medigraphic.com
SPANISH

Revista Mexicana de Pediatría

ISSN 0035-0052 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 3

<< Back Next >>

Rev Mex Pediatr 2014; 81 (3)

Oculomotor abnormalities in Niemann-Pick C disease

Moguel-Ancheita S
Full text How to cite this article

Language: Spanish
References: 7
Page: 108-114
PDF size: 163.41 Kb.


Key words:

Niemann-Pick, liposomal disease, neurovisceral, vertical gaze palsy, saccadic movements, strabismus.

ABSTRACT

Niemann-Pick type C is a rare but devastating disease. It is an autosomal recessive disease with neurovisceral involvement caused by mutation of the NPC1 gene in 95% of cases and 5% NPC2. In Mexico there is no established any protocol for diagnosis, and we have not identified the number of patients that corresponds with the population incidence. For clinical diagnosis has prompted the search for common signs such as paralysis of voluntary vertical gaze, however diligent oculomotor examination may demonstrate other less obvious changes, for example, in saccades, slow movement, nystagmus, blepharospasm and ocular apraxia. We believe that the proper oculomotor exploration in children with suspect of NP-C disease may establish earlier diagnosis.


REFERENCES

  1. Pineda MM, Coll RMJ. Enfermedad de Niemann-Pick tipos A, B y C. En: Sanjurjo P, Bandellou A, editores. Diagnóstico y tratamiento de las enfermedades metabólicas hereditarias. Madrid: Ergon; 2010. pp. 859-869.

  2. Patterson MC, Mengel E, Wijburg FA, Muller A, Schwierin B, Drevon H et al. Disease and patient characteristics in NP-C patients: findings from an international disease registry. Orphanet J Rare Dis. 2013; 8: 12.

  3. Mengel E, Klünemann HH, Lourenço CM, Hendriksz CJ, Sedel F, Walterfang M et al. Niemann-Pick disease type C symptomatology: an expert-based clinical description. Orphanet J Rare Dis. 2013; 8(1): 166.

  4. Wijburg FA, Sedel F, Pineda M, Hendriksz CJ, Fahey M, Walterfang M et al. Development of a suspicion index to aid diagnosis of Niemann-Pick disease type C. Neurol. 2012; 78(20): 1560-1567.

  5. Leigh J, Zee DS. The neurology of eye movements. 4a ed. New York: Oxford University Press; 2006.

  6. Salsano E, Umeh Ch, Rufa A, Pareyson D, Zee DS. Vertical supranuclear gaze palsy in Niemann-Pick type C disease. Neurol Sci. 2012; 33: 1225-1232.

  7. Esteban-García A. Blefaroespasmo y blefarocolisis. Caras diferentes de una misma moneda. Rev Neurol. 2005; 40: 298-302.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Pediatr. 2014;81