1991
DOI: 10.1055/s-2008-1071419
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Infantile Hereditary Neuropathy with Hypomyelination: Report of Two Siblings with Different Expressivity

Abstract: We report the cases of two siblings both affected by inherited sensory-motor neuropathy of a demyelinative nature but with markedly different severity and pathological findings. The clinical, neurophysiological and morphological features in these two cases were consistent with the diagnosis of Hereditary Motor Sensory Neuropathy type 3 (HMSN 3), according to the classification of Dyck, with different expressivity. These results raise the still unsettled question of the phenotypic variants in inherited neuropat… Show more

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Cited by 17 publications
(3 citation statements)
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“…CHN patients without onion bulbs died in early infancy/childhood, while those with onion bulbs survived, although severely handicapped. The lack of evidence for an active myelin breakdown together with hypomyelination, preservation of normal axons, paucity of onion bulbs, and absence of a demyelination‐remyelination process made CHN different from DSS . CHN is regarded as a primary hypomyelination of peripheral nerves due to a defect in the Schwann cell thus resulting in congenital impairment in myelin formation.…”
Section: Methodological Considerationsmentioning
confidence: 99%
“…CHN patients without onion bulbs died in early infancy/childhood, while those with onion bulbs survived, although severely handicapped. The lack of evidence for an active myelin breakdown together with hypomyelination, preservation of normal axons, paucity of onion bulbs, and absence of a demyelination‐remyelination process made CHN different from DSS . CHN is regarded as a primary hypomyelination of peripheral nerves due to a defect in the Schwann cell thus resulting in congenital impairment in myelin formation.…”
Section: Methodological Considerationsmentioning
confidence: 99%
“…DSS is on a continuum with congenital hypomyelinating neuropathy, which is at the most severe end of the CMT spectrum. Whereas DSS is generally associated with genetically mediated nerve demyelination/remyelination, congenital hypomyelinating neuropathy is associated with a primary deficiency of myelin production 2, 75…”
Section: Déjerine–sottas Syndromementioning
confidence: 99%
“…Families A [2] and C [23] have been reported in detail in previous papers. few steps with support from age 2 and reached the peak of her motor performance at age 5; but she has never been able to walk unaided.…”
Section: Second Seriesmentioning
confidence: 99%