Open AccessWERDNIG HOFFMAN IN HETEROZYGOTE TWINS
Author(s) -
Mohammad Hossein Ghorbani,
Mehrsima Abdollahzadeh,
Mahdi Jahangir Blourchian,
Masomeh Fasihi,
Maryam Alizadeh
Publication year - 2012
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2012.19.04.2252
Subject(s) - smn1 , spinal muscular atrophy , medicine , sma* , muscle biopsy , weakness , pediatrics , respiratory distress , neuromuscular disease , atrophy , disease , pathology , biopsy , surgery , mathematics , combinatorics
Spinal Muscular Atrophy (SMA) consists of three types of disease including Werdnig Hoffman (SMA type1) whichis an autosomal recessive degenerative motor neuron disease. These patients have abnormality in motor function of the muscles and will die inthe first few years of life. The genetic locuses of all three types of SMA are on the chromosome numbers and a deletion in locus 5q11-q13 willresult in a variety of this disease. Case Report: heterozygous twin infants (boy and girl) were born from relative parents admitted to the hospital,one in three days after another, with upper respiratory tract infection, respiratory distress and coughing. They were hypotonic and had tonguefasciculation. They were intubated and ventilated in the PICU. SMA was suspected because of the general muscular weakness; therefore,biopsy and neurophysiologic studies were performed. Quadriceps muscle biopsy showed fascicular atrophy of muscle fibers and in geneticanalysis of SMN1 gene in twin homozygous deletion of the SMN1 gene at exon 7was found. They became ventilator dependent and sufferedrespiratory failure and two weeks after their admissions in hospital, and with three day interval, died. Conclusions: it seems prudent to performgenetic assessments before having children in the parents who are close relatives especially after having one affected child.