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遗传性周围神经病

Hereditary Neuropathies.

出版信息

Continuum (Minneap Minn). 2023 Oct 1;29(5):1514-1537. doi: 10.1212/CON.0000000000001339.

Abstract

OBJECTIVE

This article provides an overview of hereditary neuropathies, describes the different hereditary neuropathy subtypes and the clinical approach to differentiating between them, and summarizes their clinical management.

LATEST DEVELOPMENTS

Increasingly available clinical genetic testing has broadened the clinical spectrum of hereditary neuropathy subtypes and demonstrated a significant overlap of phenotypes associated with a single gene. New subtypes such as SORD -related neuropathy and CANVAS (cerebellar ataxia, neuropathy, vestibular areflexia syndrome) have emerged. The optimization of clinical management has improved gait and motor function in the adult and pediatric populations. Novel therapeutic approaches are entering clinical trials.

ESSENTIAL POINTS

Hereditary neuropathies constitute a spectrum of peripheral nerve disorders with variable degrees of motor and sensory symptoms, patterns of involvement, and clinical courses.

摘要

目的

本文概述遗传性周围神经病,描述不同遗传性周围神经病亚型以及对这些亚型加以鉴别的临床方法,并总结其临床处理。

最新进展

日益普及的临床遗传学检测拓宽了遗传性周围神经病亚型的临床谱,证实了与单一基因相关的表型有显著重叠。新的亚型,如 SORD 相关性神经病和 CANVAS(小脑性共济失调、神经病、前庭反射消失综合征)已经出现。临床处理的优化改善了成年和儿童患者的步态和运动功能。新的治疗方法正进入临床试验。

要点

遗传性周围神经病是一组表现为不同程度运动和感觉症状、受累模式和临床病程的周围神经疾病。

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