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spinal muscular atrophy type-1; Werdnig-Hoffmann disease
Type I SMA, acute infantile SMA.
Genetics:
1) autosomal recessive
2) linkage to chromosome 5q11.2-13.3
Pathology:
1) progressive denervation in muscle
2) variable sized, rounded small muscle fibers
3) atrophy of anterior spinal roots
4) loss of lower motor neurons from most levels of spinal cord & brainstem
5) degeneration of motor axons
Clinical manifestations:
1) manifests at birth or after a few months:
2) floppy infant --> death after few months,
3) usually respiratory failure or aspiration pneumonia see NINDS Spinal Muscular Atrophy Information Page
General
childhood spinal muscular atrophy
Database Correlations
OMIM 253300
References
- Asbury, McKhann, McDonald. Diseases of the Nervous
System. Clinical Neurobiology. Saunders 1992
- National Institute of Neurological Disorders and Stroke (NINDS)
NINDS Spinal Muscular Atrophy Information Page
https://www.ninds.nih.gov/Disorders/All-Disorders/Spinal-Muscular-Atrophy-Information-Page