form a functional complex, referred to as the TSC1/TSC2 complex. [clinicaladvisor.com]
Gaucher disease: the metabolic defect, pathophysiology, phenotypes and natural history. Pediatr Endocrinol Rev 2014; 12 (Suppl. 01) 72-81 37 Park JK, Orvisky E, Tayebi N, et al. [thieme-connect.com]
Prevention
Measures for prevention are becoming increasingly feasible. [esperanzaservices.us]
prevent transmission of disease from or to patients). [eeoc.gov]
Their function is to prevent some objectively unlikely event, often involving harm to or caused by the patient, which he or she fears might otherwise occur. [euro.who.int]
Other important prenatal (and potentially preventable) factors include maternal heroin and cocaine abuse, and HIV encephalopathy. The evidence of prenatal insult may be very subtle. [jnnp.bmj.com]
There have been advancements in understanding the genetics of BECTS, however at this point in time cannot be translated into prevention and better management. [omicsonline.org]