Koul Roshan, Al-Futaisi Amna, Al-Thihli Khalid, Bruwer Zandre, Scott Patrick
Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.
Departments of Genetics, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2017 Aug;17(3):e355-e357. doi: 10.18295/squmj.2017.17.03.018. Epub 2017 Oct 10.
Spinal muscular atrophy (SMA) is a genetic lower motor neuron disease. It usually involves all of the skeletal muscles innervated by the anterior horn cells of the spinal cord. In rare cases, there is also localised involvement of the spinal cord. We report a 10-year-old boy who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2015 with muscle weakness restricted to the lower limbs. The presence of a homozygous deletion within the gene confirmed the diagnosis of SMA. To the best of the authors' knowledge, this is the first report of an Omani patient with segmental SMA involving only the lower limbs. Treatment for this rare and relatively benign form of SMA is symptomatic and includes physiotherapy.
脊髓性肌萎缩症(SMA)是一种遗传性下运动神经元疾病。它通常累及脊髓前角细胞所支配的所有骨骼肌。在罕见情况下,也会出现脊髓局部受累。我们报告一名10岁男孩,于2015年就诊于阿曼马斯喀特的苏丹卡布斯大学医院,其肌无力仅局限于下肢。该基因内纯合缺失的存在证实了SMA的诊断。据作者所知,这是首例关于仅累及下肢的节段性SMA阿曼患者的报告。这种罕见且相对良性的SMA形式的治疗是对症治疗,包括物理治疗。