Spinal Muscular Atrophy Flashcards

1
Q

How many types?

A

4, but main ones are the first 3

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2
Q

What is the other name for Type 1and number of SMN copies

A

Werdnig-Hoffman Disease

Number of SMN2 copies: 2

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3
Q

What is the other name for Type 2 and number of SMN copies

A

Dubowitz Syndrome

Number of SMN2 Copies: 3 or 4

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4
Q

What is the other name for Type 3 and number of SMN copies

A

Kugelberg-Welander Disease

Number of SMN2 Copies: 3 or 4

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5
Q

Type 4; number of SMN copies

A

Number of SMN2 Copies: 4-8

Onset: Adulthood

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6
Q

Spinal injection treatment?

A

Spinraza (Nusinersen)

Increased production of SMN protein

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7
Q

What is the SMN protein?

A

Survival motor neuron protein

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8
Q

Other treatments?

A

Zolgensma - gene replacement therapy; single intravenous injection

Aims to halt progression if given early enough

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9
Q

Oral treatment?

A

Evrysdi (Risdiplam) - daily oral medication

Makes SMN

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10
Q

Where in the nervous system is affected?

A

Motor neuron - CNS, PNS and Voluntary muscles

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11
Q

Is SMN autosomal recessive or dominant

A

Autosomal recessive

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12
Q

What chromosome does it affect

A

Chromosome 5

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13
Q

What causes SMA

A

Insufficient levels of SMN protein

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14
Q

Type 1 age of onset

A

Before 6 months

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15
Q

Type 2 age of onset

A

6-18 months

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16
Q

Type 3 age of onset

A

After 18 months

17
Q

Type 1 movement prognosis

A

They will never sit, stand or walk

18
Q

Type 2 movement prognosis

A

They will never walk, but can sit

19
Q

Type 3 movement prognosis

A

They will need assistance to walk with mild muscle weakness

20
Q

What age will Type 1 die

21
Q

Which type has the best prognosis

22
Q

Are reflexes present

23
Q

Does type 2 affect arms of legs more

24
Q

What other problems present

A

Respiratory problems, due to muscle weakness

25
Name another physical issue that can present
Scoliosis
26
The term 'frog leg' is used to describe type 1, what does this mean?
Proximal wasting and weakness - weakness
27
Life expectancy in type 2
Childhood to adulthood
28
Life expectancy in type 3
Normal life expectancy
29
What other failure occurs
Nutritional due to bulbar failure - growth issues
30
Name other presentations in type 2
Tremor Tongue fasiculations
31
Are tongue fasiculations present in type 1
Yes
32
In respiratory failure in type 1, what is spared?
Diaphragm