Neurogenetics Flashcards
X linked
Duchenne muscular dystrophy
Autosomal dominant
Huntingtons
Genetic heterogeneity/ multifactorial
MS, Alzheimers
What does X linked mean
Only affects males
Duchenne muscular dystrophy- onset of weakness
3-4 yrs, wheelchair bound by 12
How do people die with muscular dystrophy
Resp and cardio muscle involvement by 20s
Gene responsible Duchenne
Dystrophin deficiency
Diagnosis of duchennes
developmental delay, muscle weakness, serum CK, muscle biopsy, molecular genetic testing, EMG
Clinical signs Duchenne
Gowers sign, high toe walking
Huntingtons disease gene involved
CAG- glutamine
Huntingtons incidence and onset
1/20,000 onset 30-50s
What is Huntington’s characterised by
Involuntary movements, dementia, progression to severe dependency and death over 15=20yrs
Early signs huntingtons
clumsiness, agitation, delusions, anxiety, depression
Later clinical signs huntingtons
dystonia, involuntary movements, balance probs, weight loss
Even later clinical signs huntingtons
rigidity/bradykinesia, inability to walk and speak, serious weight loss