Presentation
However, the clinical appearances of scapuloperoneal spinal muscular atrophy and the present disorder make allelism unlikely. In 1994, a second Dutch family with a disorder similar to the present one was described. [wwww.unboundmedicine.com]
The pattern of expression was variable: the father showed a mild muscular involvement, while the son presented at birth skeletal dysplasia and a progressive course. [ncbi.nlm.nih.gov]
The problem arises when an infant presents clinically like SMA but is negative for survival motor neuron gene. A 3-month-old infant presented with paucity of limb movement and weak cry. [content.iospress.com]
Typical Presentation: Progressive muscle weakness, poor weight gain, sleep difficulties, pneumonia, scoliosis, joint contractures. [athenadiagnostics.com]
Acronym SPSMA Synonyms Amyotrophy neurogenic scapuloperoneal New England type Keywords Any medical or genetic information present in this entry is provided for research, educational and informational purposes only. [uniprot.org]
Entire Body System
- Short Stature
Short stature due to growth hormone resistance Short stature due to growth hormone secretagogue receptor deficiency Short stature due to isolated growth hormone deficiency with X-linked hypogammaglobulinemia Short stature due to partial GHR deficiency [orpha.net]
Stature: Sequencing Panel method(s): ◦ Sequencing, Capillary (Sanger) ◦ Sequencing, Next Gen CEN4GEN Institute for Genomics and Molecular Diagnostics - Edmonton, Canada TAT : contact lab price : contact lab Disproportionate Short Stature: Deletion/Duplication [genetests.org]
Musculoskeletal
- Myopathy
The book also covers myofibrillar myopathies; Emery–Dreifuss muscular dystrophy; facioscapulohumeral dystrophy and scapuloperoneal syndromes; oculopharyngeal muscular dystrophy; myotonic dystrophy types 1 and 2; and distal muscular dystrophies. [books.google.de]
[…] and scapulo-peroneal myopathy. [genome.jp]
Multicore myopathy, Multiminicore myopathy, Minicore myopathy with hand involvement, antenatal onset minicore myopathy with arthrogryposis, Minicore myopathy with external ophthalmoplegia, Multicore myopathy with external ophthalmoplegia, Multiminicore [orphananesthesia.eu]
including:*** Central core disease*** Congenital muscular dystrophy*** Centronuclear myopathy*** Fibre-type disproportion*** Minicore disease*** Multicore disease*** Myotubular myopathy*** Nemaline myopathy** () Mitochondrial myopathy, not elsewhere [mymemory.translated.net]
- Small Hand
hand Talipes equinovarus Abnormality of the musculature ... ... [familydiagnosis.com]
Clinical hallmarks of SPSMA are muscular atrophy of the shoulders, peroneal and small hand muscles resulting in distal weakness, predominantly of the lower limbs, and pectoral muscle wasting and weakness. [orpha.net]
- Winged Scapula
Patients present difficulty walking on heels, winged scapulae, and diminished or absent deep tendon reflexes. Other common features reported include vocal cord paralysis, scoliosis, and/or arthrogryposis. [orpha.net]
Neurologic
- Myoclonus
Paraplegia 17, Autosomal Dominant Silver Spastic Paraplegia Syndrome Silver Syndrome Spastic Paraplegia 17 Spastic Paraplegia With Amyotrophy Of Hands And Feet SPG17 270685 Genetic Test Registry Spinal Muscular Atrophy With Progressive Myoclonic Epilepsy Myoclonus [ukgtn.nhs.uk]
[…] affecting the central nervous system===* () Huntington's disease* () Hereditary ataxia** () Congenital nonprogressive ataxia** () Early-onset cerebellar ataxia*** Early-onset cerebellar ataxia with essential tremor*** Early-onset cerebellar ataxia with myoclonus [mymemory.translated.net]
[…] arthro-ophthalmopathy Stiff-Person-Syndrom ( 3 Files ) Erkrankung: Stiff-Person-Syndrom, Stiff-Man-Syndrom ICD1 10: G25.8 Synonyme: Moersch and Woltman syndrome, stiff limb syndrome, stiff trunk syndrome, PERM (progressive encephalomyelitis with rigidity and myoclonus [orphananesthesia.eu]
MERRF5 ¼ Onset before 13th year of life,¼ MELAS6 ¼ mtDNA point mutation ataxia, hearing impairment,¼ LHON7 ¼ mtDNA point mutation CSF protein, endocrine distur-¼ MILS8 ¼ mtDNA point mutation bances, otherwise identical to ¼ mtDNA point mutation9 CPEO ¼ Myoclonus [fliphtml5.com]
[…] with short stature Severe limb deficit Severe microbrachycephaly-intellectual disability-athetoid cerebral palsy syndrome Severe motor and intellectual disabilities-sensorineural deafness-dystonia syndrome Severe myoclonic epilepsy of infancy Severe myoclonus [orpha.net]
- Areflexia
Patients typically present during infancy or early childhood with progressive weakness, hypotonia, muscle atrophy, hyporeflexia /areflexia, and varying degrees of bulbar weakness. [amboss.com]
Hypotonia and weakness are usually noted in the newborn period and can be associated with congenital joint contractures and areflexia. [ncbi.nlm.nih.gov]
IgG antibodies directed against GM1, GD1a, GD1bMiller Fisher syndrome (MFS) Diplopia (usually external ophthalmoplegia), ataxia, areflexia. IgG antibodies to GQ1b5 (Hahn, 1998)1 The most common manifestations are listed. [fliphtml5.com]
- Hyporeflexia
Patients typically present during infancy or early childhood with progressive weakness, hypotonia, muscle atrophy, hyporeflexia /areflexia, and varying degrees of bulbar weakness. [amboss.com]
Atten- receptor tuated muscles, skeletal anomalies2, hyporeflexia Nemaline myopathy AD: 1q22–23/Tropomyosin-3 or areflexia; exercise-induced muscle stiffness; (NEM1) AR3/2q22/Nebulin risk of malignant hyperthermia Nemaline myopathy Neonatal hypotonia; [fliphtml5.com]
- Global Developmental Delay
