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Neonatal vocal cord paralysis-an early presentation of hereditary neuralgic amyotrophy due to a mutation in the SEPT9 gene.
[neuralgic amyotrophy]
Hereditary
neuralgic
amyotrophy
is
a
rare
autosomal
dominant
disorder
involving
recurrent
episodes
of
painful
brachial
plexus
neuropathies
.
Involvement
of
other
nerves
has
been
described
in
some
families
.
The
age
of
onset
is
from
infancy
to
adulthood
.
Mutations
in
the
SEPT
9
gene
were
identified
in
approximately
half
of
the
hereditary
neuralgic
amyotrophy
families
.
We
evaluated
a
family
with
six
affected
members
from
three
generations
with
a
point
mutation
in
the
SEPT
9
gene
.
One
of
the
patients
presented
in
the
neonatal
period
with
vocal
cord
paralysis
necessitating
intubation
and
prolonged
ventilation
.
The
neonatal
presentation
of
vocal
cord
paralysis
broadens
the
phenotypic
spectrum
of
hereditary
neuralgic
amyotrophy
.
The
identification
of
a
SEPT
9
mutation
in
a
neonate
with
respiratory
distress
due
to
vocal
cord
paralysis
expands
the
differential
diagnosis
in
these
patients
.
Diseases
Validation
Diseases presenting
"vocal cord paralysis expands the differential diagnosis in these patients"
symptom
neuralgic amyotrophy
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