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Central Apneas Due to the CLIFAHDD Syndrome Successfully Treated with Pyridostigmine.

ABSTRACT: NALCN mutations lead to complex neurodevelopmental syndromes, including infantile hypotonia with psychomotor retardation and characteristic facies (IHPRF) and congenital contractures of limbs and face, hypotonia, and developmental delay (CLIFAHDD), which are recessively and dominantly inherited, respectively. We present a patient in whom congenital myasthenic syndrome (CMS) was suspected due to the occurrence of hypotonia and apnea episodes requiring resuscitation. For this reason, treatment with pyridostigmine was introduced. After starting the treatment, a significant improvement was observed in reducing the apnea episodes and slight psychomotor progress. In the course of further diagnostics, CMS was excluded, and CLIFAHDD syndrome was confirmed. Thus, we try to explain a possible mechanism of clinical improvement after the introduction of treatment with pyridostigmine in a patient with a mutation in the NALCN gene.

SUBMITTER: Winczewska-Wiktor A

PROVIDER: S-EPMC8776169 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature

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Central Apneas Due to the CLIFAHDD Syndrome Successfully Treated with Pyridostigmine.

Winczewska-Wiktor Anna A Hirschfeld Adam Sebastian AS Badura-Stronka Magdalena M Wojsyk-Banaszak Irena I Sobkowiak Paulina P Bartkowska-Śniatkowska Alicja A Babak Valeriia V Steinborn Barbara B

International journal of environmental research and public health 20220111 2

<i>NALCN</i> mutations lead to complex neurodevelopmental syndromes, including infantile hypotonia with psychomotor retardation and characteristic facies (IHPRF) and congenital contractures of limbs and face, hypotonia, and developmental delay (CLIFAHDD), which are recessively and dominantly inherited, respectively. We present a patient in whom congenital myasthenic syndrome (CMS) was suspected due to the occurrence of hypotonia and apnea episodes requiring resuscitation. For this reason, treatm ...[more]

PMID: 35055596

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Central Apneas Due to the CLIFAHDD Syndrome Successfully Treated with Pyridostigmine.

Publications

Central Apneas Due to the CLIFAHDD Syndrome Successfully Treated with Pyridostigmine.

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