The course of disease is unknown. [23] Spinal muscular atrophy with pontocerebellar hypoplasia (PCH1): This heterogeneous autosomal recessive disorder is characterized by generalized muscle weakness, global developmental delay, and early death. [emedicine.medscape.com]
developmental delay syndrome Short stature, Brussels type Short stature-craniofacial anomalies-genital hypoplasia syndrome Short stature-deafness-neutrophil dysfunction-dysmorphism syndrome Short stature-delayed bone age due to thyroid hormone metabolism [orpha.net]
- Facial Muscle Weakness
Respiratory otubular) myopathy disturbances (paretic diaphragm muscles), recur- rent pneumonia, dysphagia, dysarthria; hy- poreflexia or areflexia Neonatal hypotonia, facial muscle weakness, ex- ternal ophthalmoplegia, hyporeflexia, respiratory disturbances [fliphtml5.com]
Treatment
Part one discusses the approach to neuromuscular disorders, covering principles and basics, neuromuscular investigations, and assessment and treatment of neurological disorders. [books.google.de]
Twelve potentially clinically meaningful treatment benefit... [medworm.com]
It is not in any way intended to be used as a substitute for professional medical advice, diagnosis, treatment or care. Our staff consists of biologists and biochemists that are not trained to give medical advice . [uniprot.org]
Management and treatment There is no effective treatment to date. [orpha.net]
Prognosis
Prognosis - Amyotrophy- neurogenic scapuloperoneal- New England type Not supplied. Treatment - Amyotrophy- neurogenic scapuloperoneal- New England type Not supplied. Resources - Amyotrophy- neurogenic scapuloperoneal- New England type [checkorphan.org]
Prognosis The prognosis is not so poor, even if the problems of ambulation predispose to falls, to the development of arthrosic problems, which together with the dysmorphic aspects and the distal weakness contribute to get worse the motor problems. [orpha.net]
Prognosis Progressive muscle weakness usually leads to death by age four for persons with SMA I. Muscle weakness progresses at varying rates in SMA II, and many persons survive into adulthood. [encyclopedia.com]
Prognosis The prognosis for these patients is variable and depends on the underlying cause. [childneurologyfoundation.org]
The older the age of onset, the better the prognosis! [amboss.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Etiology Pathophysiology Clinical features The most common causes of death among patients with SMA are respiratory insufficiency (due to respiratory muscle weakness ) and aspiration pneumonia (due to bulbar weakness)! [amboss.com]
Etiology unknown. Inheritance is either autosomal dominant or X-linked. It is clinically indistinguishable from Kugelberg-Welander (recessive). First described in 1886 by Brossard. Presented as a nosological entity in 1964 by Kaeser. [whonamedit.com]
Etiology The causative gene of SPSMA is TRPV4 (12q23-q24.1), which encodes for a calcium, nonselective cation channel thought to be involved in the regulation of systemic osmotic pressure and mechanosensitivity. [orpha.net]
Arthrogryposis multiplex congenita is etiologically heterogeneous: underlying etiologies can include central nervous system causes, neurogenic effects, fetal constraint, and intrauterine vascular disruption (e.g., amyoplasia). [ncbi.nlm.nih.gov]
Epidemiology
Epidemiology References: [1] [2] [3] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Summary Epidemiology The precise prevalence of Scapuloperoneal spinal muscular atrophy (SPSMA) is not available. To date, more than 30 affected individuals have been described worldwide. Males are more severely affected than females. [orpha.net]
This genomic organization provides a therapeutic pathway to promote SMN2, existing in all patients, to function like the missing SMN1 gene. [10] Epidemiology Frequency United States The spinal muscular atrophies are the second most common autosomal-recessive [emedicine.medscape.com]
[…] voor Kinderen SOCIALE FOBIE SOCIAL PHOBIA Zie ook: FOBIEËN PHOBIAS Zie ook: VERLEGENHEID SHYNESS Sociale Fobie Diagnosis of Social Phobia (Social Anxiety Disorder) A good reference site Social Phobia/Social Anxiety Organization Social Phobia Genetic Epidemiology [catsclem.nl]
Pathophysiology
Understanding the molecular mechanism of TRPV4-linked axonal degeneration may provide a pathophysiological basis for design of rational therapies for SPSMA and CMT2C, with possible implications in other neurological diseases. [grantome.com]
Etiology Pathophysiology Clinical features The most common causes of death among patients with SMA are respiratory insufficiency (due to respiratory muscle weakness ) and aspiration pneumonia (due to bulbar weakness)! [amboss.com]
Pathophysiology In 1995, the spinal muscular atrophy disease-causing gene, termed the survival motor neuron ( SMN ), was discovered. [9] Each individual has 2 SMN genes, SMN1 and SMN2. [emedicine.medscape.com]
Prevention
An early diagnosis of SPSMA may be crucial in order to prevent the more severe congenital form. [ncbi.nlm.nih.gov]
Symptoms - Amyotrophy- neurogenic scapuloperoneal- New England type Causes - Amyotrophy- neurogenic scapuloperoneal- New England type Prevention - Amyotrophy- neurogenic scapuloperoneal- New England type Not supplied. [checkorphan.org]
Knowledge of the pathogenesis, genetics, and molecular biology of neuromuscular disorders is essential both in developing and applying new therapies and preventive measures, and in formulating genetic and prognostic advice. [books.google.de]
PreventionGenetics (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 [genetests.org]