HSMN - Hereditary Sensory Motor Neuropathy Flashcards

1
Q

What is HSMN?

A

This is a group of inherited, autosomal dominant conditions which are characterised by their impact on both sensory and motor nerves, leading to neuropathy

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2
Q

How will HSMN usually present?

A

Spasticity in the feet leading to cavovarus foot
Perineal spasticity
Tibial anterior spasticity
Hand intrinsics spasticity
Muscle weakness
Muscle wastage
Altered sensation
Reduced balance

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3
Q

When will HSMN present?

A

In late childhood and then progressing with age

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4
Q

How should unilateral cavovarus be interpreted until proven otherwise?

A

As a tumour

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5
Q

How is HSMN managed?

A

Treatment of confirmed HSMN usually involves bracing and splinting of the foot and monitoring for progression as hip displacement and scoliosis are some more serious complications of HSMN

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