Long-term progression in type II spinal muscular atrophy: A retrospective observational study

Marika Pane, Simona Lucibello, Maria Carmela Pera, Giorgia Coratti, Roberto De Sanctis, Laura Antonaci, Anna Lia Frongia, Sonia Messina

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

ObjectiveTo report the long-term progression in a cohort of patients with type II spinal muscular atrophy (SMA) assessed with the Hammersmith Functional Motor Scale-Expanded.MethodsSeventy-three patients (age 2.6-25 years) were included in the study. Twenty-eight of the 73 were first assessed before the age of 5 years and had been followed up for ≈5 years or longer. We observed an overall progression that was not linear. A piecewise regression analysis showed an improvement of scores in the younger patients with a point of slope change at ≈5 years of age, a decline between 5 and 13 years of age, and stability/slower decline after that.ResultsPatients with the lowest scores at baseline had the earliest onset of scoliosis and a higher need for noninvasive ventilation compared to those with higher scores. Our results confirm that on the long-term follow-up all patients with type II SMA show a clear and progressive decline.ConclusionThe severity of functional impairment at baseline can help to predict the magnitude of changes over time and the overall progression, including onset of scoliosis and need for noninvasive ventilation.
Original languageEnglish
Pages (from-to)E1241-E1247
JournalNeurology
Volume93
DOIs
Publication statusPublished - 2019

Keywords

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Cohort Studies
  • Disease Progression
  • Female
  • Humans
  • Male
  • Muscular Atrophy, Spinal
  • Retrospective Studies
  • Scoliosis
  • Spinal Muscular Atrophies of Childhood
  • Time
  • Young Adult

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