[Nusinersen in the treatment of 4 children with presymptomatic spinal muscular atrophy]

Zhonghua Er Ke Za Zhi. 2024 Aug 2;62(8):786-788. doi: 10.3760/cma.j.cn112140-20240307-00159.
[Article in Chinese]

Abstract

4例患儿均因新生儿筛查发现运动神经元存活(SMN)1基因7号外显子纯合缺失就诊,均无脊髓性肌萎缩症(SMA)临床症状,神经系统查体均无阳性体征,电生理检查尺神经、腓总神经复合肌肉动作电位(CMAP)波幅均处于同年龄段正常范围。4例患儿经基因检测提示SMN2基因拷贝数均为3,均诊断为症状前SMA。患儿在出现症状前接受诺西那生钠疾病修正治疗,随访14~18个月,均可实现正常运动里程碑,监测CMAP波幅均处于同年龄段正常范围,无患儿发病。.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Child, Preschool
  • Exons
  • Female
  • Humans
  • Infant
  • Male
  • Muscular Atrophy, Spinal* / diagnosis
  • Muscular Atrophy, Spinal* / drug therapy
  • Muscular Atrophy, Spinal* / genetics
  • Muscular Atrophy, Spinal* / therapy
  • Oligonucleotides
  • Spinal Muscular Atrophies of Childhood / diagnosis
  • Spinal Muscular Atrophies of Childhood / drug therapy
  • Spinal Muscular Atrophies of Childhood / genetics
  • Spinal Muscular Atrophies of Childhood / therapy
  • Survival of Motor Neuron 2 Protein / genetics

Substances

  • nusinersen
  • Survival of Motor Neuron 2 Protein
  • Oligonucleotides